Kenneth Kee

Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

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

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 21. Oktober 2016
• Englisch
• ISBN-13: 9781370933150
• Artikelnr.: 75905552

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...