scholarly journals PHYSIOTHERAPEUTIC INTERVENTION RELIEVING TARSAL TUNNEL SYNDROME IN A RUNNER

2021 ◽  
Vol 10 (4) ◽  
pp. 3167-3170
Author(s):  
Pratik Phansopkar
Keyword(s):  
Physical Therapy ◽  
Tibial Nerve ◽  
Signs And Symptoms ◽  
Complete Recovery ◽  
Rehabilitation Program ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

“Tibial Nerve Dysfunction” or “Posterior Tibial Nerve Neuralgia” are terms used to describe Tarsal Tunnel Syndrome (TTS). It is a form of compressive neuropathy that emerges when the structures in the tarsal tunnel are compressed. In athletic individuals, TTS tends to be associated with running, jumping or impacted sports and so, is very common in middle aged runners. The symptoms include pain, paresthesia and numbness is the most common clinical presentation. A well designed physical therapy program plays an important role in recovering from such hampering conditions, a physical therapy rehabilitation program consist of pain reduction by using hot fermentation, contrast bath or paraffin wax bath. Strengthening of the musculature around ankle to avoid unnecessary forces on the joint along with balance training, agility training and education regarding footwear is essential for a complete recovery. Here, we report a case of 21 year old male, a Track Runner, presenting to the physiotherapy department at Acharya Vinoba Bhave Hospital Sawangi (M), Wardha with the complaints of severe pain and numbness in his right ankle over medial region of foot for past 5 days. Investigatory findings revealed that he was diagnosed with Tarsal Tunnel Syndrome over his right foot. Thereafter, he was treated conservatively with physical therapy interventions such as ankle exercises, stretching techniques, taping, theraband, strengthening etc. The purpose of this case study is to: To study the physiotherapeutic interventions, playing a major role in managing the case of tarsal tunnel syndrome. Conclusion: This case study concludes that physiotherapeutic interventions and exercises plays an important role in managing the signs and symptoms of tarsal tunnel syndrome.

Extraskeletal Osteosarcoma: An Unusual Presentation as Tarsal Tunnel Syndrome

1995 ◽  
Vol 16 (12) ◽  
pp. 796-799 ◽  
Author(s):  
Kenneth A. Jaffe ◽  
Jeffrey D. Wade ◽  
F. Spencer Chivers ◽  
Gene P. Siegal
Keyword(s):  
Unusual Case ◽  
Benign Tumor ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Extraskeletal Osteosarcoma ◽  
Posterior Tibial ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

Tarsal tunnel syndrome is a compressive neuropathy caused by intrinsic or extrinsic pressure on the posterior tibial nerve or one of its terminal branches. A mass in association with tarsal tunnel syndrome is most likely a benign tumor or tumor-like condition, although a more malignant tumor must be in the differential diagnosis. We report an unusual case of an extraskeletal osteosarcoma causing tarsal tunnel syndrome.

Neurilemoma of the Posterior Tibial Nerve and Tarsal Tunnel Syndrome

2007 ◽  
Vol 97 (2) ◽  
pp. 148-150 ◽  
Author(s):  
Sarnarendra Miranpuri ◽  
Eric Snook ◽  
David Vang ◽  
Raymond M. Yong ◽  
William E. Chagares
Keyword(s):  
Schwann Cells ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome ◽  
Tarsal Canal ◽  
Space Occupying Lesion

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. A neurilemoma is an uncommon, benign, encapsulated neoplasm derived from Schwann cells. We present a case of tarsal tunnel syndrome caused by this rare space-occupying lesion. (J Am Podiatr Med Assoc 97(2): 148–150, 2007)

Posterior tibial vein aneurysm presenting as tarsal tunnel syndrome

Vascular ◽  
2014 ◽  
Vol 23 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Micheal Ayad ◽  
Anumeha Whisenhunt ◽  
EnYaw Hong ◽  
Josh Heller ◽  
Dawn Salvatore ◽  
...  
Keyword(s):  
Tibial Nerve ◽  
Venous Aneurysm ◽  
Venous Disease ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Posterior Tibial ◽  
First Case ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

Tarsal tunnel syndrome is a compressive neuropathy of the posterior tibial nerve within the tarsal tunnel. Its etiology varies, including space occupying lesions, trauma, inflammation, anatomic deformity, iatrogenic injury, and idiopathic and systemic causes. Herein, we describe a 46-year-old man who presented with left foot pain. Work up revealed a venous aneurysm impinging on the posterior tibial nerve. Following resection of the aneurysm and lysis of the nerve, his symptoms were alleviated. Review of the literature reveals an association between venous disease and tarsal tunnel syndrome; however, this report represents the first case of venous aneurysm causing symptomatic compression of the nerve.

Tarsal Tunnel Syndrome: Case Study of a Male Collegiate Athlete

1997 ◽  
Vol 6 (4) ◽  
pp. 364-370 ◽  
Author(s):  
William Romani ◽  
David H. Perrin ◽  
Tim Whiteley
Keyword(s):  
Ankle Sprain ◽  
Laboratory Tests ◽  
Rehabilitation Program ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Relieve Pain ◽  
Full Participation ◽  
Tunnel Syndrome ◽  
The Subject

A case of tarsal tunnel syndrome in a male collegiate lacrosse player is presented. The subject reported symptoms consistent with tarsal tunnel syndrome following two incidents of medial ankle sprain in one lacrosse season. Conservative treatment was successful following the first ankle sprain but failed to relieve pain and paresthesia in his heel and medial arch following the second injury. Laboratory tests provided an inconclusive diagnosis, and the subject underwent a retinacular release 5 months after the second ankle sprain. Following a 13-week rehabilitation program, the subject returned to full participation in his sport.

Tarsal Tunnel Syndrome Associated with a Pulsating Artery

2010 ◽  
Vol 100 (3) ◽  
pp. 209-212 ◽  
Author(s):  
Eunkuk Kim ◽  
Martin K. Childers
Keyword(s):  
High Resolution ◽  
Ultrasound Imaging ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Guided ◽  
Nerve Ultrasound ◽  
Posterior Tibial ◽  
Tunnel Syndrome

We describe a patient with tarsal tunnel syndrome in whom ultrasound imaging revealed compression of the posterior tibial nerve by a pulsating artery. High-resolution ultrasound showed a round pulsating hypoechoic lesion in contact with the posterior tibial nerve. Ultrasound-guided injection of 0.5% lidocaine temporarily resolved the paresthesia. These findings suggest an arterial etiology of tarsal tunnel syndrome. (J Am Podiatr Med Assoc 100(3): 209–212, 2010)

Tarsal Tunnel Syndrome Associated with an Accessory Muscle

2003 ◽  
Vol 24 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Mitsuo Kinoshita ◽  
Ryuzo Okuda ◽  
Junichi Morikawa ◽  
Muneaki Abe
Keyword(s):  
Signs And Symptoms ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Accessory Muscle ◽  
History Of ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Electrophysiological Examination ◽  
Flexor Digitorum ◽  
Physical Findings

Between 1986 and 1999, we surgically treated 41 patients (49 feet) with Tarsal Tunnel Syndrome (TTS) in whom seven (eight feet) were associated with an accessory muscle. An accessory flexor digitorum longus muscle was present in six patients, and an accessory soleus muscle was in one patient (both feet). Three of them were males and four females, with the mean age of 33.1 years (12 to 59 years). The mean interval from the onset of symptoms to operation was 7.5 months (range, six to nine months). All patients with an accessory muscle had a history of trauma or strenuous sporting activity. The diagnosis of TTS was made based on physical findings in all the patients (eight feet) and confirmed in five patients (six feet) by electrophysiological examination. Imaging examinations (radiography, ultrasonography, MRI) revealed abnormal bone and soft tissue lesions in and around the tarsal tunnel. Preoperative signs and symptoms disappeared average 4.1 months after decompression of the tibial nerve in addition to excision of the muscle. No functional deficit was observed at final follow-up (24 to 88 months).

Tibial Neuropathy—Tarsal Tunnel Syndrome

2018 ◽  
Author(s):  
Daniel A. Lyons ◽  
David L. Brown
Keyword(s):  
Physical Examination ◽  
Surgical Intervention ◽  
Tibial Nerve ◽  
Clinical History ◽  
Surgical Decompression ◽  
Tarsal Tunnel ◽  
Success Rates ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
Space Occupying Lesion

Tarsal tunnel syndrome (TTS) is caused by compression of the tibial nerve and its branches within the tarsal tunnel at the ankle. The diagnosis of TTS is often made clinically, but imaging and electrodiagnostic studies should be considered when the diagnosis cannot be ascertained from the clinical history and physical examination. Surgical decompression of the tarsal tunnels should be pursued only after conservative measures have failed or when a space-occupying lesion or point of tibial nerve compression has been identified. Surgical intervention requires complete release of the flexor retinaculum at the medial ankle, as well as release of the three distinct tunnels enveloping the medial and lateral plantar nerves and the calcaneal branch. Success rates for tibial nerve decompression vary widely in the literature, ranging from 44% to 96%.

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