Lower Back Pain - Arthritis - Tarsal Tunnel Syndrome
Therefore, if you have pain and discomfort with tingling/numbness also in the heel, the problem is not related to tarsal tunnel syndrome. Commonly, the diagnosis then will shift over to that of arthritis, heel spur or plantar fasciitis.
When the tibial nerve is irritated, there is pain and discomfort in the foot and ankle with numbness in the toes. There is also numbness in the sole of the foot but does not include the heel. Before invasive procedures such as surgeries are performed to the foot, heel and ankle region, a thorough neuromuscular examination needs to be performed.
Tarsal tunnel syndrome is a condition in which there is pressure and compression on the tibial nerve at the ankle giving rise to foot and ankle pain. There is a tunnel on the inner aspect of the ankle through which the tibial nerve passes, known as the tarsal tunnel. The tunnel runs between the lower end of the shin bone (tibia) on the inner aspect of the ankle and the heel bone. The tunnel is covered by a ligament known as the tarsal ligament which can press down on the tibial nerve. This is a condition similar to the carpal tunnel syndrome in the hand in which the median nerve is irritated or injured because of pressure by the wrist ligament.
Pain and discomfort related to L5 nerve root will be more distributed to the top of the foot and toes (toward the big toes side) whereas S1 nerve root irritation will be felt in the sole of the foot, side of the foot toward the little toe and heel. With S1 nerve root irritation leading to tightness and shortening of the buttock muscle (gluteus maximus) there can be further pressure on the sciatic nerve leading to symptoms of pain and discomfort in the foot.
To relieve pain and discomfort in the foot, motor point stimulation using eToims Twitch Relief method can be very easily applied to the spine muscles, and muscles such as the buttock muscles (gluteus maximus), muscles at the side of the hip muscle (gluteus medius and tensor fascia lata), muscles in the inner thigh (especially adductor magnus), muscles in the back of the thigh (hamstrings), muscles in the front of the thigh (quadriceps, especially rectus femoris), calf muscles (gastrosoleus) and muscles in the front and sides of the leg. The foot muscles usually will not need treatment but can be done.
If the muscles twitch well, pain relief can be immediate and substantial. However in chronic situations with chronic nerve root irritation, the muscles will not twitch well and without strong force twtiches, the results take loner to achieve. The more long standing your problems are and the number of complications you have had such as fractures and surgeries, the less will be your results. If you do get results from eToims, this type of patient will need repeated and ongoing treatments to maintain the gains made in pain relief and improvement in quality of life.
Related Tags: arthritis, lower back pain, tarsal tunnel syndrome
Jennifer Chu, M.D. emeritus professor of Physical Medicine and Rehabilitation, School of Medicine, University of Pennsylvania, pioneered eToims Twitch Relief Method that utilizes surface electrical stimulation to locate motor points (trigger points). The motor points are then stimulated to induce strong local muscle contractions, termed twitches. This results in reduced muscle pain and discomfort in the areas that were stimulated. The involved pain/discomfort-relieving mechanism is thought to include local muscle exercise and stretch effects. eToims Soft Tissue Comfort Center(r) specializes in diagnosis and treatment which ends muscle discomfort and pain.
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