Tarsal tunnel syndrome

Common Name(s)

Tarsal tunnel syndrome

Tarsal tunnel syndrome (TTS) is a condition that causes pain, numbness and tingling in the foot. The tarsal tunnel is a tubular structure found near the inner part of the ankle. Tendons, blood vessels and nerves pass through the tarsal tunnel, where they are protected by a thick ligament. TTS results when the nerves inside the tunnel are compressed against the surrounding ankle bones.

TTS is caused by compression of the nerves within the tarsal tunnel. Common causes include irregular pressure on the ankle due to having flat feet or after a traumatic injury. The pressure placed on the nerve may cause painful inflammation and swelling. Abnormal structures near the tunnel, such as cysts, enlarged veins, or bone spurs, may also press against nerves, causing TTS. Other potential causes include diabetes, which may cause swelling and nerve damage in the feet, or arthritis.

Individuals affected by TTS typically experience tingling, numbness, or burning pain in the foot, heel, and/or toes. The pain often worsens with activity. Symptoms are often most noticeable after starting a new exercise program, spending long periods of time standing or walking, or standing up after not applying pressure to the feet for a long period of time. If left untreated, TTS may cause permanent damage to the nerve and muscle.

After symptoms are reported, TTS is diagnosed by physical exam, medical imaging, and nerve studies. Proper treatment may prevent symptoms from progressing. Resting and applying ice to the affected area may help reduce swelling. Wearing a brace and supportive shoes to restrict movements may help promote healing of damaged tissues and reduce symptoms. Medications, especially anti-inflammatory agents, may be given through pills or injections. In severe, long-term cases, surgery may be used for treatment. If you are experiencing TTS, talk to your doctor about the most current treatment options.

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Condition Specific Organizations

Following organizations serve the condition "Tarsal tunnel syndrome" for support, advocacy or research.

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Tarsal tunnel syndrome" returned 34 free, full-text research articles on human participants. First 3 results:

The accessory deep peroneal nerve and anterior tarsal tunnel syndrome: case report.
 

Author(s): Osman Sinanović, Sanela Zukić, Alma Šakić, Mirsad Muftić

Journal: Acta Myol. 2013 Oct;32(2):110-2.

 

The accessory deep peroneal (ADPN) nerve has been regarded as an anomalous nerve derived from the superficial peroneal nerve or its branch and supplies motor innervations for extensor digitorum brevis (EDB) and sensory innervations for the lateral part of the ankle and foot regions. ...

Last Updated: 8 Jan 2014

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[Bilateral tarsal tunnel syndrome due to synovitis. Combined diagnostic contribution made by ultrasound and electrophysiology].
 

Author(s): José Manuel Pardal-Fernández

Journal: Rev Neurol. 2013 Jan;56(2):124-5.

 

Last Updated: 11 Jan 2013

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Anterior tarsal tunnel syndrome secondary to missed talus fracture: a case report.
 

Author(s): Ahmet Cetinkal, Kivanc Topuz, Serdar Kaya, Ahmet Colak, Mehmet Nusret Demircan

Journal: Turk Neurosurg. 2011 ;21(2):259-63.

 

The anterior tarsal tunnel syndrome (ATTS) has first been described by Kopell and Thompson in 1963. The anterior tarsal tunnel is formed by the fascia lining the inferior extensor retinaculum and talus as well as the navicular bone. Many ATTS cases with various etiologies have been ...

Last Updated: 2 May 2011

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Reviews from the PubMed Database

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The terms "Tarsal tunnel syndrome" returned 0 free, full-text review articles on human participants.

 
 
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Symptoms, Diagnosis, and Treatment

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Clinical Trial Information This information is provided by ClinicalTrials.gov

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