A SUCCESSFUL TREATMENT OF TARSAL TUNNEL SYNDROME USING HYDRO-DISSECTION TECHNIQUE: A CASE REPORT
- Author:
Mohamad Azwan Aziz
1
;
Mohamad Azwan Aziz
2
;
Arshad Puji
1
;
Siti Hawa Tahir
1
Author Information
- Publication Type:Case Reports
- Keywords: Tarsal Tunnel syndrome; neuropathic pain; chronic pain; hydro-dissection; entrapment
- From: Journal of University of Malaya Medical Centre 2024;27(2):195-199
- CountryMalaysia
- Language:English
- Abstract: A SUCCESSFUL TREATMENT OF TARSAL TUNNEL SYNDROME USING HYDRO-DISSECTION TECHNIQUE: A CASE REPORT:Tarsal tunnel syndrome (TTS) is an uncommon musculoskeletal ankle disorder caused by compression of the posterior tibial nerve at the tarsal tunnel level. Our objective is to describe the first case report of tarsal tunnel syndrome successfully treated with the hydro-dissection technique. This is a case of 41 years old lady who suffered from severe ankle sprain. She was prescribed an ankle brace to treat her ankle sprain. After 1-year post-injury, she complained of moderate to severe medial ankle pain, neuropathic, radiating to the big toe. Clinical assessments revealed tenderness at the tarsal tunnel area, accompanied by a positive Tinel sign, reproducing similar symptoms. Ultrasound examination confirmed an enlarged posterior tibial nerve at the level of the tarsal tunnel, with tenderness during sono-palpation and reproducing symptoms on sono-Tinel sign. She underwent hydro-dissection of the posterior tibial nerve with a marked reduction in pain and improvement in daily function.
- Full text:202607301319553931A SUCCESSFUL TREATMENT.pdf
