Tarsal tunnel and tibial nerve entrapment

The flexor retinaculum of the ankle forms a tunnel between itself and some of the tarsal bones. This ties down some of the tendons running from the leg to the foot, and the tibial nerve and posterior tibial artery and vein pass through here.
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Album: HiFi City Tales
Song: Bodies
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[@miiirchoo]

that's the closest anyone can get to look and sound like dr. House :D

[@mjamerjee9407]

Oh Gosh! that's the first thought that came to my mind!!

[@weare4s]

Crystal clear explanation of tough anatomy to a non-medical person! Never seen such an informative video. Thanks a million!

[@katebrowarny8125]

Thank you for super-well-articulated explanation of the tarsal tunnel! The pace of your speech really helps me understand and retain all those Latin names. Great teaching!

[@freakyarne]

Your lessons have become a weakly routine I really look forward to. Your passion for anatomy is so contagious and the clear explanations together with the amazing Somso models makes learning anatomy fun. Thank you for the weakly effort, you’re a great teacher!

[@SarahHope883]

I just passed anatomy in no small part to these videos. Thank you!

[@LA-go6pp]

I am flat footed did a lot of hiking and my Achilles were quite tight then started getting burning sensation in around the ankle bone and worked out from my symptoms it must be tarsal tunnel. I had been applying ice packs and swimming in a very cold pool and found it helped. Your explanation of exactly what is happening is excellent. Thank you!

[@heidimeisenzahlarcher4530]

I have had severe ankle/foot pain for a year. MRI 6 months ago showed peroneal brevis tear but didn't explain the rest of the pain! This exactly does!!! I see my doc again and I will bring this up! Thank you for your superb info!! I need answers and relief!

[@varleenkaur55]

I haven't learnt tarsal tunnel this good my entire physiotherapy career. Thanks much.

[@seiblair43]

WOW! This was amazing! So much to know, so much to learn, and you make it so interesting to learn. Thank you for sharing. It is truly appreciated.

[@medicalbiochemistry_]

Great video

[@samsaon7153]

Thank you for being here and teaching us!

[@amymckay2431]

Very good info. I am today years old, learning about TTS. Just the other day I wondered if there was a similar explanation to the ankle nerve as carpal tunnel. I am so grateful to understand this more. Most my pain is gone, after $$$$ worth of chiro, PT, massage and special shoes. I will be kinder to my ankle.

[@donray2296]

An amazing explanation and sharing of his knowledge. It is great to see someone who obviously loves what he does. Thank you! 😊

[@helenjohnson7583]

I’m sitting on the floor following along with my own leg and foot! Thanks for your excellent tutoring and the work you put into the editing & illustration!

[@bodvargregersen5161]

Dr. Sam, you did a great job! I enjoyed the presentation.

[@primeharmonic2240]

Thank you Dr. Webster! Your KZbin is the best example of explaining anatomy I have ever experienced. 🙏🙏 Thank you.

[@AthanasiosMargaritis]

You are a great teacher!

[@tiolevine]

Thank you so much for doing these awesome and joyous videos! I have and continue to learn a lot!

[@joehesketh9370]

I just developed a numb heel after a run, and this video helped me understand what's going on. Thanks.

[@ernreeders5583]

Yep, definitely cool. Helped this bilateral TTSer understand his problem.

[@rotad9967]

Sam, I am an Air Force veteran and for 5 years I rode in the back seats of high performance jet fighter aircraft on the average of once per week. Riding in the back seat often resulted in G forces of 6 to over 8 G's multiple times per flight and sometimes sustained G forces of up to 5 G's for around 30 seconds. A year or so after retiring from the Air Force I began to notice numbness in my feet and several years later had significant pain, numbness, tingling and burning in my toes and the balls of my feet. Three years ago I was tested for tarsal tunnel and it was confirmed that I had it in both feet. After watching your video I have to ask if it's possible that the G forces, forcing all that blood into my feet during those flights, could have permanently expanded those blood vessels and is the cause of my tarsal tunnel? From what I hear, it's very unusual to have this in both feet. I am 66 years old now and this has been going on since I was 40. It has only gotten worse with age. Thanks for your time.

[@orviller9453]

Have you ever had your lumber spine examined (via MRI) for lumbar spinal stenosis? I've had increasingly uncomfortable, painful symptoms on my plantar surfaces (both feet, like you). I have significant lumber spine stenosis (intervertebral nerve impingement) recently verified via MRI and have a neurology eval. appt. next month. I assumed my foot discomfort was due to the spinal stenosis, having had back problems for over 25 years. But I just came across TTS and now it seems as though this could be the cause of my foot numbness & pain. It's going to take some real expertise to differentiate between the two potential causes. I asked my PCP for a referral to Podiatry for an eval. there, too (hoping he agrees). Well, I was curious if you ever ruled out the possibility of spinal stenosis. Maybe you could get a lumbar spine MRI....

[@BarbTodd]

Excellent description, thanks

[@medwizard702]

the timing of your video couldn't have been more perfect!! THANKS FOR ALWAYS RESCUING ME PROFESSOR

[@tinkubaglari3401]

Thanks sir you explained very well.❤️👍🙏

[@aremedyproject9569]

Chemo messed up my nerves. Taxanes are known for this. Great vids always from you. Thanks!

[@izachu904]

how are you now sir

[@KUMARUJJWALSINGH]

I've been to a very good Uni in England for Master's and although my Master's was in Archaeology with a compulsory module for Human Anatomy and don't get me wrong but the teachers were absolutely fabulous in such a wonderfully fabricated course but for the teaching of anatomy, Dr. Sam you nail it!!!! Your explanations just gets into the head so clearly probably cuz of your ways but whatever it is, it's absolutely wonderful! Thank you for this channel! 🤗

[@GregorySDurst]

Its really really Cool Sam Thank you so much.

[@aseelyousef8769]

Thank you so much. I wish you days full of happiness ❤️

[@PlazmaHunter]

Great content as usual , thorough and well oriented. Great hair cut too

[@DamonMedekMusic]

I had a bad motocross accident where I came up short on a landing. I've struggled with Tarsel Tunnel syndrome for years. Its rare, but its very serious. Ive spent thousands on physical therapy and myofacial professionals. It's something I still hope to recover from but it's a very difficult injury to recover from.

[@rickyramirez9700]

What are your symptoms?

[@DamonMedekMusic]

@@rickyramirez9700 burning inside of foot behind and below the the protruding ankle bone. No symptoms until standing for over an hour. Then the burning lasts rest of day. The feet are taking the brunt of some dysfunction I cannot find, and it could be more than one.

[@KonradGradzki]

Have you ever experienced patients with tarsal tunnel, but with just one symptom (pain) ? 10 years ago ive broke my 2 bones just above the ankle. I have visited many doctors in Poland, didnt release tarsal tunel yet. I feel pain, often and strong, sometimes dont feel much or dont feel pain at all. Thats just one symptom i have, i can do everything on my ankle, playing football, jumping, but after that pain is stronger. I prefer just to lie in bed, not even sitting, and prefer to walk then to stay in one point. Now with new Doctor (ive visited many already) from Poland we are preparing to release tarsal tunel. But doctor is not sure if it will help bcs i dont have other symptoms. I have made survey of my nerves, and my nerves are slowed just underneath the ankle, the same place i feel pain. The question is, do you ever experienced patients with tarsal tunel but just with pain symptom (no tingling and others, just pain) ? Thank you, Konrad from Poland

[@DamonMedekMusic]

@@KonradGradzki Do you have full rotation in the ankle? Any popping noises? Does the arch hurt? The nerve can get irritated by lack of lateral tension causing the knee to roll medially on our step. Function Patterns is a great resource for advice in America and they have stuff online. You need to look at the whole system, Superficial frontline, Superficial Backline, Lateral Lines, Spiral Lines, and Deep Frontal Lines to fix the problem.

[@RichArtLove]

Once Again, Truly Useful Info! Cheers!

[@suhasaimil]

How are you Sir? Your are genius and you give good knowledge and simple presentation.

[@baharmeahey6319]

Doc Sam thank you, you made me enjoy anatomy and I passed from the first term thanks to you

[@thetravelmum]

Your videos are saving me in prep for my surgical exams, thank you!

[@damienjones1487]

Started playing soccer again, and having flat feet, i started having the same foot/shin issues again. It all makes sense now

[@iandenholm2676]

I have had tarsal tunnel operation twice and have it again it is hell the pain is so intense i am getting the operation end from this year hope it is the last time that does not work i have to get a muscle implant in my foot very heavy operation fed up with it op

[@justsumstuff]

Awesome! My MD didn't explain this! It's on my MRI. Thank you!

[@karthisivaganesh3538]

Great tutorial sir! Trying to strength my anatomy knowledge in year 4 of medical school.

[@AlexandraSebastien]

Hi Sam! I am not an anatomy student but love to listen to your lectures and fun to see what you and your family do on your spare time. Just saw this and wondered if you did a video on hallux vagus and why the fore foot 🦶🏻 gets flat and what implications that has. Did a quick search but didn’t find anything. Would love to hear about it in a future lecture 📖 ☺️ Thanks for being on KZbin! All the best! /V

[@nb2028]

Thanks Sam, It felt that vacation has rejuvenated you! Would it be possible to do a video on biomechanics of running with perspective of an anatomist?

[@yl7865]

Wow! By Far the best I have googled. The way you explain it made it so much easier to understand with the props. Kudos & Thank you. Only thing is now I am left wondering what exercises can be done without aggravating my condition & unlike most cases, I have an usually high arch for my age with the TTS which makes my doctor harder to fit me with the proper orthotics & now I am on Q for a Tarsal T S decompression open surgery:( Not Sure if I should go for it but with 2 yrs no improvement, that is my last resort apparently :(

[@kennydespuzeau1906]

Please don't do the surgery if you don't have to, look at all the options. I have done it and now I have a drop foot problem I didn't have. I barely can walk. I have been using a cane for over 5 years now to help me with my walking...

[@coolbrownboy64]

Thank you !!

[@osangbautista565]

U are great doctor

[@JenniferHoldsworth]

I'm thinking this tibial nerve in the calf is why I can't do many right leg calf raises and the right calf is so weak compared to my left calf, after 2 minutes brisk walking it seizes up and burns. Thanks for teaching, I'm a self leaner here trying to figure out my leg issues 4 years and running(wish I could run again lol)No doctor so far has figured it out.

[@dinorivera9153]

God Bless You Thank you so much.....

[@gladgirl9918]

I cried watching this. No one can explain to me what is happening. I have been dealing with this. The bottom of my right foot has been numb for 6 months. I had 2 knee scopes 8 and 6 months ago. When I tap on the inside of my right ankle it hurts so bad with nerve pain shooting into my foot. I’ve had 2 emg. They told me it was tibial nerve and should heal. Is it normal for it to take this long to heal? I think it’s just from where I have been limping on my foot for so long.

[@MakingaStink]

I actually found your channel several months back when I was suffering with this very syndrome (tarsal tunnel). I didn't find this exact discussion obviously, but I have become a subscriber and have been going through watching all of your videos. You really make learning about the human body interesting and enjoyable. It is a miracle we are all alive when you start discovering all that has to work together and the utter fragility of our bodies. Thank you! -Chris

[@rickyramirez9700]

How did you treat it? If you dont mind me asking

[@MakingaStink]

@@rickyramirez9700 stayed off of it for several weeks and a lot of ice

[@KonradGradzki]

Have you ever experienced patients with tarsal tunnel, but with just one symptom (pain) ? 10 years ago ive broke my 2 bones just above the ankle. I have visited many doctors in Poland, didnt release tarsal tunel yet. I feel pain, often and strong, sometimes dont feel much or dont feel pain at all. Thats just one symptom i have, i can do everything on my ankle, playing football, jumping, but after that pain is stronger. I prefer just to lie in bed, not even sitting, and prefer to walk then to stay in one point. Now with new Doctor (ive visited many already) from Poland we are preparing to release tarsal tunel. But doctor is not sure if it will help bcs i dont have other symptoms. I have made survey of my nerves, and my nerves are slowed just underneath the ankle, the same place i feel pain. The question is, do you ever experienced patients with tarsal tunel but just with pain symptom (no tingling and others, just pain) ? Thank you, Konrad from Poland

[@izachu904]

@@KonradGradzki hello konrad, 7 days ago I started having weird nerve pain inside my ankle It got worse after 2 days and started to get better after 6 days. I have taken EMG scan and my left foot shows a slight nerve latency which doctor considers as nerve entrapment. (tts) I am 23 and have no absolute idea how this sickness found me. - I can jump walk and live with the pain IT's not a big deal. But i am afraid to lose my feet feeling completely. Doctor says we will look your MRI scan and then we may do a surgery. But I don't have total numbness /burn/ or loss of feeling. Do you think there is a way to relieve it ? Are you living with the pain for 10 years ? It's a lot . Is there permanent nerve damage on yours ? They say It's very rare disease I am desperate for any bit of information.

[@CARRJ142]

A great video.

[@marksapp86]

Great video....

[@sequinx]

Had Orif surgery 27 mths ago Have had swelling n pain since. Just had two screws removed one of which was lying on tendon also had decompression of tibialis posterior. Hoping that will sort it out. Great video.

[@Rendsburg-Malocher]

Beste Beschreibung der Anatomie überhaut! So kurzweilig kann kaum einer Wissen vermitteln!

[@riteshNangia]

Very well explained

[@dmgsoultogetherness6667]

1 yr ago i had a grade 3 ankle roll..the main pain i have is medial maleolous.,tarsal pain,impingement at the talus .no break was shown,yet i cant even jog lightly,the pain is too much,ive done every exercise,and orthotic for flat arch....HELP.

[@chescatur9718]

Thank you for the information doctor Webster. If the posterior tibial nerve is cut, can it be spliced?

[@boomforlife1595]

Any treatments or advice on how to get better?

[@ketanturakhia6964]

I have 2 questions. 1. Restless Leg Syndrome could be a reason due to Tibial Nerve Entrapment. 2. I've noticed kid's walking on their toes. Could this be the same reason. Please educate us little more on this. Thank you

[@mohammadaun6698]

Restless leg is mostly caused by lack of calcium

[@clairejevron6146]

My foot has been tingling for several days, feels like fluid flowing through my foot. I have some fluid retention on the inside of my leg just above the ankle I m wondering if this is pressing on my nerve.

[@anthonydavis9382]

I've had the top of my foot ran over, about 2 years ago. And now i'm getting gnarly pain in the tip of my big toe. Sometimes it is shooting pains, achey, needles, and I can't bend it at all. Sometimes my calf hurts and sometimes my shin. My big toe hurts to touch and the pain seems to get worse at night. I have to sleep with the blanket off my foot and my foot propped up in pillows and certain positions makes it worse. Could I have pinched a nerve in my midfoot when it was ran over and i'm getting referred pain in my big toe?

[@mezzofeldenkrais6131]

great

[@franejusup]

Hi Sam, big fan here 👋🏻 Can you recommend a book (or any kind of literature) about ankle sprains rehab? I am willing to improve my knowledge in this area. Thanks a lot 🙃

[@benhorne1404]

I have Patellar Tibial Tendonitis (multiple ankle sprains in the past years, over-training before fully healing, and maybe some postural/structural issues) and may have sustained some serious damage from a PRP injection. Do you think you could answer these questions based on general knowledge? 1. Is it possible for permanent nerve, tendon, or ligament damage to occur from a PRP injection in or around the tarsal tunnel? 2. Can BPC-157, TB-500, or HGH injections heal serious nerve damage? 3. What else can be done besides surgery, traditional PT, and RICE recommendations? I’m trying everything to get this back in shape because it could honestly be a life altering injury, given my career and dreams.

[@leekfrmda8723]

Did you find any answers I had this same thing done to me it was also from a injection into my ankle

[@KonradGradzki]

Have you ever experienced patients with tarsal tunnel, but with just one symptom (pain) ? 10 years ago ive broke my 2 bones just above the ankle. I have visited many doctors in Poland, didnt release tarsal tunel yet. I feel pain, often and strong, sometimes dont feel much or dont feel pain at all. Thats just one symptom i have, i can do everything on my ankle, playing football, jumping, but after that pain is stronger. I prefer just to lie in bed, not even sitting, and prefer to walk then to stay in one point. Now with new Doctor (ive visited many already) from Poland we are preparing to release tarsal tunel. But doctor is not sure if it will help bcs i dont have other symptoms. I have made survey of my nerves, and my nerves are slowed just underneath the ankle, the same place i feel pain. The question is, do you ever experienced patients with tarsal tunel but just with pain symptom (no tingling and others, just pain) ? Thank you, Konrad from Poland

[@stavrosojr5300]

I am 18 years old.At 2/9/2021 i got pain on my feet,while running.I went to a couple of doctors and everyone gave me a me different diagnosis.The symptom that i have is sharp pain at the middle of my feet.The pain occurs by standing (walking or just standing).The more time i am on my feet the more painful my feet get.And now hear something interesting.A couple days after the symptoms of my feet started,my wrists also started hurt.A doctor said that i just have loose wrists and i shouldn't be worried.But,I was recently diagnosed with carpal tunnel syndrome by a neurologist.I also tested the nerves of my lower legs and the results were normal.Tho,i have a theory,that i have both carpal and Tarsal tunnel syndrome.Please help me!!

[@KonradGradzki]

Have you ever experienced patients with tarsal tunnel, but with just one symptom (pain) ? 10 years ago ive broke my 2 bones just above the ankle. I have visited many doctors in Poland, didnt release tarsal tunel yet. I feel pain, often and strong, sometimes dont feel much or dont feel pain at all. Thats just one symptom i have, i can do everything on my ankle, playing football, jumping, but after that pain is stronger. I prefer just to lie in bed, not even sitting, and prefer to walk then to stay in one point. Now with new Doctor (ive visited many already) from Poland we are preparing to release tarsal tunel. But doctor is not sure if it will help bcs i dont have other symptoms. I have made survey of my nerves, and my nerves are slowed just underneath the ankle, the same place i feel pain. The question is, do you ever experienced patients with tarsal tunel but just with pain symptom (no tingling and others, just pain) ? Thank you, Konrad from Poland

[@narayankalita9319]

Sir, what is the problem if tibial nerve and artery cuts by surger 😭😭

[@rosisunny9302]

We don’t need the Extra names,I can go creasy to lern it! Jest tell what we can do for our feet!

[@dr.ujjwolrisal2713]

You look exactly like Dr. House.

[@dustlessbard007]

Is that Dr. HOUSE??

[@belgas3139]

🎯.....👍🏼.....

[@youtubingbabs]

Came here to self-diagnos after we ruled out blood clot, heart failure, kidney failure.... Typical American er... No suggestion of follow up visit... The swelling went down enough to feel that tenderness in the tip of my tibia.... I palpated.... Felt like a release of sorts. I thought it is was fluid but I think now it was the be tingling from my palpating the nerve. I remember the to first doctor checking this now. She couldn't be diagnos that at an er but her job was to make it sure I didn't die that night and send me out I guess. But I'm icing and elevating now after several days. If we is so known I could iced earlier. They said to it to was just salt and be from standing as a cashier. The of latter is true and the general puffy legs again typical American eating to shit food but one ankle? It's definitely that nerve or my posterior talotibial ligament is inflamed but the tingling says the syndrome. I know eating better and doing it the exercises I find it here. Elevate? Icing? Gentle yoga and rest will most likely help. Maybe arthritis? I wondered gout... But I'm vegetarian so I don't see that. Thanks. PS you're super hottttt. Sorry not trying to objectify you.

[@izachu904]

hello its been 6 days for me . does elevating and ice relieve it ?

[@rosisunny9302]

Im interested in the foot have Cramps in my Feetafter a accident!You boring us you do the same up and down,it’s boring to do the same up and down! You Human please don’t talke like a Maschin 🙏😍😲😲😢😢

[@roygbivcreations5929]

That's what I have but I don't want to go to the doctor because they never help me they just send me to physical therapy which costs an arm and leg I'd rather fix it myself

[@hajirakramjasim4768]

How would you fix it ? Did you do? The pain kills me since 10 months

[@roygbivcreations5929]

Great video