Frequency of Tarsal Tunnel Syndrome in Salesperson of Rawalpindi and Islamabad: A Cross-Sectional Study

Abstract

Background: Tarsal Tunnel Syndrome (TTS) is a condition that occurs as a result of compression on a nerve in the foot, which leads to symptoms like pain, tingling, and numbness. People who spend long hours standing, like salespersons, may be more likely to develop this problem.

Objective: To determine frequency and severity of TTS in salesperson

Methodology: This descriptive cross-sectional study was conducted from June 2024 to July 2025 in shopping malls and retail stores of Rawalpindi and Islamabad. A total of 377 salespersons aged 18–45 years, who had at least one year of job experience and stood for 8 or more hours daily, were selected through non-probability convenience sampling. Screening for TTS was done using Tinel’s Sign. Participants with a positive result were further assessed using the TTS Severity Rating Scale. Data were analyzed using SPSS version 21, and results were presented in terms of percentages, frequencies, and means.

Results: Statistical analysis was done through SPSS version 21.0. Total of 377 Salesperson were included. The mean age was 26.97+- 6.89 years. 10.9% of participants were tested positive for TTS. The remaining 89.1% did not exhibit symptoms consistent with the condition.

Conclusion: This study concluded that Tarsal Tunnel Syndrome is fairly common among salespersons, especially those who stand for long hours daily. As most of the symptoms were mild, the findings showed that early detection, better footwear, and workplace changes will help reduce the occurrence of this condition.

Keywords: Foot, Pain, Standing position, Tarsal tunnel syndrome, Tibial nerve