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    Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook68 pages48 minutes

    Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Tarsal tunnel syndrome is a medical compression neuropathy of the posterior tibial nerve as it passes in the anatomical tarsal tunnel, which is located behind the medial malleolus and beneath the retinaculum of the flexor muscles of the foot.
    The tarsal tunnel is a ligamentous sheath that provides protection for the tibial nerve as it travels across the tarsal bones.
    Tarsal Tunnel Syndrome happens as a result of pressure on the branches of the posterior tibial nerve behind the medial malleolus and under the retinaculum of the flexor tendons with their inflamed and enlarged synovium.
    1. Anterior tarsal tunnel syndrome indicates the compression of the deep peroneal nerve.
    It is uncommon and causes pain, muscle weakness, and sensation of the foot and ankle.
    2. Distal tarsal tunnel syndrome is caused by compression of the first branch of the lateral plantar nerve or the medial calcaneal nerve and presents with heel pain.
    Tarsal tunnel syndrome is most frequent in active adults:
    1. Trauma to the ankle
    Post-traumatic ankle deformities (scar tissue may also limit movement in the tarsal tunnel and produce nerve entrapment)
    2. Tenosynovitis.
    When entrapment compresses the nerve, it produces ankle pain and numbness, burning sensation and tingling on the sole of the foot.
    Symptoms are normally unilateral.
    Symptoms may be worse at night.
    Diagnosis will include:
    1. A comprehensive medical exam
    2. Electrical testing (EMG or nerve conduction study)
    Electromyography (EMG) and nerve conduction tests may be useful in confirming the diagnosis.
    3. Imaging (X-rays, CT, or MRI scans)
    MRI scanning may be done to detect any underlying diseases and the specific site of compression.
    Diagnosis is essential to estimate the seriousness of the disorder, so the proper treatment plan, including a surgical option, can be considered.
    Conservative treatments are orthotics, manipulation and fascial stripping that may be beneficial.
    1. Arch supports and wider shoes may relieve the discomfort of tarsal tunnel syndrome.
    2. If inflammation of the nerve is producing the compression, non-steroidal anti-inflammatory drugs can be beneficial.
    3. Steroid injections may also be effective.
    4. Orthotics for related flat feet.
    Orthosis (e.g., braces, splints, orthotic devices) may be advised to reduce the compression on the foot and restrict movement that could produce compression on the nerve.
    Depending on the seriousness of the disorder, one of some surgical options may be advised, such as:
    Surgical decompression by section of the flexor retinaculum should be considered when significant symptoms do not improve with conservative treatment.
    Decompression should be done early to prevent nerve fibrosis.
    Tarsal tunnel release has been observed to be very efficient in relieving symptoms.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Tarsal Tunnel Syndrome
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Peripheral Neuropathy
    Chapter 8 Carpal Tunnel Syndrome
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 21, 2016
    ISBN9781370933150
    Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Tarsal Tunnel

      Syndrome,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Tarsal Tunnel Syndrome, Diagnosis, Treatment and Related Conditions or in vernacular terms

      (What You need to treat Tarsal Tunnel Syndrome)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 600 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter

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