Case reports on two patients with tarsal tunnel syndrome have been presented. Among the illustrated cases, it showed the association of nature of the work and existing comorbidities leading to the onset of a relatively rare syndrome- TARSAL TUNNEL SYNDROME. This disease is clinically under recognized ,thus delaying its treatment. It affects one or two branches of tibial nerve either laterally or medially and anteriorly or posteriorly. The clinical triad of the disease includes pain, paresthesia and numbness. The incidence is actually unkown which may occur in any age .Various underlying causes that directly or indirectly causes a pressure over the tibial nerve and may be confirmed by electromyography and nerve studies. Combination treatment provides relief from the symptoms if in milder stage and surgical decompression as the stage worsens