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Swelling of the feet and ankle area. Painful burning, tingling, or numb sensations in the lower legs. Pain worsens and spreads after standing for long periods; pain is worse with activity and is relieved by rest. Electric shock sensations; Pain radiating up into the leg, [1] behind the shin, and down into the arch, heel, and toes
Tarsal tunnel syndrome is the most commonly reported nerve entrapment of the ankle. It is analogous to carpal tunnel syndrome in the wrist. It is caused by compression of the tibial nerve underneath the flexor retinaculum of the foot. [1] People with tarsal tunnel syndrome have pain in the plantar aspect of the foot mostly at night.
Most ankle sprains are lateral sprains that occur when the foot rolls, causing the side of the ankle to be pressed to the ground. [7] Small blood vessels rupture in the process and cause the ankle to swell [ 4 ] and damage may also occur to the ligaments, these constituting a short band of tough, flexible, fibrous connective tissues holding the ...
Sinus tarsi syndrome is the clinical disorder of pain and tenderness in the sinus tarsi, which is a lateral tunnel in the foot at the junction of the hindfoot and the midfoot, between the ankle and the heel. [1] [2] Most of the time, sinus tarsi syndrome onsets after ankle sprains, however there can be other causes. [3]
The flexor retinaculum of the foot extends from the medial malleolus above, to the calcaneus below. [1] This converts a series of bony grooves into canals for the passage of the tendons of the flexor muscles and the posterior tibial vessels and tibial nerve into the sole of the foot, known as the tarsal tunnel.
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In later stages, the arches collapse, the ankle rolls inwards, and the ankle joint begins to degenerate. Often toes are flared due to the valgus alignment of the foot. The patient will often lose the ability to raise their heel in the affected limb. [1] [2] [3]
To diagnose accessory navicular syndrome, the foot and ankle surgeon will ask about symptoms and examine the foot, looking for skin irritation or swelling. The doctor may press on the bony prominence to assess the area for discomfort. Foot structure, muscle strength, joint motion and the way the patient walks may also be evaluated.
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