“Tarsal tunnel syndrome is a painful condition of the foot caused by pressure on the posterior tibial nerve as it passes along a passage called the tarsal tunnel just below the bony bit on the inside of the ankle causing a burning pain in the foot along with pins and needles and pain radiating in the arch of the foot. Pain may be worse when running or when standing for long periods of time and often worse at night.

The area under the medial malleolus on the inside of the ankle may be tender to touch. A professional therapist may use Tinels test to diagnose tarsal tunnel syndrome. Pain indicates a positive test.

Sometimes it is initially mistaken for plantar fasciitis which also causes pain from the inside heel and throughout the arch of the foot. 

Tarsal tunnel syndrome treatment

Rest from any aggravating activities and apply cold therapy whilst in the acute phase when the foot or ankle is painful and inflamed. Your Doctor may prescribe anti-inflammatory medication to help reduce pain and inflammation.

Once the initial pain and inflammation have gone then a full rehabilitation program which includes stretching exercises and strengthening exercises for the foot can begin.

Stretching exercises may include stretching for the calf muscles (gastrocnemius and soleus) as well as the plantar fascia under the foot. Strengthening exercises are similar to that of an ankle sprain but may focus more on inversion strengthening or strengthening as the foot turns inwards.

Consult a foot specialist, podiatrist or physiotherapist who can assess this and biomechanical problems of the foot.

REFhttp://www.sportsinjuryclinic.net/sport-injuries/foot-heel-pain/tarsal-tunnel-syndrome Google images