posterior tibial neuralgia
Introduction
Introduction to posterior tibial neuralgia Refers to the expansion of pain along the posterior tibial nerve (neural pain), the posterior tibial nerve in the plane of the ankle through the fibrous bone tube in the umbrella ligament, and the medial and lateral plantar nerves at the exit. The sacral canal syndrome refers to the nerve being compressed in this fibrous bone tube, but this diagnosis has been used not strictly for post-temporal neuralgia caused by different causes. basic knowledge Sickness ratio: 0.01%-0.02% Susceptible people: no specific population Mode of infection: non-infectious Complications: posterior tibial nerve injury
Cause
Causes of posterior tibial nerve pain
There are many causes of this disease. Ankle dysplasia caused by abnormal foot function or inflammatory arthritis can sometimes cause oppressive neuralgia secondary to the posterior tibial nerve. Occasionally, venous stasis edema can also cause retroorbital neuralgia.
Prevention
Post-sacral neuralgia prevention
The prevention of this disease is mainly to carry out some care:
1. Active prevention
Learning how to sit, stand, and carry things correctly is the best way to prevent all kinds of neuralgia. Some different physiotherapy methods can teach you how to act correctly to prevent painful episodes. You can discuss treatment with a trained therapist. .
2, massage with ice bag
Massage with an ice pack can interrupt the signal along the nerve pathway and be replaced by a temperature signal, which relieves pain.
3, avoid cold
Cold sometimes induces pain.
Complication
Post-rear neuralgia complications Complications, posterior tibial nerve injury
The complications of this disease are rare, mainly the complications caused by the treatment of chronic pain, the most common of which is nerve damage.
Symptom
Symptoms of posterior tibial nerve pain Common symptoms Neuralgia, ankle pain, numbness and burning sensation
Cauterization or acupuncture-like pain around the inside and outside of the sputum (often extended to the toes), increased pain during activity, reduced during rest, and pain when standing, walking, or wearing shoes .
Examine
Post-sacral neuralgia examination
In addition to the clinical manifestations, the diagnosis of this disease requires some auxiliary examinations.
Physical examination is the most common method, and the operation is also relatively simple. When the sacral or palpation of the posterior tibial nerve is under the pressure or trauma of the lower side of the iliac crest, the distal tingling sensation (Tinel sign) is often produced. A characteristic performance.
Secondly, electrophysiological examinations are often performed, which also contribute to the definitive diagnosis of this disease.
Diagnosis
Diagnosis and differentiation of posterior tibial neuralgia
diagnosis
A palsy or palpation of the posterior tibial nerve at the site of compression or trauma to the lower side of the iliac crest often produces a distal tingling sensation (Tinel sign). Electrophysiological examination helps to confirm the diagnosis, for all patients who are ready for foot surgery This should be done. When the nerve area is swollen, look for the cause (such as rheumatism, phlebitis or fracture).
Differential diagnosis
(1) rheumatism and limb size joints can be involved in the symmetry of joint pain, the morning stiffness and the Raynaud's sign are important accompanying symptoms immunological examination can be identified.
(2) phlebitis along the superficial veins suddenly occur redness, burning, burning pain or tenderness appearing in the cord or induration after the acute phase of the cord is hardened. Local skin pigmentation serological examination of blood angiography can be identified.
(3) For fractures, imaging examination can be identified.
