Addressing Tarsal Tunnel Syndrome

When you think of a nerve disorder that affects the feet, you might think of neuropathy. However, tarsal tunnel syndrome, a nerve disorder characterized by compression of the tibial nerve, also impacts a diverse range of people, from athletes to diabetics. In today’s article, we at Clifton Foot & Ankle Center will discuss what tarsal tunnel syndrome is, its causes, and symptoms.

What is Tarsal Tunnel Syndrome?

Have you ever experienced persistent tingling, numbness, or burning sensation in the sole of your foot or along your inner ankle? If so, you might be experiencing tarsal tunnel syndrome, often described as the foot’s equivalent of carpal tunnel syndrome. This occurs when the tibial nerve, a major nerve in your leg that extends down to your foot becomes compressed as it travels through a narrow passageway in the ankle called the tarsal tunnel.

Who is at Risk of Tarsal Tunnel Syndrome?

Certain individuals are at a higher risk of developing tarsal tunnel syndrome:

• People with flat feet. The fallen arch can stretch and put pressure on the tibial nerve.
• Diabetics (due to diabetic neuropathy).
• Individuals with arthritis, particularly inflammatory types like rheumatoid arthritis. The swelling can occur around the tarsal tunnel and pressure the nerve.
• Individuals engaging in activities with repetitive ankle motion (e.g., running, prolonged standing).
• Those who consistently wear tight shoes.
• Anyone with lesions in the tarsal tunnel (ganglion cysts, tumors, etc.).
• People experiencing swelling from injuries like ankle sprains or fractures.

Tarsal Tunnel Syndrome Symptoms

The symptoms of tarsal tunnel syndrome can vary but often include pain, numbness, tingling, and a burning sensation along the sole of the foot, heel, and sometimes extending up into the calf. These sensations may radiate to the toes, although the top of the foot is usually spared. Symptoms are often worse at night or after prolonged periods of standing, walking, or exercise. Some people also experience a shooting pain that travels up the leg.

What Happens if Tarsal Tunnel Syndrome is Left Untreated?

If tarsal tunnel syndrome is left untreated, the chronic compression of the tibial nerve can lead to permanent problems. Over time, the nerve itself can sustain permanent damage, leading to progressive and irreversible numbness, weakness, chronic pain, and loss of function in the affected foot. This can make walking increasingly difficult, affecting the fine motor skills in the toes and increasing the risk of falls.

If you are an elderly patient dealing with the debilitating effects of tarsal tunnel syndrome, we encourage you to visit a podiatrist to manage the condition. They can devise a treatment plan that will give you a sense of independence.

For more foot care facts and advice, consult Dr. Kenneth R. Wilhelm at Clifton Foot & Ankle Center in Fairfax County, Virginia, about any podiatric concerns you’re facing. Set up an appointment today to find relief!