Tibial Nerve Entrapment (Tarsal Tunnel Syndrome)
Tarsal tunnel syndrome is compression of the tibial nerve behind the inner ankle. It causes burning pain, numbness, and tingling in the sole of the foot — often worse with prolonged standing.
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Treatment starts with addressing the underlying cause (rheumatoid arthritis, tumors, etc.).
Non-surgical treatment:
• Anti-inflammatory medications (NSAIDs)
• Foot splinting, bracing, or supportive footwear/orthotics
• Physical therapy to strengthen muscles and reduce pain
• Steroid injections into the tarsal tunnel
Surgical treatment:
When conservative care fails or neurologic deficits are progressing, surgical decompression is recommended. Through a small incision behind the inner ankle, the nerve is explored and released from compression.
Patients typically go home the day after surgery with oral pain medication and return for follow-up within a few days.