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What is tarsal tunnel syndrome?

  1. A condition involving inflammation of the Achilles tendon

  2. A compression neuropathy of the tibial nerve

  3. A form of arthritis affecting the ankle

  4. A type of plantar fasciitis

The correct answer is: A compression neuropathy of the tibial nerve

Tarsal tunnel syndrome is specifically characterized as a compression neuropathy of the tibial nerve as it travels through the tarsal tunnel, which is a narrow space located on the inside of the ankle. This syndrome occurs when the tibial nerve is compressed or irritated, often due to structural abnormalities, inflammation, or trauma. Symptoms commonly associated with this condition include pain, tingling, or numbness that radiates into the foot. Understanding this condition is fundamental in physical therapy as it guides treatment approaches aimed at alleviating nerve compression, which can include modalities like stretching, soft tissue mobilization, and activities to strengthen the surrounding musculature. Recognizing that tarsal tunnel syndrome is related to neuropathic changes rather than inflammation or degenerative changes provides clarity on the appropriate interventions and management strategies. The other conditions listed do not involve the tibial nerve or the specific symptoms associated with tarsal tunnel syndrome, highlighting the importance of accurate diagnosis in establishing an effective treatment plan.