Re: Tarsaltunnel syndrome
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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I would have to assume that if you were indeed diagnosed with tarsal tunnel syndrome, you also discussed or should have discussed the specific nature of the condition and its treatment choices with the diagnosing doctor. Certainly, that doctor is to whom you should be directing your specific questions. But I will speak in general terms regarding this condition, though what I have to say may or may not pertain to your specific individual situation.
Classic TTS is the result of pressure on the tibial nerve as it passes through the tarsal tunnel, beneath the flexor retinaculum, an anatomically defined structure on the medial aspect of the ankle behind and below the malleolus. This pressure is often caused by the physical binding down of the nerve by the ligamentous roof of the tunnel, but can also be the result of an abnormal mass or perhaps inflammation which causes pressure on the nerve. Conservative care might include an attempt at relieving inflammatory processes in the area, perhaps with local corticosteroid injections or the use of orthotics to address excessive pronation if that is thought to be a factor. If conservative measures fail, surgery may be indicated. The typical surgery is directed toward an incisional release of the flexor retinaculum, but also might be directed toward removal of an abnormal mass, if that, in fact exists.
Again, the specifics of YOUR condition and what treatments are applicable to YOUR case needs to be discussed with the doctor whom YOU chose to manage your problem.
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Foot Doc
Last edited by FootDoc; 7th November 2008 at 06:11 PM.
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