In this episode of The Pod Doctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, discuss the often missed cause of chronic pain in the foot: tarsal tunnel syndrome. Dr. Dauphinee has sub-specialized in peripheral nerve injuries and pathology. He discusses neuritic or nerve-related pain and how this nerve-entrapment problem presents.

QUOTES:

“Tarsal tunnel syndrome, very similar to carpal tunnel syndrome except of the ankle.” - Dr. Raafae Hussain [05:48]

“Diabetic patients get carpal tunnel syndrome about 30% more frequently than non-diabetics, so it makes sense that diabetic patients would be at risk for nerve entrapments in the lower extremity to roughly the same degree.” - Dr. Damien Dauphinee [11:16]

Top Takeaways:

• What are the signs and symptoms of tarsal tunnel syndrome?
• What causes tarsal tunnel syndrome?
• The anatomy behind the chronic pain
• How they treat tarsal tunnel syndrome

What You Will Learn:

• [00:41] Intro
• [01:49] Information about the COVID-19 vaccine
• [05:47] What is tarsal tunnel syndrome and the signs and symptoms
• [07:54] The anatomy and what they look for when they treat it
• [10:54] What causes tarsal tunnel syndrome and most common reasons
• [16:29] The biomechanical problems associated with tarsal tunnel syndrome
• [22:49] Diabetes and Double Crush Theory
• [27:49] Other things to note about tarsal tunnel syndrome

Resources:

Study on the Role of Decompression of Lower Extremity Nerves for the Treatment of Patients With Symptomatic Diabetic Neuropathy With Chronic Nerve Compression (DNND) by Shai Michael Rozen, University of Texas Southwestern Medical Center

Morphological and functional changes in the diabetic peripheral nerve: using diagnostic ultrasound and neurosensory testing to select candidates for nerve decompression by Doohi Lee, MD and Damien M. Dauphinée, DPM

Anatomic site for proximal tibial nerve compression: a cadaver study by Eric H. Williams, MD

Visit our website: https://thepoddoctors.com/

Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee