The triple compression stress test for diagnosis of tarsal tunnel syndrome

Abouelela, Amr; Zohiery, Abeer K. El

doi:10.1016/j.foot.2012.02.002

Cited by 35 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Symptoms are typically unilateral and rarely bilateral. 6 Tarsal tunnel syndrome caused by varicosity may show characteristic symptoms: Kumai et al 7 reported that patients suddenly feel foot pain whenever they soak a foot in hot water. This specific symptom occurs due to dilatation of the varicose vascular structures in the tarsal tunnel.…”

Section: Discussionmentioning

confidence: 99%

Tarsal Tunnel Syndrome Due To Varicose Vascular Structures: A Case Report

Kobashi

Ogiwara²,

Fukuda³

et al. 2016

Radiol Open J

View full text Add to dashboard Cite

Objective : We report a case of a tarsal tunnel syndrome caused by a varicose vascular structures identified by foot MRI. Case report: An eighty-year old male came to our attention for a chronic intermittent bilateral plantar numbness. Symptoms were evident especially in the left foot when taking a bath or after a long distance walk. Feet were bilaterally flat. Ankles range of motion was bilaterally complete and pain free. Resisted range of motion testing including resisted ankle dorsiflexion, plantar flexion, inversion, and eversion was found to be pain free and of equal strength bilaterally. Neurological testing of the lower extremities was found to be positive for the Tinel sign at level of medial malleolus. Left ankle MRI showed evidence of several varicose vascular structures. One of the varicose vascular structures was suddenly narrow at level of tarsal tunnel. Posterior tibial vein at the tarsal tunnel level was dilated and appeared to continue in the varicose vascular structure on contrast study. Diagnosis of tarsal tunnel syndrome was made both by symptoms and imaging, considering the dilatation of the posterior tibial vein and the compression of the varicose structures around the tarsal tunnel. Treatment: Resection surgery of the retinaculum was performed in order to decrease the pressure on the tarsal tunnel. The patient's symptom reduced after the surgery. However, a few months later he referred recurrence of plantar numbness. Conclusion: Patients who suffer from tarsal tunnel syndrome caused by a varicose vascular structures can show different symptoms if compared with those present in the same syndrome caused by other diseases. If varicose veins are detected in the tarsal tunnel and symptoms of compression are present, along with a concomitant foot deformity that predisposes to disease, diagnosis of tarsal tunnel syndrome should be considered. In order to achieve good results, the treatment of the varicose vascular structures and the correction of foot deformities are recommended together with a tarsal tunnel decompression.

show abstract

Section: Discussionmentioning

confidence: 99%

Tarsal Tunnel Syndrome Due To Varicose Vascular Structures: A Case Report

Kobashi

Ogiwara²,

Fukuda³

et al. 2016

Radiol Open J

View full text Add to dashboard Cite

show abstract

“…[7] Tingling in toes was also produced when external pressure was applied to tarsal tunnel by therapist. [8] At this point of the examination, the FiT's suspicion of tarsal tunnel syndrome was increased ( Table 1). [9] The patient's primary complaint since surgery and even since she had PAE, had been numbness and tingling in her first and second toes.…”

Section: Diagnosismentioning

confidence: 99%

Differential examination, diagnosis and management for tingling in toes: fellow’s case problem

Mansfield

Bleacher

Tadak

et al. 2016

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

show abstract

“…Tarsal tunnel syndrome (TTS) is a focal compressive entrapment neuropathy caused by the compression of the posterior tibial nerve or its related branches under the flexor retinaculum [6]. TTS is mostly idiopathic but is common after ankle traumas, and other causes include a mass in the tunnel, ankle arthritis, inappropriate shoes, and heel deformities.…”

Section: Introductionmentioning

confidence: 99%

High Prevalence of Tarsal Tunnel Syndrome in Patients Diagnosed with Fibromyalgia Syndrome

Leblebicier¹,

Özlü²,

Bakçepınar³

et al. 2023

Aktuelle Rheumatologie

View full text Add to dashboard Cite

Objective To evaluate foot function and prevalence of tarsal tunnel syndrome in patients diagnosed with fibromyalgia syndrome as compared with healthy individuals. Methods This prospective study included 111 participants, including 63 female patients with fibromyalgia (mean age: 46.17±6.64 years) and 48 female healthy controls (mean age: 46.16±9.38 years) who met the selection criteria. The participants were evaluated for Tinel’s sign and asked about the presence of foot pain and paraesthesia in both groups. In addition, the participants were assessed using the Fibromyalgia Impact Questionnaire and Foot Function Index (FFI) for functionality. Bilateral electrophysiological studies of the tibial, peroneal, sural, medial and lateral plantar nerves were performed. Results Tarsal tunnel syndrome was present in 20 extremities of the patients with fibromyalgia (15.9%) and four extremities of the controls (4.2%)(p=0.005). Paraesthesia was observed in 56 extremities in the fibromyalgia group (44.4%) and 10 extremities in the control group (10.4%)(p<0.001). Tinel’s sign was positive in 69 extremities (54.8%) in the fibromyalgia group and 17 in the control group (17.7%)(p<0.001). The total number of painful feet was 123 (97.6%) in the fibromyalgia group and 22 (22.9%) in the control group (p<0.001). The mean total FFI was 66.26±60.80 for the right foot and 66.28±64.12 for the left foot in the FMS group; in the control group, it was 16.02±31.01 and 16.87±34.14, respectively. Both values exhibited a statistically significant difference between the two groups (p<0.001) Conclusion In patients with fibromyalgia syndrome, paraesthesia and foot pain may be seen more frequently. Therefore, electrophysiological evaluation of the lower extremities may be recommended in these patients.

show abstract

The triple compression stress test for diagnosis of tarsal tunnel syndrome

Cited by 35 publications

References 16 publications

Tarsal Tunnel Syndrome Due To Varicose Vascular Structures: A Case Report

Tarsal Tunnel Syndrome Due To Varicose Vascular Structures: A Case Report

Differential examination, diagnosis and management for tingling in toes: fellow’s case problem

High Prevalence of Tarsal Tunnel Syndrome in Patients Diagnosed with Fibromyalgia Syndrome

Contact Info

Product

Resources

About