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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Advocacy and Support Organizations

 

Condition Specific Organizations

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

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General Support Organizations

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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 37 free, full-text research articles on human participants. First 3 results:

[Tarsal tunnel syndrome secondary to venous insufficiency. Case report].
 

Author(s): S Orozco-Villaseñor, X Martin-Oliva, J Elgueta-Grillo, J Vázquez-Escamilla, P Parra-Téllez, E López-Gavito

Journal: Acta Ortop Mex. ;29(3):186-90.

 

Tarsal tunnel syndrome is defined as an extrinsic and/or intrinsic compressive neuropathy of the posterior tibial nerve or one of its branches. Its causes include venous insufficiency. Clinical case: 51 year-old female patient from León, Guanajuato. Hypertensive, with Guillain-Barré ...

Last Updated: 22 Mar 2016

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Tarsal tunnel syndrome after total ankle replacement--a report of 3 cases.
 

Author(s): Andri Primadi, Byung-Soo Kim, Keun-Bae Lee

Journal: Acta Orthop. 2016 ;87(2):205-6.

 

Last Updated: 18 Mar 2016

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Neurovascular bundle decompression without excessive dissection for tarsal tunnel syndrome.
 

Author(s): Kyongsong Kim, Toyohiko Isu, Daijiro Morimoto, Toru Sasamori, Atsushi Sugawara, Yasuhiro Chiba, Masahiro Isobe, Shiro Kobayashi, Akio Morita

Journal: Neurol. Med. Chir. (Tokyo). 2014 ;54(11):901-6.

 

Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve and its branches in the tarsal tunnel. We present our less invasive surgical treatment of TTS in 69 patients (116 feet) and their clinical outcomes. The mean follow-up period was 64.6 months. With ...

Last Updated: 17 Nov 2014

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Tarsal tunnel syndrome" returned 1 free, full-text review articles on human participants. First 3 results:

[Tarsal tunnel syndrome. Review of the topic as a result of one case].
 

Author(s): E López-Gavito, P Parra-Téllez, R Cornejo-Olvera, J Vázquez-Escamilla

Journal: Acta Ortop Mex. ;28(3):197-202.

 

The first description of tarsal tunnel is attributed to Richter in 1897, in 1932 Pollock and Davis described the syndrome for the first time, in 1960 Kopell and Thompson described the clinical features of tarsal tunnel syndrome; and in 1962 Charles Keck described tarsal tunnel syndrome ...

Last Updated: 29 May 2015

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Symptoms, Diagnosis, and Treatment

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