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Another mechanism that could give lead to this TTS is neurofibromatosis. This is a disease that results in the formation of pigmented, cutaneous neurofibromas. These masses, in a specific case, were shown to have the ability to invade the tarsal tunnel causing pressure, therefore resulting in TTS.[1]
This is an image of a normal arched foot.When comparing to the normal arch image, this image of fallen arches, helps create a visualization of how the tibial nerve can be strained and compressed due to the curvature.
^Mirick, Anika L., Gerald B. Bornstein, and Laura W. Bancroft. "Radiologic Case Study." Orthopedics 36.81 (2013): 154-57. Web. 22 Apr. 2014.
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