Physiotherapeutic intervention relieving tarsal tunnel syndrome in a runner

Sakshi Kamani, Om C Wadhokar, Neha Chitale, Pratik Phansopkar*

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

“Tibial Nerve Dysfunction” or “Posterior Tibial Nerve Neuralgia” are terms used to describe Tarsal Tunnel Syndrome (TTS). It is a form of compressive neuropathy that emerges when the structures in the tarsal tunnel are compressed. In athletic individuals, TTS tends to be associated with running, jumping or impacted sports and so, is very common in middle aged runners. The symptoms include pain, paresthesia and numbness is the most common clinical presentation. A well designed physical therapy program plays an important role in recovering from such hampering conditions, a physical therapy rehabilitation program consist of pain reduction by using hot fermentation, contrast bath or paraffin wax bath. Strengthening of the musculature around ankle to avoid unnecessary forces on the joint along with balance training, agility training and education regarding footwear is essential for a complete recovery. Here, we report a case of 21 year old male, a Track Runner, presenting to the physiotherapy department at Acharya Vinoba Bhave Hospital Sawangi (M), Wardha with the complaints of severe pain and numbness in his right ankle over medial region of foot for past 5 days. Investigatory findings revealed that he was diagnosed with Tarsal Tunnel Syndrome over his right foot. Thereafter, he was treated conservatively with physical therapy interventions such as ankle exercises, stretching techniques, taping, theraband, strengthening etc. The purpose of this case study is to: To study the physiotherapeutic interventions, playing a major role in managing the case of tarsal tunnel syndrome. Conclusion: This case study concludes that physiotherapeutic interventions and exercises plays an important role in managing the signs and symptoms of tarsal tunnel syndrome.

Keywords:

Tarsal Tunnel Syndrome, Tibial Neuropathy, Entrapment Neuropathies, Pain, Running Athlete, Numbness.
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