Medical Issue

Tarsal Tunnel Syndrome (TTS)

Tarsal Tunnel Syndrome (TTS)

The tarsal tunnel is a narrow channel that lies on the inside of the ankle. The tibial nerve as well as certain blood vessels and tendons pass through the tarsal tunnel. Tarsal Tunnel Syndrome (TTS) is caused by compression of the tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot.


Symptoms are typically felt on the inside of the ankle and/or on the bottom of the foot. Patients with TTS typically complain of numbness in the foot radiating to the toes, pain, burning, electrical sensations, and tingling over the base of the foot and the heel.

Risk Factors

A person with flat feet is much more likely to develop tarsal tunnel syndrome, because the outward tilting of the heel can produce strain and compression on the nerve. Varicose veins, ganglion cysts, swollen tendons, or arthritic bone spurs as they grow can compress the tibial nerve.


Injuries such as ankle sprains may produce inflammation and swelling in or near the tunnel, can result in compression of the tibial nerve. Runners with flat feet/pronation are more likely to experience TTS. Systemic diseases such as diabetes or arthritis can cause swelling which may also effect the tarsal tunnel.


Treatment options include rest, icing (applying an ice pack in a towel) or anti-inflammatory oral medications. Physical therapy, ultrasound, or injections of local anesthetic or steroids may help reduce symptoms. Orthotic devices or bracing may be prescribed to correct foot positioning. Surgery is also an option.

The Concierge Podiatry Advantage

At Concierge Podiatry we specialize in treating tarsal tunnel syndrome with custom laser therapy for immediate relief, special compression socks which reduce symptoms, and Perfect Posture orthotics for long term improvement.

We take the time needed to diagnose and explain any treatment options before beginning any course of treatment.

  • Contact Concierge Podiatry for an appointment
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