Ankle Tunnel Syndrome, is a compression disorder of the posterior tibialis nerve or its branches. Symptoms often seen clinically include a numbness and burning sensation in the heel, as well as localized tingling, which becomes worse after active walking for a long time and relieves after rest. I. Pressure on the heel. There are many causes of ankle tube syndrome, and overuse or improper use is the most common cause. For example, the narrow, thin heeled high heels that have recently become popular among young women often produce similar symptoms due to increased local pressure on the heel, strain fractures, heel spurs, plantar fasciitis, plantar tendon sheath tumors, and excessive heel confirmation for diabetic patients or dialysis patients. Therefore, clinically, the foot and ankle surgeon will conduct a detailed history and physical examination, plus use soft tissue ultrasound to rule out the possibility of the aforementioned diseases, and find the focal point of nerve compression through electromyography (electrodiagnosis). Secondly, rehabilitation treatment can provide relief. As for the treatment, the physician will first advise the patient on the proper footwear knowledge, together with the administration of some non-steroidal anti-inflammatory and analgesic drugs (NSAID), especially Aspirin, which is effective in relieving the numbness and pain, as well as the combination of neuroprotective agents and drugs to improve microcirculation to improve other related symptoms. In non-surgical treatment, physical therapy emphasizes postural training, pressure distraction and stretching exercises, while mild transcutaneous electrical stimulation (TENS) and short-wave therapy and low-energy radium or pulsed ultrasound are also effective in relieving symptoms. Surgical resection may be considered in patients who have had poor results with conservative treatment and in those with tumors or plantar tenosynovial tumors. In conclusion, ankle tunnel syndrome is an annoying but not troublesome minor condition that usually improves quite well with proper management by the right specialist foot and ankle surgeon.