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Tarsal Tunnel Syndrome

Compression neuropathy of the tibial nerve passing through the tarsal tunnel on the inner side of the ankle.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Tarsal Tunnel Syndrome?

The tarsal tunnel is a canal on the medial side of the ankle, formed between the fibrous retinaculum behind the medial malleolus and the underlying bone. The posterior tibial nerve, flexor tendons, and vessels pass through this canal. Compression of the nerve here results in tarsal tunnel syndrome.

Scar tissue after ankle fracture or sprain, ganglion cysts, varicose veins, flatfoot, and systemic diseases (rheumatoid arthritis, hypothyroidism, diabetes) can cause nerve compression.

It can be regarded as the foot equivalent of carpal tunnel syndrome, although it is not as common.

Symptoms

Burning and tingling in the sole and toes
Pain that increases with prolonged standing
Night pain
Positive Tinel's sign (numbness on tapping behind the medial malleolus)
Intrinsic muscle weakness (in advanced cases)
Decreased sensation in the sole

Risk Factors

Flat foot (pes planus)
History of ankle fracture or sprain
Ganglion cyst or mass
Diabetes and hypothyroidism
Rheumatoid arthritis
Varicose veins

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For chronic burning or numbness in the sole
  • For pain limiting prolonged standing
  • For evaluation with nerve conduction studies
  • For lack of response to conservative treatment

Treatment Methods

01
Conservative: orthotic insoles, shoe modification
02
NSAIDs and neuropathic pain medications
03
Corticosteroid injection
04
Physiotherapy and nerve mobilization exercises
05
Surgical tarsal tunnel decompression
06
Treatment of the underlying cause

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.