{"id":13189,"date":"2022-12-01T09:19:58","date_gmt":"2022-12-01T08:19:58","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=13189"},"modified":"2022-12-01T09:19:58","modified_gmt":"2022-12-01T08:19:58","slug":"triple-compression-stress-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/triple-compression-stress-test\/","title":{"rendered":"Triple Compression Stress Test"},"featured_media":13190,"template":"","class_list":["post-13189","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":13190,"background_image_alt_text":"Triple Compression Stress Test"},"heading":"Triple Compression Stress Test | Tarsal Tunnel Syndrome (TTS)","subheading":"Ankle & Foot Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Triple Compression Stress Test | Tarsal Tunnel Syndrome (TTS)<\/h2>\nTarsal Tunnel syndrome is a compressive neuropathy of the posterior tibial nerve or its branches, which can become entrapped in the tarsal tunnel under the deep fascia, flexor retinaculum and within the abductor hallucis muscle.\n\nAccording to Abouelela et al. (2012)<\/a>, the Triple Compression Stress Test has a sensitivity of 85,9% and a specificity of 100%. For this reason, it seems that this test has a high clinical value to confirm and exclude Tarsal Tunnel Syndrome, although we have to be careful as there has only been one study evaluating this test.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=FBaonEgJHGs[\/embed]\n\n<\/div>\nTo conduct the test, have your patient in supine lying position. Then maximally plantarflex the ankle, bring the foot and the heel into maximal inversion and compress the posterior tibial nerve posterior to the medial malleolus with your fingers.\n\nThis compression is applied for 30 seconds. This test is positive if the patient complains about numbness, paresthesia, or pain in the toe, ball of the foot, and\/or heel.\n\n[cta]\n\nOther orthopedic tests to assess tarsal tunnel syndrome are:\n