Tarsal Tunnel Syndrome Specialist

CFP Physicians Group -  - Family Physician

CFP Physicians Group

Family Physicians & Geriatrics located in Casselberry, FL

Tarsal tunnel syndrome is like your foot’s version of carpal tunnel syndrome. This condition can cause a variety of nerve issues in your foot and ankle, including pain and prickling sensations. At CFP Physicians Group in Casselberry, Florida, the group of experienced providers uses advanced methods to diagnose and treat your tarsal tunnel syndrome. Call the office, or book an appointment with online scheduling.

Tarsal Tunnel Syndrome Q & A

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome occurs when the posterior tibial nerve that starts above your ankle becomes compressed within the tarsal tunnel — a slender passage within your ankle. This compression is usually related to long-term pressure. 

Tarsal tunnel syndrome typically causes foot and ankle symptoms including:


  • Sharp pain
  • Tingling or prickling 
  • Shock-like sensations
  • Burning


Often, tarsal tunnel symptoms are most severe after exercise, but many people experience symptoms overnight or when they’re at rest.

What causes tarsal tunnel syndrome?

There are several possible causes of tarsal tunnel syndrome. Common causes can include:


  • Flat feet, which overstretches the posterior tibial nerve
  • Systemic disease like diabetes, which triggers swelling
  • Varicose veins, tumors, or lipomas around the posterior tibial nerve
  • Inflammation or bone spurs from foot and ankle arthritis
  • Injuries like ankle sprains, which trigger swelling


In some cases, more than one factor might contribute to your posterior tibial irritation and thus your tarsal tunnel syndrome. 

How is tarsal tunnel syndrome diagnosed?

Tarsal tunnel syndrome diagnosis starts with symptom assessment and medical history. Your CFP Physicians Group specialist carefully examines your foot and ankle, typically including a Tinel’s test in which your provider lightly taps your posterior tibial nerve. 

You may also need electromyography (EMG) and nerve conduction studies to check your nerve function and to find underlying causes of your tarsal tunnel syndrome. In some cases, you might need special imaging tests like MRI if your provider suspects a bone spur or growth.

How is tarsal tunnel syndrome treated? 

Tarsal tunnel syndrome treatment can take several forms, depending on your symptoms and your provider’s recommendations. Rest, ice, compression, and elevation (RICE) often helps with inflammation. 

For serious swelling and pain caused by tarsal tunnel syndrome, you may need steroid injections. Many people with tarsal tunnel syndrome also benefit from immobilization, such as a splint or brace. Custom orthotics can improve foot movement and ease symptoms, too.

If you have chronic tarsal tunnel syndrome symptoms that don’t respond to conservative treatment, you could eventually need surgery. There are several surgery options, including tarsal tunnel release that cuts the ligament near your tarsal tunnel and stretching the ligament. 

Tarsal tunnel syndrome can be a real pain in the foot and ankle. But, fortunately, it’s easily treated with help from the friendly team of experienced specialists at CFP Physicians Group. Book your appointment through the online scheduler or call the office today.