What Happens If Tarsal Tunnel Syndrome Is Not Treated?

The tibial nerve passes through a narrow space near the inner ankle. When it is compressed or irritated, symptoms may travel into the sole or heel and can worsen with standing, walking or prolonged activity. Sensation may become less reliable, balance may feel less secure and weakness can alter the way you push off. Symptoms may fluctuate, and heel pain or leg numbness and tingling can have other causes. A proper examination helps distinguish them.

Book a review if burning pain, tingling or numbness keeps returning, affects sleep or changes how you walk. Treatment may include reducing aggravating pressure, footwear changes, physiotherapy and custom orthotics when foot mechanics contribute. A cortisone injection may be discussed in selected cases, but it is not suitable for everyone. Persistent weakness or sensory loss warrants reassessment because prolonged nerve irritation may be harder to settle.

Seek prompt medical attention for rapidly worsening weakness, inability to lift or control the foot, spreading numbness, a new foot drop, severe swelling or symptoms after an injury. Arrange assessment soon if you are repeatedly tripping, losing balance or developing sores that you do not feel properly.

Where is the nerve being compressed? Could another condition explain the symptoms? Would orthotics or physiotherapy help? Should nerve testing or imaging be considered?