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Nerve Pain in the Foot & Ankle

Burning, tingling, numbness or shooting pain in the foot can have several sources, including a nerve that is compressed or irritated along its path.

Common causes

  • Tarsal tunnel syndrome, compression of a nerve behind the inner ankle
  • Morton neuroma, irritation of a nerve between the toes
  • Other nerve entrapments around the foot and ankle
  • Peripheral neuropathy, nerve damage that can come from diabetes and other conditions
  • Nerve injury after trauma or surgery
  • A pinched nerve in the lower back that causes symptoms in the foot

How it is evaluated

Evaluation starts with your symptoms and an examination, including testing sensation and checking whether pressure or tapping along a nerve reproduces your symptoms. Imaging such as ultrasound or MRI and nerve conduction studies may be used when needed, and sometimes care is coordinated with a neurologist or spine specialist.

Non-surgical treatment

  • Footwear changes, padding and orthotics to reduce pressure on the nerve
  • Activity modification
  • Medications, including options aimed at nerve pain, as appropriate for you
  • Injections or physical therapy for selected conditions
  • Management of underlying conditions such as diabetes together with your other physicians

Nerve decompression

Nerve decompression is a surgical procedure that relieves pressure on a compressed nerve by releasing the tissues pressing on it. It may be considered when symptoms are clearly linked to nerve compression and non-surgical treatment has not provided enough relief. It is not right for every nerve problem, which is why careful evaluation comes first.

What to expect at your visit

A first visit typically includes a review of your symptoms and history, an examination of the foot and ankle (often including how you stand and walk), and imaging such as X-rays when needed. Dr. Ajdari will explain your options, including non-surgical care, so the two of you can choose a plan that fits your goals. Dr. Ajdari sees patients in Metairie on the Southshore and in Slidell on the Northshore, serving the Greater New Orleans area.

This page is for general education and is not a substitute for an examination and advice from a qualified clinician. Treatment recommendations depend on your individual situation. If you think you may have a medical emergency, call 911.