March 2025
Causes and Risk Factors of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition caused by compression of the tibial nerve as it passes through the tarsal tunnel, a narrow space inside the ankle. This compression leads to pain, tingling, numbness, or burning sensations in the foot and ankle. The condition can result from injuries, swelling, varicose veins, or underlying conditions such as arthritis or diabetes. Risk factors include repetitive stress, flat feet, high-impact activities, and prolonged standing. Symptoms may worsen with movement and improve with rest. Individuals often experience discomfort along the inner ankle that radiates to the toes. Weakness in the foot muscles can also occur in severe cases. If you have any of the above symptoms, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Gregory Rorick, DPM of Rorick Podiatry, PC. 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 feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes of Ankle Pain While Playing Pickleball

Ankle pain during pickleball is a common complaint due to the intense movements involved in the sport. One of the leading causes is overuse, as frequent lateral movements, quick starts, and sudden stops place stress on the ankle joint. Another cause is improper footwear, which may not provide the necessary support or cushioning for the specific demands of pickleball. Ankle sprains, where the ligaments are stretched or torn, can also occur from twisting or rolling the ankle while trying to return a fast ball or change direction quickly. Poor technique or lack of warm-up exercises can contribute to muscle strains and joint stiffness, further increasing the risk of injury. Players with previous ankle injuries may experience recurring pain as well. If you enjoy playing pickleball and have endured an ankle injury, it is suggested that you consult a podiatrist who can offer effective treatment so you can return to this popular sport.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendonitis
- Achilles tendon rupture
- Stress fractures
- Bursitis
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.