Tarsal Tunnel Syndrome

Anatomy – Tarsal Tunnel

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Tarsal tunnel syndrome 

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TTS is the most common entrapment neuropathy affecting the foot. Most frequent causes are deformities of the foot, spaceoccupying lesions, and incidental trauma.

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Symptoms and Signs Insidious onset of burning pain  Paresthesias that radiate from the medial malleolus to the plantar aspect of the foot.  Positive Tinel's sign (the reproduction of symptoms upon percussion along the course of the posterior tibial nerve, located just medially and inferior to the medial malleolus)  Pain in the region of the medial 07/18/09 4 

Diagnosis of TTS  

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History and physical examination. Nerve conduction studies and plain radiographs will further help in confirming the diagnosis of TTS. Nerve conduction velocity and electromyographic. Radiographic films will identify displaced fractures and new extra bone formation within the anatomy of the tarsal tunnel.

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Dorsiflexion and Eversion

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Conservative Treatment  

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Anti-inflammatory agents. Control of abnormal pronatory forces. Foot orthotics Local injections of corticosteroids into the third canal of the tarsal tunnel to decrease pain and inflammation.

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