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Triple Compression Stress Test

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Other Names

Demonstration of the Triple Compression Stress Test[1]
  • Triple compression stress test (TCST)
  • Triple Compression Test


  • To evaluate the Tarsal Tunnel as the cause of foot and ankle pain


  • Goal: elicit triple compression on posterior tibial nerve and its branches
  • The patient is supine
  • The examiner positions the ankle in full planter flexion with the foot in inversion
  • Simultaneous, constant, direct digital pressure is applied for 30s over the posterior tibial nerve by the examiner's other hand behind the medial malleolus
  • Positive test
    • Reproduction of symptoms



  • Abouelela et al[2]
    • Sensitivity: 85.9%
    • Specificity: 100%

See Also


  1. Image courtesy of https://stanfordmedicine25.stanford.edu/, Tarsal Tunnel Exam
  2. Abouelela, Amr AKH, and Abeer K. Zohiery. "The triple compression stress test for diagnosis of tarsal tunnel syndrome." The Foot 22.3 (2012): 146-149.
Created by:
John Kiel on 2 September 2021 22:46:03
Last edited:
25 May 2023 06:56:00