The tarsal tunnel syndrome.

Area of Science:

• Neurology
• Orthopedics
• Podiatry

Background:

• Tarsal tunnel syndrome is an uncommon condition with diverse causes.
• Symptoms often include burning pain and paresthesias in the feet, worsening at night.

Observation:

• Physical exams may reveal sensory deficits and tenderness over the flexor retinaculum.
• Diagnosis can be challenging due to vague symptoms.

Findings:

• Electrodiagnosis, particularly orthodromic compound nerve action potential latency, is crucial for confirmation.
• Nerve conduction studies must assess both medial and lateral plantar nerves.

Implications:

• Accurate diagnosis is essential for effective treatment planning.
• Surgical decompression is a viable option for patients who do not improve with conservative management.