Tarsal tunnel syndrome is a condition that develops when the tibial nerve becomes compressed as it passes through a narrow space on the inside of the ankle called the tarsal tunnel. This pressure can interfere with normal nerve function and cause discomfort in the foot and ankle. Symptoms often include burning pain, tingling, or numbness that may spread into the heel, arch, or toes. Some people also experience sharp, shooting pain that becomes worse when standing or walking. The symptoms may appear gradually or develop after an injury. Because several foot conditions can produce similar symptoms, a professional evaluation is important to determine the underlying cause and recommend the most appropriate treatment.

Several factors can contribute to tarsal tunnel syndrome, including flat feet, injuries, and swelling around the ankle. Inflammation or nearby growths may also place pressure on the tibial nerve. As nerve compression continues, symptoms may become more frequent and begin to affect balance or normal walking. Persistent nerve irritation can also make daily activities less comfortable. A thorough podiatry evaluation helps identify the source of the nerve compression and determine whether another condition is contributing to the symptoms. Early diagnosis allows treatment to begin before the condition progresses and causes more significant nerve-related problems.

A podiatrist specializes in diagnosing and treating tarsal tunnel syndrome by evaluating foot structure, ankle function, and walking mechanics. Professional treatment is based on the underlying cause and focuses on relieving pressure on the affected nerve while improving overall foot function. Early podiatry care may also help reduce discomfort, improve mobility, and lower the risk of long-term nerve damage. Regular follow-up visits allow your progress to be monitored and treatment to be adjusted when needed. If numbness, tingling, or pain in your foot or ankle is affecting your daily activities, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact John Jachimiak, DPM of Boulder County Foot & Ankle. our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Boulder, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Proper shoe fit is essential both for maintaining foot health and preventing pain. Wearing the correct shoe size supports natural foot alignment and reduces pressure on sensitive areas. A proper fit means the shoe provides enough space for the toes, a secure heel, and adequate support for the arch. Many people wear shoes that are too tight or too loose, which can lead to discomfort and long-term issues. Understanding how to fit shoes correctly helps reduce the risk of foot problems and improves daily comfort.

Symptoms of poorly-fitted shoes often include foot pain, blisters, and pressure points. Wearing tight shoes can compress the toes and lead to conditions such as bunions or hammertoes. Loose shoes may cause the foot to slide, creating friction and instability. Some individuals experience arch pain or heel discomfort due to lack of support. These symptoms can worsen with continued use of improperly fitted shoes, and may affect walking and posture.

Several risk factors increase the likelihood of wearing the wrong shoe size. Not having feet measured regularly is a common issue, as foot size can change over time. Shopping early in the day may result in selecting shoes that feel tight later, since feet tend to swell in the afternoon. Failing to try on both shoes or ignoring width can also lead to poor fit. The main cause of many foot problems is improper sizing, which places uneven pressure on the foot structure.

To ensure a proper fit, it is best to visit a store and have both feet measured in the store. Shopping in the afternoon allows for a more accurate fit when feet are slightly expanded. Walking in the shoes before purchasing helps confirm comfort and stability. If you have foot pain from wearing shoes that do not fit right, it is suggested that you consult a podiatrist for effective relief solutions, and additional guidance tips.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of John Jachimiak, DPM from Boulder County Foot & Ankle. our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our office located in Boulder, CO . We offer the newest diagnostic and treatment technologies for all your foot care needs.