Understanding the condition
The tibial nerve passes behind the inner ankle through a space called the tarsal tunnel. Pressure within this space or around its branches may produce symptoms in the heel, arch or sole. Foot mechanics, swelling, scarring or a local lump can sometimes contribute.
What might you notice?
- Burning, tingling or altered sensation in the sole or toes.
- Pain around the inner ankle or arch, sometimes worse with standing or walking.
- Symptoms affecting walking tolerance or sleep.
These symptoms can have more than one cause. A clinical assessment is needed to establish the diagnosis.
Specialist assessment
Examination includes the foot, ankle and nerve function, with consideration of problems elsewhere in the leg or spine. Ultrasound, MRI or nerve tests may be useful. A clear clinical explanation is important before considering surgery.
Your treatment options
Options may include footwear changes, foot supports, activity adjustment and therapy. Decompression can be considered for selected patients with persistent symptoms or a structural cause. Recovery varies; symptoms can persist or recur after surgery.
Common questions
Is every burning foot caused by tarsal tunnel syndrome?
No. Other nerve disorders, spinal problems and non-nerve conditions can produce similar symptoms.
Will surgery remove all the pain?
Relief cannot be guaranteed. The likely cause, duration of symptoms and nerve damage influence the expected benefit.
General patient information from London Nerve Injury. Decisions about investigations and treatment require an individual clinical assessment.