Patients should avoid activities that increase symptoms. Rest helps to reduce pressure on the nerve and allows it to heal.
Regular application of ice to the inner ankle can help to reduce pain and inflammation from tarsal tunnel syndrome and should only be applied for 10 minutes at a time to avoid the risk of further injury.
Wearing a compression bandage can help to reduce swelling around the ankle which in turn reduces the pressure on the nerve.
The foot is kept at an elevation that is higher than the level of the heart, which helps to reduce swelling in the ankle and thus reduce the symptoms of tarsal tunnel syndrome.
Supportive shoes or inserts for the shoes can help to correct foot position by supporting the foot arches. These also help prevent ankle rolling both of which help to reduce the pressure through the tarsal tunnel.
A specially designed ankle brace helps to limit foot and ankle movement and also reduces pressure through the tarsal tunnel.
Kinesio taping is found to be effective, it helps to provide mechanical support for an unstable ankle joint.
Transcutaneous Electrical Stimulation (TENS):
Transcutaneous Electrical Stimulation (TENS) is also found to be effective to decrease swelling, spasms, and pain.
The use of Therapeutic ultrasound helps to decrease pain, and inflammation improves function, and helps to enhance the healing process.
Progressive strengthening and stretching exercises help the foot and ankle muscles to support the ankle joint, and mobilization exercises for the tibial nerve improve the integrity of the nerve.