Double Crush Syndrome in the Lower Extremity

2012 ◽  
Vol 102 (4) ◽  
pp. 330-333 ◽  
Author(s):  
Anthony V. Borgia ◽  
Jerome K. Hruska ◽  
Karina Braun
Keyword(s):  
Lower Extremity ◽  
Crush Syndrome ◽  
Tarsal Tunnel ◽  
Massage Therapist ◽  
Proximal Lesion ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Failure To Progress ◽  
Satisfactory Manner

Upton and McComas first described double crush syndrome in 1973. The theory behind double crush syndrome postulated that a proximal lesion in a nerve would make that same nerve more vulnerable to additional distal lesions. Many of the studies investigating the possibility of the double crush syndrome involve lesions in the upper extremity with very few articles written specifically about double crush syndrome in the lower extremity. We present the case of a 33-year-old massage therapist who uses her feet to provide therapy to clients who presented to our clinic with symptoms consistent with tarsal tunnel syndrome. Her failure to progress in a satisfactory manner after a variety of therapies made us search for additional etiologies for her foot pain. In cases where tarsal tunnel persists after surgical therapy, the treating physician should search for more proximal lesions along the course of the nerve. (J Am Podiatr Med Assoc 102(4): 330–333, 2012)

scholarly journals Diagnostics and treatment of tunnel neuropathies

Pain medicine ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 44-51
Author(s):  
Oleksandr Lemeshov ◽  
Iurii Chyrka
Keyword(s):  
Nervous System ◽  
Cubital Tunnel Syndrome ◽  
Tarsal Tunnel ◽  
Pronator Teres ◽  
Superficial Branch ◽  
Patients With Diabetes ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
All Diseases

Relevance. Tunnel neuropathy – a damage of the peripheral nervous system that are common and range from 8 to 52 % of all diseases of the nervous system. Objective. To show the main features of the diagnosis and treatment of various tunnel neuropathy.Materials and Methods. Considerable experience of effective surgical treatment of tunnel neuropathies. 481 operations were performed during 2014–2019. The experience is described and structured.Results. The most common tunnel neuropathy of the upper extremity: carpal tunnel syndrome, pronator teres syndrome, cubital tunnel syndrome, Guyon's canal syndrome, radial neuropathy, thoracic outlet syndrome. Lower extremity: tarsal tunnel syndrome, Bernhardt – Roth syndrome, neuropathy of the peroneal nerve and its superficial branch. From 6.7 % to 78 % of patients with tunnel neuropathies, double crush syndrome occurs – nerve compression at two levels, which is more common in patients with diabetes mellitus. Such diseases are diagnosed clinically and instrumentally – electromyography, ultrasound, MRI. All the above pathologies are effectively treated surgically, which aims at decompression of the affected nerve. An important factor in complex treatment is early rehabilitation and physiotherapy procedures.Conclusions. Tunnel neuropathy is a common pathology that is effectively treated surgically. Diseases should be timely diagnosed to prevent severe and irreversible changes.

scholarly journals When the contemporary presence of a cervical radiculopathy and a carpal tunnel syndrome can suggest a "double-crush" syndrome

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Martiniani M ◽  
Meco L ◽  
Procaccini R ◽  
Carrabs Valleverdina A ◽  
Letizia Senesi ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cervical Radiculopathy ◽  
Crush Syndrome ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome

scholarly journals The Carpal Tunnel Syndrome and the Double Crush Syndrome Hypothesis: Revisited

2019 ◽  
Vol 87 (12) ◽  
pp. 4193-4198
Author(s):  
HEBA RAAFAT, M.D.; AMIRA A. LABIB, M.D. ◽  
MOHAMED R.A. SALEH, M.D.
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Crush Syndrome ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome

The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

1985 ◽  
Vol 10 (2) ◽  
pp. 202-204
Author(s):  
LAWRENCE C. HURST ◽  
DAVID WEISSBERG ◽  
ROBERT E. CARROLL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Significant Incidence ◽  
Tunnel Syndrome ◽  
Relationship Of ◽  
The Relationship ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

Sign in / Sign up

Export Citation Format

Share Document