Complex vascular and nerve condition
Tarsal tunnel
Syndrome
Deeper Understanding.
Premium vascular assessment and personalised care.
Tarsal tunnel syndrome occurs when the tibial nerve is compressed as it passes through the tarsal tunnel on the inside of the ankle. A detailed assessment can help identify the underlying cause and guide appropriate treatment.
EXPERIENCED CLINICAL CARE | ADVANCED IMAGING | PERSONALISED TREATMENT
Comprehensive assessment
Detailed history, examination and vascular ultrasound
Evidence based management
tailored to your specific findingsand goals.
vascular care
experienced team in complex vacular management
personalised treatment plan
conservative and interventional options when appropriate
about Tarsal Tunnel Syndrome
understanding
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome happens when the tibial nerve on the inside of your ankle becomes compressed or irritated. When pressure builds up around it, you may experience pain, tingling, burning or numbness in your foot, and can sometimes get worse after standing, walking or exercising for long periods.
Nerve compression
Compression of the tibial nerve within the tarsal tunnel can cause pain, tinging and numbness in the foot and toes
Possible Causes
May be related to anatomical variations, swelling, varicose veins, previous injury or other space-occupying lesions.
Impact on function
Symptoms can affect walking exercise and daily activities, and may vary in severity between individuals.
Symptoms of Tarsal Tunnel Syndrome
Symptoms can vary depending on whether the nerve, vein or artery is affected. Common symptoms include:
ankle & foot pain
ankle altered sensation
Numbness or tinglings
Foot Tightness
foot muscle Weakness
our approach
a detailed and individualised assessment
We take a comprehensive approach, combining your history and symptoms with a detailed clinical examination and targeted vascular ultrasound. In selected cases, further imaging such as CT scan or nerve conduction studies may be recommended to confirm the diagnosis and assess the degree of compression.
The condition in detail
How Tarsal Tunnel syndrome develops
The tarsal tunnel is a small, enclosed space on the inner side of the ankle, surrounded by bone and a strong band of tissue. Several important structures pass through this space, including nerves, tendons and blood vessels. Because there is very little room for these structures to expand, even small changes within the tunnel can affect how the nerve functions. Over time, repeated pressure may interfere with the nerve’s ability to send signals properly, leading to changes in sensation and discomfort. In some cases, symptoms may come and go depending on foot position, activity levels and the amount of pressure placed on the ankle.
treatment options
Management tailored to your needs
Treatment depends on the type and severity of your symptoms, We develop a personalised plan based on your diagnosis, lifestyle and goals.
Conservative management
Activity modification
Physiotherapy
Foot wear correction
Custom orthotics
Anti-inflammatory medication
Ultrasound guided injection
An ultrasound-guided injection may deliver a corticosteroid and local anaesthetic near the affected nerve to help reduce inflammation and provide pain relief. Some patients experience symptom improvement following injection treatment, although the duration of relief varies
Surgical referral
For select cases, we work closely with surgeons to organise surgical procedure reducing compression. Published studies report surgical success rates ranging from approximately 44% to 96%, reflecting differences in patient selection, underlying causes and how outcomes are measured.
