Indications

Tinel’s Foot test is an ankle examination procedure that tests for the presence of nerve compression syndrome and tarsal tunnel syndrome (posterior tibial nerve). A Tinel’s test may be used in almost all instances when nerve compression is suspected. By tapping over a nerve ending, the examiner may identify nerve compression.

Procedure

Patient should be awake and cooperative in a Tinel’s Foot test.

  1. Patient should may be prone, supine or seated during the procedure.
  2. The examiner percusses (taps) over the medial ankle which is behind the medial malleolus (posterior tibial nerve/medial plantar nerve) and over the dorsum of the ankle near the neck of the talus (deep peroneal nerve).

The examiner taps over the medial ankle behind the medial malleolus.

Interpretation

Positive Tinel’s Foot Test

There is positive Tinel’s Foot test when there is distal tingling, paresthesia or electrical sensation. These symptoms could indicate the presence of nerve compression syndrome, tarsal tunnel syndrome (posterior tibial nerve).

Clinical Notes

Another name for Tinel’s Foot test is distal tingling on percussion or DTP sign.