Sinus Tarsi Syndrome Relief & Treatment Oakville
At our Oakville Chiropractic and Physiotherapy clinic, we have been successfully treating Sinus Tarsi Syndrome for over 17 years. If you’re dealing with pain, especially around the outside of your ankle, we can help! The team at Nottinghill Family Wellness Centre is highly experienced in treating Sinus Tarsi Syndrome, and we are committed to helping you get back to feeling “normal” again.
Sinus tarsi syndrome often presents as pain on the outside of the ankle, especially when walking on uneven surfaces or after an ankle sprain, due to instability in the subtalar joint.
What is Sinus Tarsi Syndrome?
Sinus Tarsi Syndrome involves swelling or pain on the outer part of the ankle, often accompanied by visible swelling around the joint. Vinaya, our Oakville Physiotherapist says “Sinus Tarsi Syndrome occurs when the sinus tarsi, a gap or tunnel between the bones in your ankle, fills with fluid and becomes painful”. If you’re experiencing this, it’s important to wear supportive shoes—even when at home—to aid in your recovery.
What causes Sinus Tarsi Syndrome?
Majority of the patients Dr. Steve treats at our Oakville clinic have either a severely dropped arch, flat feet or chronic ankle injuries. Most cases of sinus tarsi syndrome are caused by subtalar joint instability, often following an ankle sprain, flat feet, or excessive pronation. These factors place repeated stress on the lateral ankle, leading to irritation and inflammation within the sinus tarsi.
This causes the ankle to feel stuck and the bones of your lower leg and foot to be too close together. This is why Dr. Steve says that a proper ankle adjustment is imperative to cure Sinus Tarsi Syndrome.
If your sinus tarsi symptoms are related to a workplace injury, learn how to start a WSIB claim and access approved treatment in Oakville.
Sinus Tarsi Anatomy Video:
What Is The Best Treatment For Sinus Tarsi Syndrome Relief
At our Oakville clinic, our chiropractors and physiotherapists take a comprehensive, evidence-based approach to treating Sinus Tarsi Syndrome. This begins with an accurate diagnosis and the development of a personalized treatment plan tailored to each patient’s specific needs.
Dr. Steve has unintentionally become one of the leading experts in treating Sinus Tarsi Syndrome in Southern Ontario, providing exceptional care for patients experiencing this condition.
Treatment typically includes a combination of advanced techniques such as Suction Interferential Current Therapy (IFC), Shockwave Therapy using a DS20-T Storz Transmitter Head, Instrument-Assisted Soft Tissue Therapy, Active Release Therapy (ART), and precise manual ankle adjustments.
By utilizing these state-of-the-art treatment modalities, our skilled healthcare professionals optimize recovery, reduce pain, and restore proper function, helping patients return to their daily activities as quickly as possible.
How We Treat Sinus Tarsi Syndrome In Oakville
4 Steps For Treating Sinus Tarsi Syndrome
Inferential Current Therapy (IFC):
At our Oakville clinic, we utilize Interferential Current Therapy (IFC) with suction electrodes, delivering targeted electrical stimulation to promote healing, reduce pain, and improve mobility. Unlike traditional adhesive pads, our suction-based IFC technology is scientifically proven to be more effective, ensuring deeper tissue penetration and better outcomes.
How Does IFC Work?
IFC delivers electrical impulses through suction cups placed on the skin, creating a soothing, deep massage effect. When combined with moist heat therapy, it enhances circulation, relaxes muscles, and improves tissue elasticity, while also flushing out inflammation to accelerate recovery and manage pain.
Our team of qualified professionals offers a customized approach to recovery, using IFC alongside therapies like Shockwave Therapy and Active Release Therapy (ART) for optimal healing.
2. Shockwave Therapy For Sinus Tarsi Syndrome:
Shockwave Therapy is one of the most effective, evidence-based treatments available for musculoskeletal conditions, making it a gold standard in rehabilitative care. This advanced therapy is widely used by our expert chiropractors and physiotherapists in our Oakville clinic to treat conditions such as Thoracic Outlet Syndrome (TOS), Sinus Tarsi Syndrome, tendonitis, muscle tightness, and chronic pain.
How Does Shockwave Therapy Work?
Shockwave Therapy utilizes a pneumatic device that delivers high-energy acoustic waves into the affected tissue. Specifically, Radial Shockwave Therapy (RSWT) uses an air-powered applicator that propels a bullet against the transmitter head, generating pulses at a high frequency—up to 15 times per second—for a total of approximately 1,500 impulses per session. These acoustic waves penetrate deep into muscles, tendons, and joints to stimulate a healing response at the cellular level.
This therapy promotes increased blood circulation, collagen production, and tissue regeneration, making it especially effective for chronic injuries, scar tissue breakdown, and areas of restricted movement.
Instrument Assisted Soft Tissue Treatment:
At our Oakville clinic, this technique is commonly referred to as scraping. Scraping is performed using specialized metal tools that our skilled chiropractors and physiotherapists use to target affected areas. By applying controlled pressure, this method helps break down scar tissue and reduce inflammation, ultimately promoting improved healing and enhanced range of motion.
While scraping may cause some temporary discomfort, much like Shockwave Therapy, it often provides immediate relief and noticeable results. This evidence-based approach is an essential component of our comprehensive treatment plans, ensuring that patients experience optimal recovery and long-term benefits.
Manual Ankle Adjustment:
Also commonly known as an adjustment, this form of treatment causes your joints to release (making that crack or popping noise). This form of release with help relax your muscles surrounding the joint and reduce pressure, helping to alleviate pain and tightness. The ultimate goal of most treatment for sinus tarsi is to adjust the joint and get it moving properly. Ankle adjustment are only performed by our Oakville chiropractors!
Related Foot Conditions That Can Cause Similar Pain
Sinus tarsi syndrome is just one cause of foot and ankle pain. Many patients with lateral ankle pain, instability, or discomfort when walking may also be dealing with related conditions that affect foot mechanics and joint stability. Understanding the difference between these conditions is important for proper diagnosis and long-term recovery.
If your pain is more on the bottom of the foot, it may be linked to plantar fasciitis. Pain through the arch or collapse of the foot may indicate flat feet or posterior tibial tendon dysfunction. Sharp pain in the forefoot could be related to Morton’s neuroma, while stiffness and joint irritation may point toward midfoot or ankle sprain injuries.
Explore these related conditions to better understand your symptoms and find the right treatment approach:
What Our Patients Are saying
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I was referred by another friend. Upon my arrival, I felt welcomed by the staff and without any delay, I was treated immediately. It gave me much reljef needed and I can recommend to snyone whk need similar treatment.
Rudolph Sequeira
July 7, 2024Dr.Steve and his team are very professional, focused. I came with severe pain in my knee, and he quickly got to the point, and in three sessions, I have recovered considerably- from not being able to walk and pain to a level of 10/10 in some positions, to being able... read more
Prashant Bhatt
November 7, 2024I had a neck injury, and they booked me in on the same day! Steve knew right away what to do and set out a plan to get me back to normal. Steve and the team are amazing :)
Lucija Paric
February 6, 2025 -
I’ve been seeing Dr. Steve for the past few months, and I couldn’t be more impressed with the care and attention I’ve received. From the very first visit, Dr. Steve took the time to thoroughly assess my concerns and explain the treatment plan in detail. I’ve struggled with neck pain... read more
Anjana Bhaskaran
December 10, 2024I have been seeing Steve and his team for about 6 months now for several different issues I have going on and I think they are all amazing people who work there. From the front desk to the people who assist Steve with the treatments. A shout out specifically to... read more
Alanna Waugh
August 7, 2024I was initially reluctant to try another chiropractor after a series of bad experiences that left me in more pain. However, my husband visited Dr. Steve at Nottinghill Family Wellness Centre following a scary knee injury and had nothing but amazing things to say about his care. He booked me... read more
Ingy ES
September 7, 2024 -
I have had the pleasure of working with Vinaya at Nottinghill Family Wellness Centre over the last five months, and I can’t recommend her highly enough! From the moment I walked in, the atmosphere was warm and welcoming. Vinaya took the time to listen to my concerns and thoroughly assessed... read more
Jeff Barbosa
October 7, 2024Dr. Jenn is terrific and has helped me so much over the years. She is very progressive and uses many different methods (technology, acupuncture, tools) to go beyond traditional chiropractic and resolve issues (acute and chronic). I also like how her office direct bills my insurance for me. Highly recommend!
Dr. Alison MacDougall
November 7, 2024Steve and his team are absolutely amazing. Very efficient. Absolutely knowledgeable and corrected my issue Very quickly. Steve and team are so friendly and such positive high energy in the office. Love seeing everyone 💕
Linda Paul
December 7, 2024
What are the Best Shoes For Sinus Tarsi Syndrome?
Supportive footwear is critical in reducing symptoms. The best shoes for sinus tarsi syndrome are stability or motion-control shoes that limit excessive rearfoot movement and support the arch. This helps control pronation, improve alignment, and reduce pressure within the subtalar joint, which is a key driver of lateral ankle pain.
Choosing the right shoes is a key part of managing sinus tarsi syndrome, especially since the condition is commonly associated with overpronation, flat feet, and subtalar joint instability. The primary goal is to reduce excessive motion and improve control through the rearfoot and midfoot.
The most effective footwear typically includes a firm heel counter, structured arch support, and a stable midsole. These features help limit unwanted inversion and eversion at the subtalar joint, which reduces mechanical irritation within the sinus tarsi. Research supports this approach, showing that foot orthoses and supportive footwear can improve alignment, enhance stability, and reduce pain by correcting abnormal biomechanics.
Stability or motion-control shoes are often recommended, particularly for individuals with chronic ankle instability or collapsing arches. In more persistent cases, combining proper footwear with custom orthotics can further offload stress from the lateral ankle and improve functional outcomes.
Although high-level research on sinus tarsi syndrome remains limited, current evidence consistently supports conservative management strategies. Footwear modification, orthotics, and targeted strengthening programs remain the most effective, evidence-based approach to reducing symptoms and restoring normal movement patterns.
As of March 2026 the best shoes for chronic sinus tarsi syndrome and the Brooks Beast and the New Balance 823. We would advice against anytime of rocker shoe bottom like most of the Hoka’s and the newer Asics.
Why Choose Shockwave Therapy For Sinus Tarsi Syndrome
✔ Non-invasive & drug-free – No need for surgery or medications.
✔ Accelerates healing – Stimulates natural tissue repair and regeneration.
✔ Breaks down scar tissue – Improves flexibility and range of motion.
✔ Immediate results – Many patients feel looser and experience reduced pain right away.
✔ Targets deep muscle tension – Goes beyond traditional massage techniques for lasting relief.
Our team of qualified healthcare professionals at our Oakville clinic is dedicated to providing comprehensive, evidence-based care to help patients heal effectively. Shockwave Therapy is just one of the state-of-the-art treatments we offer to ensure the best possible outcomes for our patients.
What to Expect During Shockwave Treatment
The intensity of the treatment is carefully controlled to ensure it remains within the patient’s comfort level, typically ranging between 0.3 BAR and 2.2 BAR. While some patients describe the sensation as a deep vibration or an “annoying” tapping feeling, most find the short treatment session—usually lasting just a few minutes—highly tolerable.
Because Shockwave Therapy penetrates deeper than a traditional massage, it reaches stubborn, tight, and inflamed areas that may not respond well to other therapies. Many patients report immediate relief after their first session, with continued improvements over subsequent treatments.
Post-Treatment Care & Recovery
Due to the intensity of the therapy, some mild soreness or tenderness may be experienced following treatment. To optimize recovery and minimize discomfort, our chiropractors and physiotherapists recommend applying ice to the treated area immediately after the session. This helps to reduce any temporary inflammation and enhances the overall healing process.
Other Treatment Options For Sinus Tarsi
Acupuncture:
At our Oakville clinic, acupuncture is provided by Dr. Jenn Garven, a skilled practitioner who specializes in medical acupuncture. Dr. Jenn utilizes this proven technique to effectively treat a variety of conditions, including Sinus Tarsi Syndrome.
During an acupuncture session, tiny, fine needles are gently inserted into the skin at specific points around the affected muscles. These needles are left in place for approximately 12 minutes, during which they work to loosen tight muscles, reduce tension, and promote increased blood flow to the area. This enhanced circulation helps to accelerate healing and reduce pain in the targeted muscle groups.
The beauty of acupuncture is that, despite the needles being in place, most patients hardly feel them—many don’t even notice they’re there! This minimally invasive approach provides effective, long-lasting relief while maintaining a high level of patient comfort.
Dr. Jenn’s expertise in medical acupuncture ensures that every treatment is tailored to the unique needs of each patient, providing a highly personalized and professional approach to healing. Whether you’re dealing with Sinus Tarsi Syndrome or other musculoskeletal issues, acupuncture can be a powerful addition to your treatment plan, helping you recover faster and achieve lasting pain relief.
Shoes or Orthotics:
Dr. Steve recommends Asics GT 2000’s to 90% of his patients. Find them on sale, get a pair for home and a pair for work. Can’t wear running shoes at work, check out our custom orthotics options at our Oakville clinic. Our Oakville Orthotics will help maintain your arch and decrease the pressure in and around the Tarsi Joint.
Steps for At Home Care of Sinus Tarsi:
1. Ice and Elevation — Ice 20 min on , 20 min off, at least THREE times a day.
— Elevate your leg lay on your back with your leg up on a wall or by pillows.
2. Supportive shoes and orthotics — This will help maintain your arch and arch stability, as well as stop from crushing the painful area when you walk. Click here for Orthotics in Oakville
3. Rest — There are only a few conditions that call for rest, this is one of them. Take 2 – 3 weeks off from any extended walks or demanding gym workouts.
If you have any questions about Sinus Tarsi feel free to call us!
Are you looking for Oakville Physiotherapy for your Sinus Tarsi Syndrome? Check out Vinaya our Physiotherapist and book today!
Best at Home Sinus Tarsi Exercises
Do You Think You Have Sinus Tarsi Syndrome?
Are you trying to figure out what causes pain on the outside of the ankle?
Pain on the outside of the ankle is often caused by sinus tarsi syndrome, ankle sprains, or subtalar joint instability. It is commonly aggravated by walking on uneven surfaces or prolonged standing.
Call our Sinus Tarsi Experts and get the care you need! 905-827-4197
Sinus Tarsi Syndrome FAQs
- What is sinus tarsi syndrome?
- What are the causes of sinus tarsi syndrome?
- What are the symptoms of sinus tarsi syndrome?
- How is sinus tarsi syndrome treated?
- How long will it take for sinus tarsi syndrome to get better?
- What happens if I don’t treat my sinus tarsi syndrome?
- What shoes are best for sinus tarsi syndrome?
- Can shockwave therapy help my sinus tarsi syndrome?
- Can I still run when I have sinus tarsi syndrome?
- What should I avoid doing with sinus tarsi syndrome?
Sinus tarsi is a bony channel within the foot that can get painful from inflammation, injury or overuse of the foot without proper footwear.
Sinus Tarsi can be caused by overuse of the foot in improper footwear, injury and inflammation through that bony channel.
Symptoms of sinus tarsi can be pain on the side of your foot, swelling and pain when walking.
At Our Oakville Chiropractic clinic sinus tarsi is treated with IFC, HEAT therapy, shockwave and Instrument Assisted Soft Tissue Therapy.
Ever patient is different, so progression with sinus tarsi syndrome is very individualized but patients usually see a difference in 2-4 weeks.
If you do not treat sinus tarsi your pain will increase and everyday activities like walking or stepping can become difficult and painful.
Shoes with good heel and arch support are essential for sinus tarsi. Shoes like Asics GT 2000 are highly recommended.
Yes, shockwave therapy is a gold standard treatment service for sinus tarsi. It gets in and breaks up that inflammation that puts pressure on that bony channel.
No, it is recommended to take a break from running or long distance walking when you have sinus tarsi syndrome. It is important to take the rest your foot needs.
You should avoid any activities that put any excessive pressure on your foot. This can be seen through running or any long distance walking.