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Tarsal Tunnel Syndrome Test & Diagnosis
Home Treatment
Tarsal tunnel syndrome often causes pain, burning, or tingling along the inside of the ankle and foot, making everyday movement difficult. At Balance Foot & Ankle Specialist, serving Howell and Bloomfield Hills, Michigan, our expert podiatrists provide reliable diagnostic tests, personalized treatment plans, and advanced care options to help relieve symptoms and restore mobility. From effective home treatment guidance to in-office therapies and surgical solutions when necessary, we are committed to helping you FIX IT and get back to living pain-free.
Nerve Pain Treatment
Tarsal Tunnel Syndrome Treatment Video:
This is our comprehensive video on everything you need to know about tarsal tunnel syndrome treatment!
Do you have Inside of the Ankle Pain or Tarsal Tunnel Syndrome? We go over the Best Inside of the Ankle Pain Treatment at Home!
We go over Tarsal Tunnel Syndrome Exercises, Tarsal Tunnel Syndrome Massage, Tarsal Tunnel Syndrome Symptoms , Tarsal Tunnel Syndrome Tests & the best Tarsal Tunnel Syndrome Treatment!
0:00 Inside of the Ankle Pain Treatment
0:47 Pain on the Inside of the Ankle Causes
1:00 Posterior Tibial Tendonitis Symptoms
1:12 Tarsal Tunnel Syndrome Symptoms
1:37 Inside of the Ankle Pain Diagnosis
2:47 Tarsal Tunnel Syndrome Medications
3:25 Inside of the Ankle Pain Relief
4:00 Tarsal Tunnel Syndrome Massage
4:30 Inside of the Ankle Pain Massage
5:50 Inside of the Ankle Pain Home Remedies
6:20 Tarsal Tunnel Syndrome Causes & Overpronation
6:44 Tarsal Tunnel Syndrome Exercises
6:59 Tarsal Tunnel Syndrome Stretches
7:50 Tarsal Tunnel Syndrome Shoes
8:45Tarsal Tunnel Syndrome Orthotics
9:31 Tarsal Tunnel Syndrome Braces
10:00 Tarsal Tunnel Syndrome Boot & Cast
10:22 Tarsal Tunnel Syndrome Injections
11:04 Inside of the Ankle Pain Cross Training
11:49 Tarsal Tunnel Syndrome Surgery
12:06 Inside of the Ankle Pain Exercises
12:24 Inside of the Ankle Pain Rehabilitation
What Is Tarsal Tunnel Syndrome:
- Posterior Tibial Nerve Entrapment and Compression can lead to a painful nerve condition known as peripheral mononeuropathy; also known as neuralgia.
- This is temporary damage to the nerve could potential become permanent if left untreated.
- The posterior tibial nerve can become entrapped or compressed in a variety of different areas.
- The common spots are all around the inside of the heel and ankle. But the pain can radiating into the foot and up the leg.
Tarsal Tunnel Syndrome Test:
Do a quick tarsal tunnel syndrome test by pressing with your thumb between your inside ankle and the heel. If the pain radiates this is almost definitely what you have.
But if it does not, it still does not rule out tarsal tunnel syndrome and Compression.
This is called a Postive Tinel or Valleix Sign if the nerve pain radiates up or down the ankle.
Tarsal Tunnel Syndrome Symptoms:
Nerve pain is distinguished from muscle, tendon and bone pain by the type of pain it causes.
Non-nerve pain usually produces more of a throbbing and aching soreness, while nerve pain causes numbness burning and tingling.
Other symptoms of posterior tibial nerve compression and entrapment include:
- Numbness burning and tingling around the ankles and possibly even the toes.
- Swelling of the feet.
- A shocking electrical sensation.
- Pain radiating towards the foot, towards the leg or both.
- Changes in temperature- Hot or cold.
- Pain along the inside of the ankle.
- “Pins and needle” pricking like sensation.
- Postive Tinel or Valleix Sign.
Posterior Tibial Nerve Pain:
The posterior tibial nerve can experience compression in two separate areas.
1. Tarsal Tunnel Syndrome:
- The most common site of posterior tibial nerve entrapment and compression is in the tarsal tunnel. This is where the posterior tibial nerve travels between the calcaneus and the flexor retinaculum ligament. It travels along with the posterior tibial artery, the posterior tibialis muscle, the flexor digitorium longus muscle and the flexor hallucis longus muscle. This is a prime site for constriction of both the medial and lateral plantar nerves that are the terminal divisions of the posterior tibial nerve. The constriction can occur before, in the middle and after the tarsal tunnel in equal 1/3rd proportions.
2. Medial Calcaneal Nerve Impingement:
- This is also known as Baxter’s nerve entrapment.
- The medial calcaneal nerve is a nerve that comes off the posterior tibial nerve punctures through the flexor retinaculum (a ligament that holds the neurovasculature protected against the inside of the ankle) on the inside of the ankle.
- The site where the medial calcaneal nerve pierces through the ligament is a primary site of constriction; this can mimic pain in a region close to the site of plantar fasciitis.
Tarsal Tunnel Syndrome: Trusted Foot & Ankle Information
Learn what’s hurting and how to fix it.
Finding the best products for managing peripheral neuropathy and diabetic foot pain can make a world of difference in your daily comfort and mobility.
When it comes to managing foot pain from conditions like plantar fasciitis, flat feet, or diabetic neuropathy, the best orthotics can offer crucial support and relief.
Choosing the best shoes for foot conditions like neuropathy, plantar fasciitis, or flat feet is essential for pain relief and long-term foot health.
Why Choose Balance Foot & Ankle Specialist in Howell and Bloomfield Hills?
If you are struggling with the pain, tingling, or numbness caused by tarsal tunnel syndrome, the expert team at Balance Foot & Ankle Specialist in Howell and Bloomfield Hills, Michigan, is here to help. Our board-certified podiatrists provide advanced diagnostic testing, personalized treatment plans, and both conservative and surgical options tailored to your needs. Whether you need custom orthotics, physical therapy, or minimally invasive procedures, we are dedicated to restoring your comfort and mobility. Don’t let nerve pain slow you down—schedule your appointment today and take the first step toward lasting relief.
Frequently Asked Questions About Tarsal Tunnel Syndrome
Tarsal tunnel syndrome is a condition caused by compression of the posterior tibial nerve inside the tarsal tunnel, a narrow space in the ankle. This leads to pain, tingling, or numbness in the foot.
Symptoms include burning pain, tingling, numbness, or shooting sensations along the inside of the ankle, heel, or arch of the foot. Some patients may also experience weakness in the foot.
It can be caused by flat feet, ankle injuries, arthritis, varicose veins, bone spurs, or swelling that places pressure on the tibial nerve.
A podiatrist may use a physical exam, nerve tests, ultrasound, or MRI to confirm nerve compression and rule out other conditions.
Yes, untreated tarsal tunnel syndrome can worsen over time, leading to chronic nerve damage and long-term pain or numbness.
Treatments may include anti-inflammatory medications, orthotics, physical therapy, corticosteroid injections, or surgery in severe cases.
Rest, ice, supportive shoes, and avoiding aggravating activities can help manage symptoms, but persistent or severe pain requires professional treatment.
No, surgery is considered only when conservative treatments fail. Many patients find relief through orthotics, medications, and physical therapy.
Our experienced podiatrists provide personalized treatment using advanced diagnostic tools and modern therapies to help patients in Howell and Bloomfield Hills find long-term relief from foot and ankle pain.
Dr. Tom Biernacki, DPM is a board-qualified podiatrist and foot & ankle surgeon serving Southeast Michigan at Balance Foot & Ankle Specialists. A Michigan native, Dr. Biernacki earned his undergraduate degree from Michigan State University and his Doctor of Podiatric Medicine (DPM) from Kent State University College of Podiatric Medicine. He completed a three-year comprehensive surgical residency in foot and ankle surgery in the Detroit metro area.
Dr. Biernacki specializes in the treatment of heel pain, bunions, hammertoes, diabetic foot care, sports injuries, flatfoot correction, and minimally invasive foot surgery. He is dedicated to providing evidence-based, patient-centered care that helps people of all ages stay active and pain-free.
He sees patients at multiple convenient Metro Detroit locations and is committed to community education through the MichiganFootDoctors.com resource library. Dr. Biernacki is a member of the American Podiatric Medical Association (APMA) and the Michigan Podiatric Medical Association (MPMA).