Heel Pain Triad (HPT): The Combination of Plantar Fasciitis, Posterior Tibial Tendon Dysfunction and Tarsal Tunnel Syndrome

We describe a patient with tarsal tunnel syndrome in whom ultrasound imaging revealed compression of the posterior tibial nerve by a pulsating artery. High-resolution ultrasound showed a round pulsating hypoechoic lesion in contact with the posterior tibial nerve. Ultrasound-guided injection of 0.5% lidocaine temporarily resolved the paresthesia. These findings suggest an arterial etiology of tarsal tunnel syndrome. (J Am Podiatr Med Assoc 100(3): 209–212, 2010)

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Soft-tissue disorders

The Foot and Ankle in Rheumatology ◽

10.1093/med/9780198734451.003.0009 ◽

2019 ◽

pp. 135-158

Author(s):

Karl B. Landorf ◽

Anne-Maree Keenan ◽

Rebecca Kearney

Keyword(s):

Soft Tissue ◽

Achilles Tendinopathy ◽

Heel Pain ◽

Tibialis Posterior ◽

Tarsal Tunnel ◽

Ankle Sprains ◽

Common Occurrence ◽

Tarsal Tunnel Syndrome ◽

Plantar Heel Pain ◽

Tunnel Syndrome

This chapter covers soft-tissue disorders, a common occurrence in rheumatology. There is a brief overview of 10 of the most common soft-tissue disorders of the foot in rheumatology, including Achilles tendinopathy, ankle sprains, retrocalcaneal bursitis, tarsal tunnel syndrome, peroneal tendinopathy, tibialis posterior tendinopathy, plantar heel pain, and more. For each disorder, presentation, signs, and management are discussed.

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Posterior Tibial Vein Aneurysm Presenting as Tarsal Tunnel Syndrome: Case Report and Review of the Literature

Journal of Vascular Surgery ◽

10.1016/j.jvs.2013.07.040 ◽

2013 ◽

Vol 58 (4) ◽

pp. 1145-1146

Author(s):

Anu Whisenhunt ◽

EnYaw Hong ◽

Micheal Ayad ◽

Josh Heller ◽

Babak Abai ◽

...

Keyword(s):

Case Report ◽

Tarsal Tunnel ◽

Review Of The Literature ◽

Tarsal Tunnel Syndrome ◽

Posterior Tibial ◽

Tunnel Syndrome

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Tarsal Tunnel Syndrome and Additional Nerve Lesions in the Same Limb

Foot & Ankle ◽

10.1177/107110079301400203 ◽

1993 ◽

Vol 14 (2) ◽

pp. 71-77 ◽

Cited By ~ 20

Author(s):

G. James Sammarco ◽

David E. Chalk ◽

John H. Feibel

Keyword(s):

Diabetes Mellitus ◽

Back Pain ◽

Lower Extremity ◽

Tarsal Tunnel ◽

Tarsal Tunnel Syndrome ◽

Previous Surgery ◽

Posterior Tibial ◽

Variable Success ◽

Tunnel Syndrome ◽

Variable Success Rate

Compression neuropathy in the lower extremity is common. The occurrence of more than one lesion of the nerve in the same limb is less frequent. Thirteen patients with 15 cases of tarsal tunnel syndrome associated with one or more additional lesions of the sciatic nerve or its branches of the same lower extremity are presented. Electrodiagnostic studies confirmed tarsal tunnel syndrome with conduction abnormalities at a number of lo cations along the sciatic, common peroneal, posterior tibial, or plantar nerves by mechanical impingement, met abolic axonal abnormality, or both. Seven of the 13 patients were treated with tarsal tunnel release. Six cases treated operatively improved significantly. Surgery on a previously operated foot or the existence of diabetes mellitus carried a fair prognosis. The association of back pain with or without previous surgery did not appear to affect the outcome of the tarsal tunnel release. No improvement in symptoms was apparent in the six unoperated patients during the period of the study. Multiple lesions of the nerves of a single extremity may account for the variable success rate of tarsal tunnel release.

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Surgical Treatment of Tarsal Tunnel Syndrome - Case Report

Austin Journal of Orthopedics & Rheumatology ◽

10.26420/austinjorthopaderheumatol.2021.1095 ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

EL Maqrout A ◽

◽

Fekhaoui MR ◽

Boufettal M ◽

Bassir RA ◽

...

Keyword(s):

Tibial Nerve ◽

Annular Ligament ◽

Tarsal Tunnel ◽

Posterior Tibial Nerve ◽

Tarsal Tunnel Syndrome ◽

Total Recovery ◽

After Effects ◽

Intensive Training ◽

Posterior Tibial ◽

Tunnel Syndrome

The first description of tarsal tunnel syndrome is recent. Koppel in 1960 evoked the after-effects of lesions of the posterior tibial nerve. Keck in 1969 was the first to describe compression of the posterior tibial nerve by the internal annular ligament. It was a young soldier who, after intensive training, had bilateral plantar anesthesia. The opening of the internal annular ligament had allowed a total recovery in 48 hours. Our objective here is to discuss the circumstances of the diagnosis of this syndrome, to analyze its anatomical and pathological causes, to present the types of treatments followed, in the light of the literature.

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Tarsal Tunnel Syndrome Caused by an Occult Schwannoma of the Posterior Tibial Nerve: Avoidance of Delay in Diagnosis

Journal of the American Podiatric Medical Association ◽

10.7547/18-068 ◽

2021 ◽

Vol 111 (1) ◽

Author(s):

Mehmet Burak Yalcin ◽

Utku Erdem Ozer

Keyword(s):

Peripheral Nerves ◽

Tibial Nerve ◽

Tarsal Tunnel ◽

Posterior Tibial Nerve ◽

Tarsal Tunnel Syndrome ◽

Significant Delay ◽

Delay In Diagnosis ◽

Posterior Tibial ◽

Entrapment Neuropathies ◽

Tunnel Syndrome

Tarsal tunnel syndrome (TTS), resulting from compression of the posterior tibial nerve (PTN) within the tarsal tunnel, is a relatively uncommon entrapment neuropathy. Many cases of tarsal tunnel syndrome are idiopathic; however, some causes, including space-occupying lesions, may lead to occurrence of TTS symptoms. Schwannoma, the most common tumor of the sheath of peripheral nerves, is among these space-occupying lesions, and may cause TTS when it arises within the tarsal tunnel, and it may mimic TTS even when it is located outside the tarsal tunnel and cause a significant delay in diagnosis. The possibility of an occult space-occupying lesion compressing the PTN should be kept in mind in the differential diagnosis of TTS, and imaging studies that are usually not used in entrapment neuropathies may be of importance in such patients. This case report presents a 65-year-old woman with TTS symptoms and neurophysiologic findings secondary to an occult schwannoma of the PTN proximal to the tarsal tunnel. Avoidance of delay in diagnosis in secondary cases is emphasized.

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Results of Surgery in Athletes with Plantar Fasciitis

Foot & Ankle ◽

10.1177/107110078600700305 ◽

1986 ◽

Vol 7 (3) ◽

pp. 156-161 ◽

Cited By ~ 113

Author(s):

Robert E. Leach ◽

Mitchell S. Seavey ◽

Daniel K. Salter

Keyword(s):

Plantar Fasciitis ◽

Conservative Therapy ◽

Plantar Fascia ◽

Tarsal Tunnel ◽

Tarsal Tunnel Syndrome ◽

Athletic Activity ◽

Common Cause ◽

Tunnel Syndrome ◽

Cause Of Pain ◽

Results Of Surgery

Plantar fasciitis is a common cause of pain, particularly in runners and certain other athletic groups. This syndrome must be distinguished from certain other conditions, such as the tarsal tunnel syndrome and achillodynia. Conservative therapy including rest, orthotics, heel cups, anti-inflammatory agents, and icing reduce symptoms in most patients. A few athletes may need surgery to continue running. The authors released the plantar fascia and excised areas of mucinoid degeneration in 15 athletes. Fourteen returned to full athletic activity.

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