Compression Syndromes of the Tibial Nerve

The tibial nerve exhibits two typical compression sites in its distal course on the foot, namely the rarer, often diagnosed tarsal tunnel syndrome, which in its idiopathic form is among the controversial compression syndromes, and the more frequently overlooked Morton’s metatarsalgia (or Morton’s neuroma), which is often misinterpreted as “splay foot complaints”. High-resolution sonography and MRI are increasingly being used in the diagnosis of the disease, with sonography appearing to be the preferred method. The surgical excision of the Morton’s neuroma is the therapy of choice. We prefer the dorsal approach, but there are also advocates for the plantar incision.