Sinus Tarsi Syndrome

The Sinus Tarsi is a small canal between the heel and ankle bones. It contains ligaments, blood vessels and joint capsules running through the canal. Sinus Tarsi Syndrome is characterized with persistent pain on the outside of the ankle due to an injury or swelling in the Sinus Tarsi. It occurs following an ankle sprain, if osteoarthritis is present in the joint or repetitive trauma of the soft tissue in the Sinus Tarsi due to poor biomechanics when the foot over pronates (flattens).

Sinus Tarsi Syndrome Symptoms

Pain on the front outside region of the ankle
Swelling and tenderness
Increased pain when weight bearing and decreased pain with rest
Increased pain on slopes or uneven surfaces
Feeling of instability

Treatment for Sinus Tarsi Syndrome

RICE – rest, ice, compression & elevation
Non steroidal anti inflammatory
Stretching calf muscle
Strengthening muscle exercises, i.e. Wobble Board or Theraband
Massage, padding & strapping
Footwear modifications/changes
Local Anesthetic Injection
If biomechanics is contributory cause – orthotics may be considered

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