Skip to main content

Tarsal Tunnel Syndrome

Terrence Tsui, DO and John Stevenson Reviewed 06/2021
 


BASICS

DESCRIPTION

Tarsal tunnel syndrome refers to a compression or entrapment neuropathy of the posterior tibial nerve as it passes through a fibro-osseous tunnel (tarsal tunnel) located posterior an...

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] ...

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 Abst...

SEE ALSO

Algorithm: Foot Pain 

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

SNOMED

47374004 Tarsal tunnel syndrome 

CLINICAL PEARLS

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

  • Tinel sign is the most sensitive and specific physic...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×