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Ironworks

Tarsal Tunnel Syndrome Treatment

Tarsal tunnel syndrome treatment in Rolesville, NC. Nerve decompression, orthotics, and injections at Ironworks. Serving Wake Forest.

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Do You Have Any of These Symptoms?

If any of this sounds familiar, you’re in the right place. Call us or request an appointment online, and we’ll take a look.

Burning, tingling, or electrical pain on the inside of the ankle or into the sole

Numbness in the foot, especially on the bottom

Pain that's worse at night or after long periods of standing

Shooting sensations from the ankle into the toes

Symptoms that have been misdiagnosed as plantar fasciitis or neuropathy

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You’re Not Alone, and You Have Options

Tarsal tunnel syndrome is very treatable once correctly diagnosed.

Tarsal tunnel syndrome is essentially carpal tunnel for the foot, compression of the tibial nerve as it passes through a narrow tunnel on the inside of the ankle. Symptoms include burning, tingling, or shooting pain from the inner ankle into the foot. It’s often misdiagnosed as plantar fasciitis or neuropathy.

How we treat it

Custom orthotics to stabilize the foot and reduce nerve tension

Anti-inflammatory medications

Corticosteroid injection into the tarsal tunnel

Physical therapy

Surgical nerve decompression (tarsal tunnel release) for severe cases

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What to Expect at Your First Visit

A tarsal tunnel visit is primarily about getting the diagnosis right, this condition is often confused with plantar fasciitis or general neuropathy.

Plan on 45 to 60 minutes. Bring a list of when and where the pain occurs, and any shoes or inserts you’ve been using.

Careful history of symptom location, character, and timing

Physical exam including the Tinel's test (tapping over the nerve to reproduce symptoms)

Diagnostic ultrasound to look for compressive causes

Nerve conduction studies if needed to confirm the diagnosis

Custom orthotic prescription to relieve nerve tension

Discussion of injections or surgery if conservative care fails

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Why Choose Ironworks

Ironworks is Rolesville’s dedicated podiatry and advanced wound care practice, serving Wake Forest, Youngsville, and the surrounding communities with the specialized, personal care you shouldn’t have to travel to Raleigh or Durham to find.

Board-certified wound physician and podiatric surgeon with advanced training in foot and ankle medicine and surgery

In-office digital X-ray diagnosis and treatment in a single visit

Two specialties under one roof: foot and ankle care plus advanced wound healing

Same-day appointments for new patients with urgent issues

A local practice with small-practice attention: you'll see the same doctor each visit

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Frequently Asked Questions

Tarsal tunnel causes burning, tingling, or electrical sensations, signs of nerve involvement. Plantar fasciitis causes deep aching pain in the heel that’s worst with the first steps of the day.

Sometimes, if the cause is temporary (swelling from an injury or pregnancy-related fluid retention). Chronic tarsal tunnel rarely resolves without treatment, especially if there’s an anatomical cause like a cyst or bone spur compressing the nerve.

A careful physical exam with the Tinel’s test (tapping over the nerve to reproduce symptoms) is often diagnostic. Nerve conduction studies and ultrasound can confirm the diagnosis and identify compressive causes that might need surgery.

For well-selected patients with a clear compressive cause, surgical success rates are 75–90% for significant symptom relief. Success depends heavily on proper patient selection and addressing any anatomical factors during surgery.

They’re similar syndromes, both involve nerve compression in narrow anatomical tunnels, but usually have different causes. Having carpal tunnel doesn’t necessarily mean you’ll get tarsal tunnel, though certain conditions like diabetes or arthritis can predispose to nerve compression at multiple sites.

Ready to get started?

New patients are welcome, and most major insurance is accepted. Call us, request an appointment online, or stop by our Rolesville office. We’ll take care of the rest.

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