An outcomes analysis of surgical treatment of tarsal tunnel syndrome.
Sixty patients (68 feet) underwent tarsal tunnel release for the tarsal tunnel syndrome and were re-examined objectively and clinically after they had reached maximum medical benefits and returned to their usual and customary lifestyle and employment. All of the patients demonstrated both a positive tinel sign and an abnormal motor nerve conduction velocity measurement. As determined objectively, there was 85% complete symptom relief. As determined subjectively, there was 51% symptom relief. Additionally, there was significant improvement in the quality of work, job productivity, and interpersonal relationships. There was a clinical dichotomy, however, between the objective pain relief measurement in contrast to the subjective patient's assessment.
Gondring
William H
WH
Heartland Health Systems, St. Joseph, MO, USA. gondring@ccp.com
Shields
Byron
B
Wenger
Steve
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000145:classification / Q000209:etiology; D011788:Quality of Life; D012189:Retrospective Studies; D013641:Tarsal Tunnel Syndrome / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome