Tarsal tunnel syndrome develops when the tibial nerve becomes compressed as it passes through the tarsal tunnel on the inside of the ankle. This narrow space is formed by bone and soft tissue, and it protects important nerves and tendons that supply the foot. When the tibial nerve is irritated or damaged, it can disrupt normal sensation and movement. Tarsal tunnel syndrome is similar to other nerve compression disorders and can significantly affect daily activities if left untreated.

Symptoms of tarsal tunnel syndrome often include pain in the ankle, the bottom of the foot, and the toes. This pain may feel sharp, burning, or tingling and can worsen with prolonged standing or walking. Some individuals experience numbness or a pins and needles sensation that radiates along the sole. Weakness in the foot muscles may also develop, which can affect balance and stability. Symptoms may come and go at first but often become more persistent.

Several causes can lead to compression of the tibial nerve. Injury to the ankle, such as a sprain or fracture, may create swelling that places pressure on the nerve. Flat feet can increase strain by causing the foot to roll inward, which tightens structures around the tunnel. Other causes include cysts, varicose veins, or inflammation that reduces the available space for the nerve. Any condition that alters the anatomy of the ankle can increase the risk of nerve compression.

Risk factors for tarsal tunnel syndrome include repetitive stress on the foot, poor biomechanics, and underlying health conditions that affect nerve function. Individuals with diabetes or arthritis may be more susceptible due to inflammation or nerve sensitivity. Wearing unsupportive footwear and engaging in high-impact activities can also contribute to the problem. If you have symptoms of tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact James P. Huish, DPM of Arizona. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain can make every step uncomfortable and interfere with work, exercise, and daily activities. The discomfort sometimes begins gradually, but it can also start after an injury. Pain near the bottom of the heel frequently points to plantar fasciitis. This results from repetitive stress of the strong band of tissue that supports the arch. Pain at the back of the heel can result from Achilles tendonitis or bursitis. A sudden injury with severe pain, swelling, or a popping sound can signal a heel fracture or a torn Achilles tendon. Because several conditions produce similar symptoms, an exam by a podiatrist is important before treatment begins.

This foot doctor starts by reviewing symptoms, daily activities, and recent injuries. The foot and ankle are examined to identify any swelling, tenderness, or changes in movement. Imaging tests, like X-rays or ultrasound, help confirm certain conditions and rule out a fracture or other serious injury. Once the cause is identified, treatment includes custom orthotics to improve foot support and reduce strain on painful areas. It also includes padding that reduces pressure and recommendations for shoes that provide proper support. When symptoms do not improve with conservative care, surgery is considered for selected conditions.

Ignoring heel pain can limit normal movement and allow the problem to become more difficult to manage. Prompt care also helps patients return to comfortable walking with greater confidence. Heel pain linked to a fracture, severe tendon injury, or another serious condition benefits from early diagnosis. Long-lasting discomfort benefits from a professional evaluation, because it can indicate a serious problem. A podiatrist develops a treatment plan based on the specific cause of the pain and follows your progress to improve comfort and foot function. Early evaluation also helps address worsening symptoms before they disrupt mobility. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact James P. Huish, DPM of Arizona. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.