When to worry about leg numbness and tingling with tarsal tunnel syndrome

Tarsal tunnel syndrome involves irritation or compression of a nerve near the inner ankle. Tingling or reduced sensation often affects the sole, heel, or toes and may spread into the lower leg. Standing, walking, tight footwear, or ankle swelling can aggravate it. Burning pain at night or increasing sensitivity can also occur.

Reduce activities that clearly provoke symptoms, choose footwear that does not press on the inner ankle, and avoid prolonged standing while arranging advice. Do not repeatedly test numb areas with heat or sharp objects. Record triggers, the exact areas affected, swelling, and any change in toe or ankle movement for your appointment.

Arrange prompt assessment if numbness is spreading, feeling remains reduced after activity stops, or you notice weakness when lifting the foot or moving the toes. Seek urgent care for sudden major weakness, a cold or discoloured foot, severe swelling, or rapidly escalating pain. People with diabetes or a foot wound should seek advice early when sensation changes.

Ask whether the symptoms follow the tibial nerve, whether ankle strength and sensation need monitoring, and whether footwear changes, physiotherapy, or other treatment options fit your case. Ask how to protect an area that feels numb and when it should be rechecked.