Evidence Checklist: Tarsal Tunnel Syndrome (Posterior Tibial Nerve Entrapment)

Neurological evaluation documenting posterior tibial nerve symptomsCritical

Examination documenting burning, tingling, and numbness in the sole of the foot, positive Tinel sign at the ankle, and pain with prolonged standing or walking.

EMG/nerve conduction study of posterior tibial nerveCritical

Objective electrodiagnostic testing confirming tibial nerve entrapment at the tarsal tunnel and documenting severity.

Nexus opinion linking tarsal tunnel syndrome to serviceCritical

A medical opinion connecting your tarsal tunnel syndrome to military duties such as prolonged marching, standing, running, or a service-connected ankle/foot injury.

Imaging studies (MRI of ankle)

MRI or ultrasound of the ankle to identify structural causes of nerve compression such as ganglion cysts, varicose veins, or bony abnormalities.

Treatment records (orthotics, injections, surgery)

Records documenting conservative and surgical treatment, including custom orthotics, corticosteroid injections, and tarsal tunnel release surgery.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Completed DBQ Peripheral Nerves ConditionsCritical

Standardized form capturing posterior tibial nerve involvement severity and functional limitations.

Documentation of military marching, standing, or running duties

Service records, MOS documentation, or duty assignments showing prolonged weight-bearing activities that contributed to the condition.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.