scholarly journals Assessment of the frequency of tarsal tunnel syndrome in rheumatoid arthritis

2021 ◽  
Vol 67 (4) ◽  
pp. 421-427
Author(s):  
Mehtap Kalçık Ünan ◽  
Özge Ardıçoğlu ◽  
Nevsun Pıhtılı Taş ◽  
Rabia Aydoğan Baykara ◽  
Ayhan Kamanlı
Keyword(s):  
Rheumatoid Arthritis ◽  
Short Form ◽  
Health Assessment ◽  
Walking Distance ◽  
Control Group ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Das28 Score ◽  
Entrapment Neuropathies ◽  
Tunnel Syndrome

Objectives: In this study, we aimed to determine the frequency of tarsal tunnel syndrome (TTS) in rheumatoid arthritis (RA) patients. Patients and methods: Thirty RA patients (1 male, 29 females; mean age: 41.9±10.1 years; range, 26 to 65 years) who met the American College Rheumatology (ACR) classification criteria and 20 healthy volunteers (1 male, 19 females; mean age: 39.3±10.8 years; range, 26 to 60 years) without any complaints between August 2006 and October 2007 were included in the study. Demographic characteristics of the study group were assessed and neurological examinations were performed. The Tinel’s sign was checked to provoke the TTS symptoms. Disease severity was measured using Visual Analog Scale (VAS), Disease Activity Score-28 (DAS28), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The health-related quality of life and disability status were determined using the Health Assessment Questionnaire (HAQ), Short Form 36 (SF-36), Foot Function Index (FFI), and VAS (0-100 mm). The positional relationship of the foot pain was questioned with VAS. The 100-m walking distance of the patient and control groups were calculated. Results: Bilateral TTS was detected in 10 of the patients (33.3%) with rheumatoid arthritis. No relationship with the TTS disease duration, seropositivity, rheumatoid nodule, joint deformities, corticosteroid use, and DAS28 score were found. In correlation with TTS, foot and ankle joint were the first involved joints at the beginning of RA disease (p<0.005). The Tinel’s sign was found to be 45% positive in patients with TTS. The 100-m walking time was significantly longer in RA patients compared to the control group (p<0.0001). Conclusion: Tarsal tunnel syndrome is commonly seen in RA and its incidence increases in patients with primary foot involvement. Therefore, caution should be taken against the entrapment neuropathies in these patients, and they should be supported by electrophysiological practices, when the diagnosis is necessary.

scholarly journals Tarsal tunnel syndrome in patients with rheumatoid arthritis, electrophysiological and ultrasound study

2013 ◽  
Vol 49 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Ibrahim Khalil Ibrahim ◽  
Sameh Hafez Medani ◽  
Mowaffak Moustafa Abd El-Hameed ◽  
Mohamed Hassan Imam ◽  
Mohamed Magdy Aly Shaaban
Keyword(s):  
Rheumatoid Arthritis ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Ultrasound Study ◽  
Tunnel Syndrome

Tarsal Tunnel Syndrome Caused by an Occult Schwannoma of the Posterior Tibial Nerve: Avoidance of Delay in Diagnosis

2021 ◽  
Vol 111 (1) ◽  
Author(s):  
Mehmet Burak Yalcin ◽  
Utku Erdem Ozer
Keyword(s):  
Peripheral Nerves ◽  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Posterior Tibial Nerve ◽  
Tarsal Tunnel Syndrome ◽  
Significant Delay ◽  
Delay In Diagnosis ◽  
Posterior Tibial ◽  
Entrapment Neuropathies ◽  
Tunnel Syndrome

Tarsal tunnel syndrome (TTS), resulting from compression of the posterior tibial nerve (PTN) within the tarsal tunnel, is a relatively uncommon entrapment neuropathy. Many cases of tarsal tunnel syndrome are idiopathic; however, some causes, including space-occupying lesions, may lead to occurrence of TTS symptoms. Schwannoma, the most common tumor of the sheath of peripheral nerves, is among these space-occupying lesions, and may cause TTS when it arises within the tarsal tunnel, and it may mimic TTS even when it is located outside the tarsal tunnel and cause a significant delay in diagnosis. The possibility of an occult space-occupying lesion compressing the PTN should be kept in mind in the differential diagnosis of TTS, and imaging studies that are usually not used in entrapment neuropathies may be of importance in such patients. This case report presents a 65-year-old woman with TTS symptoms and neurophysiologic findings secondary to an occult schwannoma of the PTN proximal to the tarsal tunnel. Avoidance of delay in diagnosis in secondary cases is emphasized.

PREVALENCE OF THE TARSAL TUNNEL SYNDROME IN RHEUMATOID ARTHRITIS

Rheumatology ◽  
1981 ◽  
Vol 20 (3) ◽  
pp. 148-150 ◽  
Author(s):  
S. P. BAYLAN ◽  
S. W. PAIK ◽  
A. L. BARNERT ◽  
K. H. KO ◽  
J. YU ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome

Auricular vagal nerve stimulation in peripheral arterial disease patients

VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 462-470 ◽  
Author(s):  
Gerald Hackl ◽  
Andreas Prenner ◽  
Philipp Jud ◽  
Franz Hafner ◽  
Peter Rief ◽  
...  
Keyword(s):  
Primary Endpoint ◽  
Nerve Stimulation ◽  
Short Form ◽  
Therapeutic Option ◽  
Arterial Disease ◽  
Walking Distance ◽  
Control Group ◽  
Sf 36 ◽  
Peripheral Arterial ◽  
Double Blinded

Abstract. Background: Auricular nerve stimulation has been proven effective in different diseases. We investigated if a conservative therapeutic alternative for claudication in peripheral arterial occlusive disease (PAD) via electroacupuncture of the outer ear can be established. Patients and methods: In this prospective, double-blinded trial an ear acupuncture using an electroacupuncture device was carried out in 40 PAD patients in Fontaine stage IIb. Twenty patients were randomized to the verum group using a fully functional electroacupuncture device, the other 20 patients received a sham device (control group). Per patient, eight cycles (1 cycle = 1 week) of electroacupuncture were performed. The primary endpoint was defined as a significantly more frequent doubling of the absolute walking distance after eight cycles in the verum group compared to controls in a standardized treadmill testing. Secondary endpoints were a significant improvement of the total score of the Walking Impairment Questionnaire (WIQ) as well as improvements in health related quality of life using the Short Form 36 Health Survey (SF-36). Results: There were no differences in baseline characteristics between the two groups. The initial walking distance significantly increased in both groups (verum group [means]: 182 [95 % CI 128–236] meters to 345 [95 % CI 227–463] meters [+ 90 %], p < 0.01; control group [means]: 159 [95 % CI 109–210] meters to 268 [95 % CI 182–366] meters [+ 69 %], p = 0.01). Twelve patients (60 %) in the verum group and five patients (25 %) in controls reached the primary endpoint of doubling walking distance (p = 0.05). The total score of WIQ significantly improved in the verum group (+ 22 %, p = 0.01) but not in controls (+ 8 %, p = 0.56). SF-36 showed significantly improvements in six out of eight categories in the verum group and only in one of eight in controls. Conclusions: Electroacupuncture of the outer ear seems to be an easy-to-use therapeutic option in an age of increasingly invasive and mechanically complex treatments for PAD patients.

scholarly journals Carpal, cubital or tarsal tunnel syndrome after SARS-CoV-2 infection: a causal link?

2021 ◽  
pp. 110638
Author(s):  
Luca Roncati ◽  
Greta Gianotti ◽  
Davide Gravina ◽  
Giovanna Attolini ◽  
Giuliana Zanelli ◽  
...  
Keyword(s):  
Causal Link ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome

scholarly journals Anterior Tarsal Tunnel Syndrome

1986 ◽  
Vol 34 (4) ◽  
pp. 1494-1497
Author(s):  
Akio Matsuzaki ◽  
Masatomo Kiyonari
Keyword(s):  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
Tunnel Syndrome
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