Why is tarsal tunnel syndrome worse at night?

Chronic compression of the tunnel between the bones of the tarsus and the tibia can lead to a painful disease known as tarsal tunnel syndrome. The tibial nerve is a little nerve that runs from the sciatic nerve down to your ankle.

The tarsal tunnel is a small, bony, soft tissue-encased channel within the ankle through which the tibial nerve travels. When the tibial nerve is consistently squeezed, damage develops. However, there is several center for foot and ankle restoration for this syndrome.

Let’s hear more about it in detail!

Symptoms of Tarsal Tunnel Syndrome

As a result of tarsal tunnel syndrome, a person’s feet may hurt, feel numb, or itch. Pain along the tibial nerve is typical, but it can manifest in other areas, such as the sole or the interior of the ankle. Like, for example, these things:

  • pins and needles, a sharp, shooting ache
  • stimulation via electric current
  • distressing heat

Why is it Worst?

Individuals may have a wide range of symptoms. One person’s symptoms may worsen over time, while another’s may appear out of nowhere.

Sometimes doing physical things makes pain and other issues worse. However, if the illness has persisted for a long time, some persons may feel discomfort even when at rest.

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Where does tarsal tunnel syndrome come from?

Compression of the tibial nerve leads to tarsal tunnel syndrome, typically secondary to other issues.

There are a variety of possible causes, such as:

Injury or trauma, such as an ankle sprain or fracture, can cause inflammation and swelling that can pressure the tibial nerve, leading to tarsal tunnel syndrome. Diabetes can also increase the nerve’s susceptibility to injury.

How do doctors determine if a patient has tarsal tunnel?

You should consult a doctor if you suspect you have tarsal tunnel syndrome; they can help you pinpoint the root of the problem and devise a treatment strategy to keep the issue from worsening.

To see a specialist like a podiatrist, your primary care physician will likely suggest that you see one.

Your doctor will inquire about the development of your symptoms and your medical history, including any localized trauma.

Your doctor will check your foot and ankle for telltale signs of tarsal tunnel syndrome. Tinel’s test, in which the tibial nerve is lightly tapped, will most likely be administered. Tarsal tunnel syndrome is indicated if the pressure causes numbness or discomfort in the feet.

If your doctor feels that a mass or bone growth is to blame for your tarsal tunnel syndrome, they may recommend an MRI.

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What are the potential dangers of tarsal tunnel syndrome?

Left untreated, tarsal tunnel syndrome can cause severe nerve damage. This nerve injury in your foot may make walking or returning to your routine uncomfortable or impossible.

Is tarsal tunnel syndrome a temporary condition, or does it have lasting consequences?

Eventually, nerve damage might occur if TTS isn’t treated. It’s possible to suffer an irreparable loss of function if your nerves are damaged. You can have issues with basic motion, physical activity, and daily tasks.

TTS symptoms can be controlled with therapy. If you want to get better, you should start treatment as soon as possible once you notice symptoms. To a greater or lesser extent, curing TTS may depend on treating the underlying cause.

Treatment options for tarsal tunnel syndrome

The symptoms and cause of your tarsal tunnel discomfort will determine the course of treatment.

At Home

Reducing inflammation with anti-inflammatory treatments (particularly nonsteroidal anti-inflammatory drugs) can help relieve nerve compression. RICE therapy (relaxation, ice, compression, and elevation) is sometimes helpful in reducing edema and inflammation. Compression stockings can help alleviate the pressure o the nerve. When compression stockings help then the patient can have procedures bye Dr. Schoenhaus to close the vein and eliminate the pressure on the nerve. This procedure is called an EVLT.

Prescription drugs

To alleviate edema, steroid injections may be used. Braces and splits are sometimes used to keep the foot from moving and prevent further nerve compression. Shoes with arch support can be custom-made for those born with flat feet.


The tarsal tunnel release is an operation your doctor may suggest for persistent, severe instances. The incision for this surgery will go from behind your ankle to the top of your foot’s arch. They’ll cut the ligament, reducing pressure on the nerve.

Last Note!

There are ways to control this syndrome with the Best Tarsal Tunnel Syndrome Treatment . You need to get ahead and schedule the appointment today!

Dr. Jason Gold, DPM, FACFAS

Known for his expertise in thorough diagnostic testing and a steady surgical hand, Jason M. Gold, DPM, is a leader in modern foot and ankle care and sports medicine. He’s one of a handful of doctors who’s board certified in foot and ankle surgery in Palm Beach County. Dr. Jason Gold cares for patients at Foot, Ankle & Leg Vein Center, a state-of-the-art practice with locations in Boca Raton and Boynton, Florida.

Dr. Jodi Schoenhaus , DPM - Podiatrist in Boca Raton, FL

Dr. Jodi Schoenhaus DPM, RPhs, FACFAS

Dr. Jodi Schoenhaus is a foot, ankle, and leg vein specialist practicing in South Florida. She is considered a leader and innovator for various procedures in her field, including fat pad and vein care. Dr. Schoenhaus grew up in southern New Jersey and she considers herself a true Philly girl. After graduating from the University of Michigan, having studied kinesiology and human movement, she went to Temple University in Philadelphia where she got her doctorate.

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