What are the symptoms of tarsal tunnel syndrome?

Tarsal tunnel syndrome involves irritation or compression of the posterior tibial nerve as it passes behind the inner ankle. Symptoms may spread into the arch, heel, or toes and can feel electric, prickling, hot, or aching. Standing, walking, or prolonged activity may bring symptoms on or make them stronger. Some people notice altered sensation or reduced foot strength. Swelling, flat-foot mechanics, an ankle injury, or another local problem can contribute, but similar sensations can arise from other nerve conditions.

Arrange an assessment if symptoms keep returning, disturb sleep, or change how you walk. Note where the sensation starts, whether it follows activity, and whether shoes or ankle position affect it. A clinician may test sensation, strength, reflexes, and the nerve near the ankle. Depending on the findings, physiotherapy, footwear changes, or custom orthotics may be discussed. A cortisone injection is not suitable for everyone and requires individual medical advice.

Seek prompt medical care for rapidly increasing numbness, new foot weakness, inability to lift or control the foot, or severe pain after an injury. Get urgent help if the foot becomes unusually cold, pale, or blue, or if you cannot walk safely.

Does the pattern fit tibial nerve irritation or another cause? How will you assess sensation and foot strength? Could footwear or foot alignment be contributing? Would physiotherapy or custom orthotics help, and what warning signs should I watch for?