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Tarsal Tunnel

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Tarsal tunnel syndrome TTS is the most common

entrapment neuropathy affecting the foot.

Most frequent causes are deformities of the foot, space-occupying 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 malleolus.

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Diagnosis of TTS 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 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.