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Welcome, medical contents search April 25, 2013
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Tarsal Tunnel Syndrome

more about Tarsal Tunnel Syndrome

  • Tarsal tunnel syndrome results from the compression of the posterior tibial nerve within the tarsal tunnel.  The mechanism is similar to carpal tunnel syndrome.
  • Tarsal tunnel refers to the narrow space behind the medial malleolus (bony bump on the inside of ankle).  The tarsal tunnel is covered with a fibrous band called a flexor retinaculum.  Posterior tibial nerves pass through the tarsal tunnel and supply the sensations and movements of the foot.  Posterior tibial nerves may be compressed within the tight tarsal tunnel or by other problems outside the tunnel, such as ganglion or following traumas and fractures.

  • Pain, tingling sensations and numbness on the sole and toes
  • The pain may spread to the inner part of the lower leg
  • The pain worsens by activity and is relieved by rest
  • The pain may be more severe at night
  • Longstanding nerve compression may result in muscle weakness of the foot

  • History and physical examinations may show the evidence of nerve compression
  • Foot and ankle X-Rays are normal
  • Electromyography and nerve conduction studies are helpful in diagnosing tarsal tunnel syndrome.

  • Most tarsal tunnel syndromes respond to conservative treatments such as pain medications, steroid injections or orthosis.  If these do not generate any improvements, surgery is recommended.

more about Tarsal Tunnel Syndrome

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