Warner Robins Foot and Ankle in Warner Robins, GA, serving Macon and Perry, GA, helps patients understand nerve-related foot pain with careful evaluation and focused treatment. Dr. Larry S. Goldstein, DPM, brings decades of surgical and podiatric experience to patients who develop tingling, burning, numbness, or shooting pain along the inner ankle and bottom of the foot.
How Tarsal Tunnel Syndrome Develops
Tarsal Tunnel Syndrome occurs when pressure squeezes the tibial nerve as it passes through the tarsal tunnel, a narrow space along the inside of the ankle. This nerve helps control feeling and function in parts of the foot. When swelling, inflammation, injury, or structural strain crowd that space, the nerve reacts with pain and abnormal sensations.
Several issues can contribute to this pressure. Flat feet may pull on structures near the nerve. An ankle sprain may create swelling. Arthritis, cysts, prominent veins, scar tissue, or repetitive stress may also irritate the area. Because many foot and ankle conditions cause similar symptoms, we always look for the underlying source of the nerve irritation.
Symptoms We Look For During an Exam
Patients often describe burning, tingling, numbness, or an electric shock sensation in the sole of the foot. Some feel pain that starts near the inner ankle and travels into the arch, heel, or toes. Symptoms may worsen after long periods of standing, walking, running, or wearing unsupportive shoes.
We also ask whether rest improves the discomfort and whether activity brings it back. These details help us separate Tarsal Tunnel Syndrome from plantar fasciitis, neuropathy, tendon problems, or lower back-related nerve pain.
How We Diagnose the Condition
We begin with a detailed discussion of symptoms, medical history, footwear, activity level, and prior injuries. During the physical exam, we check tenderness near the tibial nerve, evaluate foot alignment, assess sensation, and look for swelling or masses near the inside of the ankle.
We may use imaging when we need to evaluate bone structure, soft tissue swelling, cysts, or other causes of compression. In some cases, we may also consider nerve testing to measure how well the nerve sends signals. A thorough diagnosis helps us choose the right treatment plan instead of guessing based on symptoms alone.
What Happens After Diagnosis
Treatment depends on the cause and severity of the compression. We may recommend supportive footwear, custom orthotics, anti-inflammatory strategies, activity changes, stretching, or physical therapy. When conservative care does not relieve pressure on the nerve, we discuss advanced treatment options.
Schedule Care in Warner Robins
Warner Robins Foot and Ankle in Warner Robins, GA, serving Macon and Perry, GA, provides evaluation and treatment for Tarsal Tunnel Syndrome and other foot and ankle concerns. To schedule a visit with Dr. Larry S. Goldstein, DPM, call
(478) 328-2008.