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What is the Tarsal Tunnel?

Published in Anatomy & Physiology 2 mins read

The tarsal tunnel is a narrow passageway located on the inside of your ankle, formed by ankle bones and a strong band of ligaments (the flexor retinaculum) that stretches across the foot. It serves as a crucial conduit for vital structures.

Understanding the Tarsal Tunnel

Think of the tarsal tunnel as a protected highway for important structures traveling from your leg into your foot. This includes:

  • Tibial Nerve: This nerve provides sensation to the sole of your foot and controls some of the muscles in your foot.
  • Posterior Tibial Artery and Vein: These blood vessels supply blood to the foot.
  • Tendons: Specifically, the tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles, which help with foot and toe movement.

Location and Structure

  • Location: Inside the ankle, behind the medial malleolus (the bony bump on the inside of your ankle).
  • Boundaries: The tarsal bones form the floor of the tunnel, and the flexor retinaculum acts as the roof, holding everything in place.

Significance

The tarsal tunnel is significant because it's a confined space. If any of the structures within the tunnel become compressed or irritated, it can lead to a condition called Tarsal Tunnel Syndrome. This condition can cause pain, numbness, and tingling in the foot, similar to carpal tunnel syndrome in the wrist.

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