How long does physiotherapy take to work for tarsal tunnel syndrome?

Physiotherapy for tarsal tunnel syndrome often takes several weeks to show meaningful change, while nerve symptoms may need a longer rehabilitation period. The pace depends on how long the nerve has been irritated, whether pressure continues around the ankle, your footwear and activity demands, and how consistently you can follow the plan. Tingling may settle unevenly rather than disappearing all at once.

Tarsal tunnel syndrome involves irritation or compression of the posterior tibial nerve near the inner ankle. A physiotherapist may work on calf and ankle flexibility, foot and lower-leg strength, balance, walking mechanics and ways to reduce repeated pressure. Treatment can make movement more comfortable, but it cannot predictably remove every cause of nerve compression. A review is useful if symptoms are unchanged, spreading, or limiting sleep and walking.

Attend the assessment with details about numbness, burning, weakness, footwear and activities that trigger symptoms. Practise only the prescribed exercises and increase them gradually. Choose supportive footwear with enough room, avoid prolonged positions that increase inner-ankle pressure, and pace standing or walking. Keep a simple record of symptoms after activity so the programme can be adjusted rather than pushing through worsening tingling.

Arrange prompt medical assessment for new or worsening foot weakness, frequent tripping, loss of feeling that does not settle, severe night pain, or trouble bearing weight. Seek urgent help after a significant injury with marked swelling, deformity, or a cold or discoloured foot. Persistent nerve symptoms deserve reassessment because another nerve, spine, circulation or foot problem can feel similar.

Ask which activities are safe now, how progress will be measured, whether footwear or a brace could reduce pressure, and when the diagnosis or treatment plan should be reviewed if numbness remains.