Carpal tunnel syndrome is compression of the median nerve at the level of the wrist with resultant hand and wrist pain.
Tarsal tunnel syndrome (TTS) is the equivalent in the ankle. There is compression of the tibial nerve as it passes through tarsal tunnel at the ankle. The tarsal tunnel is located behind the medial mallelous, the bump on the inside of the ankle.
Patients typically complain of numbness and burning pain in the big toe and first two to three toes.
Inflammation and swelling within the tarsal tunnel with compression on the tibial nerve can arise from many different causes.
At the Centen0-Schultz Clinic the first step is a complete history and thorough examination. Some patients may have a Tinel’s sign. Ultrasound examination provides a dynamic picture of the structures within the tarsal tunnel including scar tissue and tendon irritation. Hydrodissection is a non-surgical treatment option for tarsal tunnel in patients who have failed conservative therapy.