Tarsal Tunnel Syndrome

Nerve roots emerge from the spinal column from the second lumbar vertebrae to the fourth sacral vertebrae — passing through the neural foramina and joining to form the complex known as lumbosacral plexus.

The largest nerve that emerges from the lumbar plexus is the femoral nerve, which descends and divides into smaller branches.
Tarsal tunnel syndrome refers to tibial nerve compression in the region of the ankles as it passes under the transverse tarsal ligament. Often compared to carpal tunnel syndrome in the wrist.

The most common cause of TTS ( Tarsal Tunnel Syndrome) is fracture of dislocation involving the bones of the ankle joint. Other etiologies include rheumatoid arthritis, infectious disorders or idiopathic inflammatory responses ie diabetic neuropathy.
Patients with tarsal tunnel syndrome may experience pain in soles of feet and toes, which radiates to the heel area. This pain is often described as achy, burning sensations. Accompanied by numbness and tingling sensations. The pain is often worse at night or after prolonged standing.

The Manhattan Center for Headache and Neurology has exceptional providers to help diagnose and potentially treat this syndrome.

By: Jordan Shankle, PA