Home > Blog > Physiotherapy > Foot & Ankle Pain > Tarsal Tunnel Syndrome

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Tarsal Tunnel Syndrome Physiotherapy



Tarsal tunnel syndrome (TTS) is the compression to the back of our tibial nerve, causing symptoms along the entire path of the nerve from the affected level.

The tarsal tunnel, like its sister tunnel in the hand known as the carpal tunnel (common condition is carpal tunnel syndrome), is a very tight and narrow space inside of our ankles. The tarsal tunnel is covered with a thick ligament (image a wire cover) that protects and maintain the structures in the tunnel (one of these structures is the posterior tibial nerve).

Tarsal tunnel syndrome is caused by anything that produces compression on the posterior tibial nerve, including

  • flat feet
  • enlarged or abnormal structure eg. varicose vein,
  • swelling or inflammation
  • systemic diseases

Tarsal Tunnel Syndrome symptoms

Most of the time, tarsal tunnel syndrome symptoms are typically experienced on the inside and/or on the bottom of our foot. However, in some patients, symptoms can be isolated and even can happen on one specific spot.

In some patients, this pain may travel to other locations such as the toes, heel and even the arch.

Some of the common tarsal tunnel syndrome symptoms include:

  • feelings of pain, including shooting, stabbing pain in-and-around the ankles and sometimes to/around the toes
  • altered sensations such as tingling, burning, numbness or electricity-like experiences
  • numbness in and around the ankles and toes
  • swelling of the feet and or toes

In some patients, the symptoms can just suddenly happen without warning. For some others, the symptoms is triggered by specific actions or activities such as overuse of the foot, such as in standing, walking, jogging, running, exercising etc.

Tarsal Tunnel Syndrome Physiotherapy

Our senior specialist physiotherapists will first conduct an indepth assessment to examine and understand your foot to diagnose your foot condition.

There are a variety of treatments that the physiotherapist will prescribe upon determining the causes and core problem, and use these treatments in combination to treat your foot.

They are:

  • Immobilization: the "locking" or restriction of the foot and ankle mainly by taping is sometime required to protect the nerve and area and assist the tarsal tunnel and its structure to protect and allow natural healing to take place

  • Exercise and specific nerve gliding techniques: this is to enhance the nutrient supply to the affected structures as well as remove stiffness, improve mobility and motion; and reduce tarsal tunnel syndrome symptoms

  • Orthotic devices: our senior physiotherapists may prescribe our inhouse podiatrist to help or prescibe you directly with corrective insoles that are either customized insoles or off the shelves

  • Shoes: we will also advise you on which shoes are the best fit for your foot for better foot health and recovery

If left untreated, tarsal tunnel syndrome will progress and may result in permanent irreversible nerve damage. Also, because the symptoms of tarsal tunnel syndrome can be similar/overlap with other conditions, we recommend proper evaluation by a senior physiotherapist is essential so that a correct diagnosis can be made and appropriate treatment initiated.



Back to Top

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime. It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here