Tarsal tunnel syndrome occurs when the tibial nerve, which runs through a narrow passage inside the ankle, becomes compressed or irritated. This nerve controls sensation and muscle function in the bottom of the foot, so even mild pressure can produce noticeable symptoms. Many people describe a burning sensation, tingling, or numbness that begins near the inner ankle and travels toward the heel or toes. Some symptoms appear suddenly during activity, while others develop slowly over time.

Flat feet, ankle injuries, arthritis, and swelling from repetitive strain are some of the causes of the condition. Symptoms often mimic other nerve-related conditions, such as neuropathy or plantar fasciitis, so a specific examination is necessary for an accurate diagnosis. At Body-Mind-Spirit Podiatric Center in Ashland, KY, Dr. Brian K. Bailey approaches each case individually to determine the source of irritation and develop a plan that protects long-term nerve health.

Burning, Tingling, and Nerve Changes

Early symptoms of tarsal tunnel syndrome often include burning pain along the inner ankle. Tingling or pins-and-needles in the bottom of the foot may follow, particularly after standing, walking, or wearing tight footwear. Some patients also report numbness in their arch or toes, making it more challenging to feel changes in pressure or temperature. Symptoms may be worse at night or after being on one’s feet for a long time.

Because the tibial nerve controls both sensation and movement, chronic compression can result in weakness or instability. The earlier the condition is assessed, the easier it is to alleviate irritation and prevent irreversible nerve changes. Any ongoing nerve sensations in the feet should be shared with a podiatrist, even if they are intermittent.

Treatment Options That Relieve Nerve Pressure

Most cases of tarsal tunnel syndrome can be managed with non-surgical care. Reducing inflammation around the nerve is a first step, which may involve activity modification, anti-inflammatory therapies, or bracing to limit motion that aggravates symptoms. Supportive footwear and custom orthotics help place the foot in a healthier position, decreasing pressure inside the ankle tunnel and improving comfort when walking.

Targeted stretching and strengthening exercises also play a role by improving flexibility and supporting the structures surrounding the nerve. For patients experiencing more severe compression, minimally invasive procedures may be considered to release pressure and restore space around the tibial nerve. Dr. Bailey designs each plan individually, choosing treatments that best match the cause and severity of symptoms.

When to See a Podiatrist in Ashland, KY

Burning, tingling, or numbness in the foot should never be ignored. These symptoms are signs that the tibial nerve is under stress, and early care can help prevent lasting nerve damage. If you are experiencing discomfort consistent with tarsal tunnel syndrome, contact Body-Mind-Spirit Podiatric Center in Ashland, KY, to schedule an evaluation with Dr. Brian K. Bailey. Call (606) 324-3668.