Effectiveness of Minimal Incision Surgical Decompression in Patients with Tarsal Tunnel Syndrome

Gomaa, Mahmoud Ahmed; Abdellatif, Mostafa M.A; Alsawy, Mohamed F

doi:10.21608/pajn.2023.177001.1080

Effectiveness of Minimal Incision Surgical Decompression in Patients with Tarsal Tunnel Syndrome

Document Type : Original Articles

Authors

¹ department of neurosurgery, Faculty of medicine, Fayoum university, Fayoum, Egypt

² Neurosurgery department, Faculty of medicine, Fayoum university, Fayoum, Egypt

³ Neurosurgery department, faculty of medicine, cairo university, Cairo, Egypt

10.21608/pajn.2023.177001.1080

Abstract

Abstract
Background: Tarsal tunnel syndrome is described as tibial nerve neuralgia and or dysfunction. It may occur from fibrosis or thickening of osteofibrous structures in tarsal canal. The aim of traditional and minimally invasive surgical treatment is to provide appropriate decompression of the posterior tibial nerve
Objectives: We aim in this study to evaluate the effectiveness of minimal incision surgical decompression in patients with tarsal tunnel syndrome
Methods: This study was conducted on 18 patients with tarsal tunnel syndrome indicated for surgery underwent decompression between March 2022 till August 2022 at the neurosurgery department at Fayoum University hospital.
Results: The mean pre-operative burning pain in the sole was 8.11 ± 1.023, while the post-operative burning pain in the sole was 4.11 ± 1.27. We found a statistically significant difference between both the per-operative and post-operative pain scores P < 0.001.
Conclusion: Minimal incision surgical decompression provides a safe, effective, and reliable option in treating patients with TTS
Keywords: tarsal tunnel syndrome, sole pain, tibial nerve decompression, Tibial neuralgia

Keywords