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Tarsal Tunnel Syndrome: What is it? | How do you treat it?

Tarsal tunnel syndrome is a condition that can cause significant discomfort and impact daily activities. Often seen in runners it can commonly occur in the non-sporting population. Check out our summary of what it is, common causes, symptoms and best treatment.


What is the Tarsal Tunnel?

Tarsal Tunnel Syndrome

The tarsal tunnel is a fibro-osseous space located just behind the ankle bone on the inside of the foot. It serves as a passageway for tendons, nerves, and vessels to travel between the posterior leg and the foot. The tunnel is formed by a bony floor and a connective tissue roof.


What is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome occurs when the posterior tibial nerve, which runs through this narrow passage, becomes compressed. This compression can lead to various symptoms that affect the foot and ankle:

Tarsal Tunnel Syndrome
Common symptoms
  • Tingling or burning sensations in the foot
  • Numbness along the sole of the foot
  • Sharp, shooting pains
  • Pain that worsens with prolonged standing or walking
  • Possible weakness in the foot muscles

These symptoms can vary in intensity and may extend from the ankle to the heel, arch, and even the toes.


What causes Tarsal Tunnel Syndrome?

Several factors can contribute to the development:

  • Flat feet or fallen arches
  • Ankle injuries or sprains
  • Systemic conditions like diabetes or arthritis
  • Varicose veins in the tarsal tunnel
  • Ganglion cysts or bone spurs

How can Physiotherapy help?

At The Physios, Sheffield, we offer comprehensive treatment. Our approach includes:

  1. Thorough Assessment: We begin with a detailed examination to accurately diagnose Tarsal Tunnel Syndrome and identify its underlying causes. Run Lab is our specialist service for runners.
  2. Customized Treatment Plans: We develop personalized strategies that may include:
    • Manual therapy to reduce nerve compression
    • Specific exercises to improve flexibility and strength
    • Nerve gliding techniques
    • Orthotics or taping to support the foot and ankle
  3. Education: We provide guidance on proper footwear, activity modifications, and self-management techniques.
  4. Progressive Rehabilitation: As symptoms improve, we focus on restoring full function and preventing recurrence.

Early intervention is crucial in managing Tarsal Tunnel Syndrome effectively. If you’re experiencing foot pain or tingling sensations, don’t hesitate to call us on 0114 267 8181. Or book an appointment here.