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Tibial Nerve Entrapment

  • Michael N. Brown
  • Beth S. Pearce
  • Andrea M. Trescot
  • Helen W. Karl

Abstract

The posterior tibial nerve is a portion of the sciatic nerve that runs down the posterior leg into the foot. It can be entrapped at two major sites: behind the knee at the proximal edge of the soleus muscle and at the ankle in the tarsal tunnel. The small terminal branches of the tibial nerve can be entrapped in the distal ankle and foot and are discussed in other chapters. Posterior tibial nerve entrapment can lead to pain and dysesthesias in the calf and sole of the foot, as well as dysfunction of the foot flexors and intrinsic muscles.

Keywords

Tibial nerve Posterior tibial nerve Tarsal tunnel syndrome Soleal sling syndrome Foot pain 

Supplementary material

Video 73.1

Physical exam of the tarsal tunnel (MOV 36606 kb)

Video 73.2

Landmark-directed injection of the tarsal tunnel (MOV 24462 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Michael N. Brown
    • 1
  • Beth S. Pearce
    • 2
  • Andrea M. Trescot
    • 3
  • Helen W. Karl
    • 4
  1. 1.Interventional Regenerative Orthopedic Medicine InstituteSeattleUSA
  2. 2.Orthopaedic Associates of St. AugustineSt. AugustineUSA
  3. 3.Pain and Headache CenterAnchorageUSA
  4. 4.Department of Anesthesiology and Pain MedicineUniversity of Washington, Seattle Children’s HospitalSeattleUSA

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