Tarsal tunnel syndrome is a complex and often under-diagnosed or misdiagnosed condition that affects the foot and ankle. It is a compression neuropathy of the posterior tibial nerve as it passes in the anatomic tarsal tunnel in the medial ankle under flexor retinaculum. This article reviews diagnosis, conservative treatment, and surgical outcomes, which have dramatically improved with more comprehensive release of the foot nerves in addition to the tibial nerve. Internal neurolysis facilitates a second level of nerve decompression in needed cases. Physical therapy protocols have made it possible for patients to return to ambulation with limited long-term down time.
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Article Synopsis
- A study was conducted on 30 patients with congenital severe ptosis to compare two techniques for silicone rod fixation in frontalis suspension surgery: the novel tarsal tunnel technique and the conventional suture fixation technique.
- Both techniques resulted in similar postoperative outcomes in terms of eyelid position and patient satisfaction, with no significant complications reported.
- The tarsal tunnel fixation method showed promising cosmetic and functional results, but further long-term studies are necessary to confirm the effectiveness of this new technique.
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