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There are multiple ways that tarsal tunnel can be treated and the pain can be reduced. The initial treatment, whether it be conservative or surgical, depends on the severity of the tarsal tunnel and how much pain the patient is in. There was a study done that treated patients diagnosed with tarsal tunnel syndrome with a conservative approach.
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.
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]
1946: first carpal tunnel surgery for idiopathic compression [59] [49] 1958: cubital tunnel surgery described [60] [50] 1962: tarsal tunnel surgery described [52] 1967: Janetta procedure for trigeminal neuralgia [61] 1989: endoscopic carpal tunnel surgery [62] 1992: Magnetic resonance neurography described. [63]
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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.
The development of carpal tunnel syndrome was of particular interest for other idiopathic tardy nerve palsies. Carpal tunnel served as a model for how nerves could be squeezed by narrow anatomic compartments and soon other tunnel syndromes were conceptualized, such as cubital tunnel syndrome, and tarsal tunnel syndrome. [87] [88] [83]
Cuboid syndrome or cuboid subluxation describes a condition that results from subtle injury to the calcaneocuboid joint, [1] and ligaments in the vicinity of the cuboid bone, one of seven tarsal bones of the human foot. This condition often manifests in the form of lateral (little toe side) foot pain and sometimes general foot weakness.
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