Having tarsal tunnel syndrome does not automatically mean you will need surgery. Wearing special medical shoes and/or insoles can minimise pressure on the posterior tibial nerve. Your consultant may also suggest you take anti-inflammatory pain relief and possibly also have steroid injections to tackle tendon inflammation. Your consultant may recommend a personalised programme of exercises, supervised by a physiotherapist. If your condition persists despite non-surgical treatment, surgery to remove the tissue responsible for the nerve compression may be carried out.