Foot Schwannomas That Mimic Nerve-Entrapment Syndromes

2006 ◽  
Vol 96 (4) ◽  
pp. 344-347 ◽  
Author(s):  
Pedro Carpintero ◽  
Emilio Gascón ◽  
José Antonio Abad ◽  
Manuel Ruza

Schwannomas of the foot are rare. We describe three cases that mimicked compressive neuropathy, two resembling tarsal tunnel syndrome and a third resembling Morton’s neuroma. All three patients had complete resolution of their pain after resection of the tumor. (J Am Podiatr Med Assoc 96(4): 344–347, 2006)

1995 ◽  
Vol 16 (12) ◽  
pp. 796-799 ◽  
Author(s):  
Kenneth A. Jaffe ◽  
Jeffrey D. Wade ◽  
F. Spencer Chivers ◽  
Gene P. Siegal

Tarsal tunnel syndrome is a compressive neuropathy caused by intrinsic or extrinsic pressure on the posterior tibial nerve or one of its terminal branches. A mass in association with tarsal tunnel syndrome is most likely a benign tumor or tumor-like condition, although a more malignant tumor must be in the differential diagnosis. We report an unusual case of an extraskeletal osteosarcoma causing tarsal tunnel syndrome.


2007 ◽  
Vol 97 (2) ◽  
pp. 148-150 ◽  
Author(s):  
Sarnarendra Miranpuri ◽  
Eric Snook ◽  
David Vang ◽  
Raymond M. Yong ◽  
William E. Chagares

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. A neurilemoma is an uncommon, benign, encapsulated neoplasm derived from Schwann cells. We present a case of tarsal tunnel syndrome caused by this rare space-occupying lesion. (J Am Podiatr Med Assoc 97(2): 148–150, 2007)


2021 ◽  
Vol 10 (14) ◽  
pp. 3065
Author(s):  
Lorena Vega-Zelaya ◽  
Álvaro Iborra ◽  
Manuel Villanueva ◽  
Jesús Pastor ◽  
Concepción Noriega

Background: Tarsal tunnel syndrome (TTS) is one of the most common entrapment syndromes. Although diagnosis is supported by imaging tests, it has so far been based on clinical findings. Neurophysiological tests are not effective for providing an accurate diagnosis. The objective of this study was to analyze the efficacy of the ultrasound-guided near-nerve needle sensory technique (USG-NNNS) for the diagnosis of TTS Methods: The study population comprised 40 patients referred for a neurophysiological study owing to clinical suspicion of TTS. Routine neurophysiological tests were performed and compared with the results of USG-NNNS. Results: The diagnosis of TTS was achieved in 90% of cases. We found significant differences between lateral plantar sensory recordings with surface electrodes and USG-NNNS techniques for amplitude, nerve conduction velocity (NCV), and duration. As for the medial plantar sensory recordings, differences were found only for duration. No responses were obtained with surface electrode studies in 64.8% of cases. In addition, we observed normal sensory NCV with surface electrodes in 20 patients, although this decreased when the NNNS technique was used. Conclusions: This is the first report of the efficacy of the USG-NNNS technique for confirming the diagnosis of TTS.


Author(s):  
Ian Reilly ◽  
Akram Uddin

Tarsal tunnel syndrome is a focal compressive neuropathy of the posterior tibial nerve or one of its associated branches. Brief mention is made in the literature of the use of corticosteroid injections for this condition. The basic technique of hydrodissection is used for other nerve entrapments and includes identifying the region of nerve compression, and the injection of a fluid medium to dissect between structures or fascial planes. We introduce our treatment protocol using a methylprednisolone/sterile water/ropivacaine hydrochloride injectate mix and peripheral nerve stimulation to a perform hydrodissection technique for tarsal tunnel syndrome.


Vascular ◽  
2014 ◽  
Vol 23 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Micheal Ayad ◽  
Anumeha Whisenhunt ◽  
EnYaw Hong ◽  
Josh Heller ◽  
Dawn Salvatore ◽  
...  

Tarsal tunnel syndrome is a compressive neuropathy of the posterior tibial nerve within the tarsal tunnel. Its etiology varies, including space occupying lesions, trauma, inflammation, anatomic deformity, iatrogenic injury, and idiopathic and systemic causes. Herein, we describe a 46-year-old man who presented with left foot pain. Work up revealed a venous aneurysm impinging on the posterior tibial nerve. Following resection of the aneurysm and lysis of the nerve, his symptoms were alleviated. Review of the literature reveals an association between venous disease and tarsal tunnel syndrome; however, this report represents the first case of venous aneurysm causing symptomatic compression of the nerve.


2021 ◽  
Vol 10 (4) ◽  
pp. 3167-3170
Author(s):  
Pratik Phansopkar

“Tibial Nerve Dysfunction” or “Posterior Tibial Nerve Neuralgia” are terms used to describe Tarsal Tunnel Syndrome (TTS). It is a form of compressive neuropathy that emerges when the structures in the tarsal tunnel are compressed. In athletic individuals, TTS tends to be associated with running, jumping or impacted sports and so, is very common in middle aged runners. The symptoms include pain, paresthesia and numbness is the most common clinical presentation. A well designed physical therapy program plays an important role in recovering from such hampering conditions, a physical therapy rehabilitation program consist of pain reduction by using hot fermentation, contrast bath or paraffin wax bath. Strengthening of the musculature around ankle to avoid unnecessary forces on the joint along with balance training, agility training and education regarding footwear is essential for a complete recovery. Here, we report a case of 21 year old male, a Track Runner, presenting to the physiotherapy department at Acharya Vinoba Bhave Hospital Sawangi (M), Wardha with the complaints of severe pain and numbness in his right ankle over medial region of foot for past 5 days. Investigatory findings revealed that he was diagnosed with Tarsal Tunnel Syndrome over his right foot. Thereafter, he was treated conservatively with physical therapy interventions such as ankle exercises, stretching techniques, taping, theraband, strengthening etc. The purpose of this case study is to: To study the physiotherapeutic interventions, playing a major role in managing the case of tarsal tunnel syndrome. Conclusion: This case study concludes that physiotherapeutic interventions and exercises plays an important role in managing the signs and symptoms of tarsal tunnel syndrome.


2021 ◽  
pp. 110638
Author(s):  
Luca Roncati ◽  
Greta Gianotti ◽  
Davide Gravina ◽  
Giovanna Attolini ◽  
Giuliana Zanelli ◽  
...  

1986 ◽  
Vol 34 (4) ◽  
pp. 1494-1497
Author(s):  
Akio Matsuzaki ◽  
Masatomo Kiyonari

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