People with tarsal tunnel syndrome have pain in the plantar aspect of the foot mostly at night. Weight bearing increases pain and weakness is found on intrinsic foot muscles with positive Tinel sign at the tunnel. There is no tenderness present on the plantar foot, though this is typically the primary site of complaint.
Tarsal tunnel syndrome affects individuals who experience pain on the dorsal side of the foot predominantly at night. As weight-bearing increases, discomfort worsens, and weakness is observed in the intrinsic muscles of the foot, accompanied by a positive Tinel sign within the tunnel. However, tenderness is absent from the plantar surface of the foot, which is typically where patients complain.