Tarsal Tunnel Syndrome

Clin Podiatr Med Surg. 2021 Apr;38(2):131-141. doi: 10.1016/j.cpm.2020.12.001.

Abstract

Tarsal tunnel syndrome is paresthesia and pain in the foot and ankle caused by entrapment and compression of the tibial nerve within the fibro-osseous tarsal tunnel beneath the flexor retinaculum. The most helpful diagnostic criteria are a positive Tinel sign at the ankle and objective sensory loss along the distribution of the tibial nerve. Treatment is designed to reduce the compression of the nerve, and surgical nerve release is indicated with failure of conservative options. It is important to identify the causative factor of the nerve compression and eliminate it to obtain excellent results.

Keywords: Nerve compression; Neuropathy; Tarsal tunnel syndrome; Tibial nerve.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal
  • Fasciitis, Plantar / complications
  • Fasciitis, Plantar / surgery
  • Female
  • Foot / diagnostic imaging
  • Foot / surgery
  • Humans
  • Male
  • Medical History Taking
  • Middle Aged
  • Nerve Sheath Neoplasms / complications
  • Nerve Sheath Neoplasms / diagnosis
  • Nerve Sheath Neoplasms / surgery
  • Neurologic Examination
  • Physical Therapy Modalities
  • Tarsal Tunnel Syndrome / diagnosis*
  • Tarsal Tunnel Syndrome / etiology
  • Tarsal Tunnel Syndrome / therapy*

Substances

  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal