Unraveling the Top Culprits Behind Persistent Foot Pain

21. Tinel’s Sign (Nerve Irritation Diagnosis)

While you cover Tarsal Tunnel Syndrome (TTS), the general concept of nerve irritation warrants a spot, as the foot is crossed by many nerves susceptible to compression. Tinel's Sign is the diagnostic method (a tapping test) that reveals nerve irritation anywhere from the ankle to the toes. Pain here, often felt as burning or tingling, may signal nerve compression not severe enough to be full TTS. Causes include tight shoes, ankle swelling, or minor injuries. Paying attention to specific trigger points—where a tap causes pain—allows early intervention (like modifying footwear) before the irritation progresses to chronic neuropathy.

22. Peroneal Tendinitis – The Outer Ankle Ache

Peroneal Tendinitis involves the irritation or inflammation of the two peroneal tendons that run down the outside of the ankle and foot. This condition is prevalent in runners, hikers, or anyone with high arches or instability, as the tendons work overtime to stabilize the ankle during push-off. The pain is a dull ache on the outside of the ankle and midfoot, often worsening with activity and resisting relief from basic stretches. Treatment requires specialized physical therapy to strengthen the surrounding muscles and potentially custom orthotics to correct foot mechanics. Early recognition prevents chronic lateral instability.