09/02/2026
🌿 What is Tarsal Tunnel Syndrome?
Tarsal Tunnel Syndrome is a nerve compression condition where the tibial nerve (or its branches) is compressed inside the tarsal tunnel, a narrow space on the inside of the ankle.
The tibial nerve controls:
Sensation in the bottom of the foot and toes
Some small muscles in the foot
🌿 Causes
Anatomical compression → thickened ligaments, varicose veins, ganglion cysts, or bone spurs
Overuse injuries → running, long walks, or standing for long periods
Medical conditions → diabetes, arthritis, or inflammation
Trauma → ankle fractures, sprains, or swelling
🌿 Symptoms
Tingling or “pins and needles” in the sole, heel, or toes
Burning or shooting pain in the foot or ankle
Numbness in the foot, especially at night
Weakness in toe muscles or difficulty gripping with toes
Swelling or tenderness along the inside of the ankle
🌿 Diagnosis
Physical exam → tapping over tibial nerve to reproduce symptoms (Tinel’s sign)
Nerve conduction studies / EMG → assess nerve function
Imaging → MRI or ultrasound to see compressive structures
🌿 Treatment
1️⃣ Conservative / Home Care
Rest & reduce pressure on the affected foot
Ice or anti-inflammatory medication for swelling
Supportive footwear / orthotics → reduce pressure on the tarsal tunnel
Stretching & nerve gliding exercises → ankle, calf, and foot muscles
2️⃣ Medical / Interventions
Corticosteroid injections → reduce inflammation
Surgery → tarsal tunnel release if conservative measures fail
3️⃣ Lifestyle & Prevention
Avoid prolonged standing or high-impact activities
Maintain healthy weight to reduce nerve compression
Correct foot mechanics with insoles if flat feet or pronation exist
🌿 Acupressure / Nerve Support (Complementary)
KD3 (Taixi) – near inner ankle, supports tibial nerve flow
BL60 (Kunlun) – behind ankle bone, releases tension
ST41 / SP5 – points along ankle and foot meridians
Gentle massage or tapping along inner ankle and sole of foot improves circulation and relieves nerve irritation
💡 Tip: Combine acupressure, gentle stretching, and strengthening of foot muscles for best results.
