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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.
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.
The human foot has 28 bones and more than 30 joints. The following foot joints are those most commonly affected by osteoarthritis: [5] The three foot joints, including the heel, the medial and the mid-foot bone; big toe and foot bone joint; Joints at which the ankle and the tibia meet
Enthesopathy can occur at the shoulder, elbow, wrist, carpus, hip, knee, ankle, tarsus, or heel bone, among other regions. Enthesopathies may take the form of spondyloarthropathies (joint diseases of the spine) such as ankylosing spondylitis, or psoriatic arthritis, plantar fasciitis, and Achilles tendinitis.
Slapping gait makes a slapping noise at the joint of an ankle. Signs and symptoms of peroneal nerve palsy are related to mostly lower legs and foot which are the following: [3] Decreased sensation, numbness, or tingling in the top of the foot or the outer part of the upper or lower leg; Foot drops (unable to hold the foot straight across)
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]
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