Tarsal Tunnel Syndrome

Terrence Tsui, DO and John Stevenson Reviewed 05/2023

BASICS

DESCRIPTION

Tarsal tunnel syndrome is an entrapment neuropathy of the posterior tibial nerve as it passes through the tarsal tunnel (a fibro-osseous tunnel). The tarsal tunnel is located in the ...

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 initially recommended, except for acute onset tarsal tunnel syndrome or in the setting of a known space-occupying lesion.

MEDICATION

First Line

Analgesics and anti-i...

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

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...

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...

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