Tarsal tunnel syndrome -- tarsal: meaning the lower ankle area of the foot -- is a condition that usually affects the medial (inside) aspect of the ankle. There are many structures that run through this area, including tendons, veins, arteries and nerves. Tarsal Tunnel Syndrome occurs when the posterior tibial nerve, as it courses under the ligament at the ankle, becomes inflamed for a variety of reasons, namely: excessive pronation, arthritic problems such as rheumatoid arthritis, trauma, and even obesity.
Tarsal tunnel syndrome is most commonly caused by the entrapment of the posterior tibial nerve
Signs and Symptoms
When entrapment compresses the nerve, it causes pain, a burning sensation, and tingling on the sole of the foot. This pain usually worsens as the day progresses and can usually be relieved by rest, elevation, or massage.
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