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Tarsal Tunnel Syndrome

Terrence C. Tsui, DO and J. Herbert Stevenson, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

Tarsal tunnel syndrome occurs when there is compression neuropathy of the posterior tibial nerve as it passes behind the medial malleolus and under the flexor retinaculum (laciniate ...

DIAGNOSIS

Tarsal tunnel syndrome is largely a clinical diagnosis, characterized by pain and paresthesias in a predictable distribution along the medial aspect of the ankle and plantar surface of the f...

TREATMENT

  • Conservative management is recommended, except for acute onset tarsal tunnel syndrome or in the setting of a known space-occupying lesion (excluding synovitis).

  • Tarsal tunnel decompression ma...

ONGOING CARE

PATIENT EDUCATION

  • Discuss conservative and surgical options based on individual patient circumstance and preference.

  • A decision about surgical intervention should be made with a clear under...

REFERENCES

1
Ahmad M, Tsang K, Mackenney PJ, et al. Tarsal tunnel syndrome: a literature review. Foot Ankle Surg.  2012;18(3):149–152. [View Abstract on OvidMedline]
2
Dellon AL. The four medial ank...

ADDITIONAL READING

  • Abouelela AA, Zohiery AK. The triple compression stress test for diagnosis of tarsal tunnel syndrome. Foot (Edinb).  2012;22(3):146–149. [View Abstract on OvidMedline]

  • Allen JM,...

CODES

ICD10

  • G57.50 Tarsal tunnel syndrome, unspecified lower limb

  • G57.51 Tarsal tunnel syndrome, right lower limb

  • G57.52 Tarsal tunnel syndrome, left lower limb

ICD9

355.5 Tarsal tunnel syndrome 

SNOMED

4737...

CLINICAL PEARLS

  • Tarsal tunnel syndrome typically presents with pain and tingling of the medial ankle and plantar foot.

  • Tinel sign is the most sensitive and specific physical examination test for diagno...

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