Tarsal Tunnel Syndrome (TTS)

Question 1

What causes TTS?

Answer 1

1. Entrapment/compression of the tibial nerve
   *occurs medially, posterior to medial malleolus

Question 2

What is the presentation?

Answer 2

1. Varies
2. Will be vague complaints
   *diffusive pain, pain at medial ankle, difficult to localize, tingling/burning
3. Worse at night

Question 3

What are the PE findings

Answer 3

1. Tenderness over the Tarsal tunnel +Tinel’s
2. May have decreased sensation over plantar foot (tibial nerve distribution)

Question 4

What are the tests to conduc?

Answer 4

1. Radiographs
2. MRI
3. EMG/NCS

Question 5

What is the treatment

Answer 5

1. Orthotics
2. Tarsal tunnel release