Tarsal tunnel syndrome

Tarsal tunnel syndrome (TTS) happens when excess pressure is put on the tibial nerve, which runs through a canal inside the ankle.

If you’re experiencing TTS, you may feel shooting pain in the foot, numbness in the toes, pain or tingling over the base of the foot/heel, or ankle pain and cramping. You may also notice that your symptoms get worse with prolonged activity.

Physical therapy for tarsal tunnel syndrome is a practical approach to reducing the severity of symptoms and increasing quality of life.

The first step in treatment for tarsal tunnel syndrome is to complete a thorough examination of the entire lower extremity. From there, we’ll apply a wide variety of treatments to reduce pain or irritation and correct any issues. These may include:

• Education about lifestyle changes, such as proper shoes or weight management programs
• Joint mobilization/manual therapy
• Proprioception/gait training
• Strengthening and flexibility exercises
• Home exercise program
• Modalities for pain and inflammation (ultrasound, iontophoresis, electrical stimulation, ice)
• Methods to alter faulty mechanics (taping, orthotics, nerve mobilization)
• IASTM
• Dry needling