Tarsal Tunnel Syndrome

What It Is: This condition is characterized by compression of the posterior tibial nerve as it passes through the tarsal tunnel, a narrow space behind the inner ankle bone (medial malleolus).
Causes: Trauma, repetitive strain, abnormal biomechanics, anatomical variations, cysts, or inflammatory conditions.
Symptoms: Patients typically experience burning pain, tingling, numbness, or electric shock-like sensations along the inside of the ankle, foot, and sometimes extending into the toes.
Treatment: Conservative measures include activity modification, orthotics, anti-inflammatory medications, physical therapy, and corticosteroid injections. In cases unresponsive to conservative care, surgical decompression of the nerve may be necessary to relieve symptoms and prevent permanent nerve damage.