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Tarsal tunnel syndrome

Also called: Tarsal tunnel syndrome

A pinched nerve inside the ankle causing burning, tingling, or numbness in the sole of the foot.

HelpSupportive shoes, inserts

Overview

The tibial nerve passes through a tunnel on the inside of the ankle.

Flat feet, injury, or swelling can squeeze it.

Symptoms

Common signs:

  • Burning sole of the foot

Less common

  • Tingling

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayNew or worse symptoms, or symptoms with fever.
See a doctor soonSymptoms that last or keep coming back.

Causes

Nerve pressure.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Flat feet
  • People with flat feet: Higher risk
  • Runners: Higher risk

Possible complications

  • Long-lasting pain: If not treated

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

  • Exam:
  • Nerve tests:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

  • Rest
  • Supportive shoes

Prevention

To lower your risk or prevent problems:

  • Supportive shoes

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a neurologist (brain and nerve doctor).

Children, pregnancy, and older adults

  • Runners and people with flat feet: Higher risk.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Most improve with shoes, inserts, and rest.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What's causing this?
  • What treatment do you recommend?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Tarsal tunnel syndrome

Sources

Last updated 2026-11-12.