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Tarsal tunnel syndrome. A retrospective study
K T Mahan1, J J Rock, H J Hillstrom
1Department of Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia 19107, USA.
Journal of the American Podiatric Medical Association
|February 1, 1996
Summary
Tarsal tunnel syndrome surgery improved outcomes for most patients, with significant relief in nerve-related symptoms and functional scores. This study highlights surgical benefits for tarsal tunnel syndrome relief.
Area of Science:
- Orthopedic Surgery
- Neurology
- Podiatry
Background:
- Tarsal tunnel syndrome (TTS) has diverse causes, complicating diagnosis and treatment.
- Published surgical success rates for TTS range widely from 44% to 100%.
Purpose of the Study:
- To evaluate the effectiveness of surgical intervention for tarsal tunnel syndrome.
- To analyze patient outcomes and symptom improvement post-surgery.
Main Methods:
- Retrospective review of 40 patients (45 feet) undergoing tarsal tunnel surgery.
- Assessment of pre- and post-operative subjective symptoms (burning, radiating, sharp sensations, pins and needles) and objective measures (Tinel's sign, Takakura index).
Main Results:
- Overall improvement observed in 71.1% of feet post-surgery.
- Statistically significant improvements in Tinel's sign, subjective sensations (burning, radiating, sharp), and Takakura index components (excluding muscle atrophy).
- Nearly significant improvement in pins and needles sensation.
Conclusions:
- Tarsal tunnel surgery demonstrates significant efficacy in improving patient-reported symptoms and objective clinical findings.
- The study supports surgical intervention as a viable treatment option for tarsal tunnel syndrome, leading to functional and symptomatic relief.