Tarsal tunnel syndrome can turn a simple walk to the mailbox into an uncomfortable ordeal, and ignoring the symptoms often allows the nerve damage to progress. With the right diagnosis and an individualized treatment plan, you can quiet the pain, restore comfortable movement, and protect the long-term health of your foot.
Dr. D. Sean Sweeney, DPM, FACFAS, and Dr. Christy Leahey, DPM, FACFAS, at Sweeney Foot & Ankle Specialists bring more than 20 years of trusted podiatric expertise to patients across The Woodlands and Magnolia. Voted Best Podiatrist in The Woodlands by Living Magazine every year since 2012, our team combines compassionate care with advanced technology to help you get back on your feet.
What Is Tarsal Tunnel Syndrome?
Tarsal tunnel syndrome occurs when the posterior tibial nerve is compressed as it passes through the tarsal tunnel, a narrow space on the inner side of the ankle. This nerve supplies sensation to most of the bottom of the foot, so when it’s pinched, the symptoms can be felt anywhere from the heel to the toes.
Most often, the condition is caused by a flat foot or excessive pronation, which can stretch and irritate the nerve over time. Tight calf muscles, ganglion cysts, fibromas, lipomas, or small varicose veins around the nerve can also be to blame. It typically develops slowly and is more common in adults over 30.
Common Symptoms
- Burning or numbness along the bottom of the foot
- Tingling or “pins and needles” that may radiate into the toes
- Pain that worsens with activity or at night
- A sensation similar to a neuroma in the ball of the foot
- Calf tightness or visible flattening of the arch
How We Diagnose Tarsal Tunnel Syndrome
Diagnosis begins with a detailed history and a hands-on physical exam. Your provider will observe your gait, check for swelling near the inner ankle, and gently tap along the nerve to look for a tingling response. Weight-bearing X-rays help evaluate foot structure, while an MRI can identify soft tissue masses, and nerve conduction studies may be ordered if nerve damage is suspected. Similar symptoms can result from diabetic neuropathy, circulatory issues, or compression higher up in the leg, so a thorough evaluation is essential.
Treatment Options
Treatment focuses on relieving pressure on the nerve and correcting the foot’s underlying mechanics. Your provider will recommend a personalized plan, which may include:
- Custom functional orthotics to control over-pronation
- Calf stretching and a dorsal night splint
- Anti-inflammatory medication or vitamin B supplementation
- In-office physical therapy for strength and flexibility
- MLS laser therapy to reduce pain, inflammation, and nerve irritation, with reported efficacy of 85–90%
- Surgical decompression or removal of a soft tissue mass when conservative care isn’t enough
Why Choose Sweeney Foot & Ankle Specialists for Tarsal Tunnel Syndrome in The Woodlands, TX?
Patients across Greater Houston choose our practice because we pair seasoned clinical expertise with leading-edge tools that actually move the needle on nerve pain. Our investment in MLS laser therapy, Nano Flex regenerative injections, and in-office physical therapy means you can access multiple modalities under one roof, without juggling outside referrals.
We’re known for prompt appointments, warm bedside manner, and a patient-centered approach that fits care around your goals, whether you’re an athlete training for a race in Magnolia or a senior simply wanting to walk comfortably again. With a 14-year run as Living Magazine’s top-voted podiatrist, our reputation is built on results you can feel.
Schedule Your Consultation Today
You don’t have to keep guessing about the burning in your foot. The team at Sweeney Foot & Ankle Specialists will pinpoint the cause, walk you through your options, and create a plan that helps you move comfortably again. Contact our office in The Woodlands at (281) 292-4944 or our Magnolia location at (281) 789-4956 to schedule your evaluation.