Tarsal Tunnel Help

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Hi everyone,

I am a new practioner here in VA I often read the posts here that are extremely informative! I need some help so here goes..
I have a 28yro pt with what I believe is tarsal tunnel syndrome. She had a car accident 1 month ago, and began to experience some pain a week or so later. I took xrays and did not appreciate any fx, lisfrancs appears intact also. She has positive tinel's, numb shooting pains to her plantar foot. I put her in an equalizer brace, I did apply unna boot for 2 weeks for support, tried NSAIDS, gave her 2 PT blocks with dex (which gave her relief for about 2 days each time) I now have her on Neurontin 600mg qhs, she is not feeling much better. I had discussed MRI and possible surgery but she is reluctant to these suggestions. Can anyone suggest anything else I could try apart from increasing her neurontin?

 

Hi and :welcome: TO podiatry arena posting.

Here is some threads to check out for info.http://www.podiatry-arena.com/podiatry-forum/search.php?searchid=504012

I would think an MRI would be a good idea get some more info. Goodluck. It maybe better to post in the biomechancial forum or surg forum not everyone looks in the indroductions.

 

Ok I will thank you Michael