A failed conservative treatment of Tarsal Tunnel Syndrome (TTS) at Bhayangkara Hospital, Bali, Indonesia: a case report

Abstract

Introduction: Tarsal Tunnel Syndrome (TTS) is the entrapment of the posterior tarsal nerve and its branches. This condition is uncommon and usually underdiagnosed. Misdiagnosing this condition will lead to unresolved symptoms. Pain and paraesthesia are the most common presenting symptoms. This case study aims to evaluate the failed conservative treatment of TTS.Case Description: A 32-years old woman presented to our clinic with pain and numbness in her left foot for 2 years. Her pain and numbness were worsened by prolonged standing and walking. Her symptoms were gradually relieved by rest and diagnosed with TTS. Surgery was performed under general anesthesia. A curvilinear incision was made posterior inferior to the medial malleolus of the left ankle. The flexor retinaculum was incised and the TTS was explored. The patient was evaluated every week for a month and a significant improvement was recorded without any complications.Conclusion: Surgery is indicated in TTS when conservative treatment has failed. This case study was treated by surgery decompression of the posterior tibial nerve due to failed conservative treatment.