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In this eye-opening episode, Dr. Stephen L. Barrett sits down with Dr. Eric Williams, the surgeon who rediscovered Soleal Sling Syndrome — a once-forgotten cause of tibial nerve entrapment that explains why so many "tarsal tunnel" surgeries fail.

Until Dr. Williams' groundbreaking 2009 research, this condition was virtually invisible in modern medicine. Now, his work has revolutionized how surgeons diagnose and treat proximal tibial nerve entrapments with life-changing results.

🎯 What You'll Learn:

🔍 The "Open Eyeball Sign" — a clinical pearl that confirms the diagnosis 💪 Why flexor hallucis longus weakness is the key to identifying soleal sling ⚡ How to differentiate Soleal Sling Syndrome from Tarsal Tunnel Syndrome 🚫 Why traditional compartment releases fail (and what to do instead) 🧠 The link between DVT, post-phlebitic pain, and nerve compression 🦶 Surgical insights — medial vs. posterior vs. lateral approaches 📈 Clinical outcomes — 92% success rate in trauma patients

💬 Dr. Barrett's Takeaway:

"The eyes can't see what the mind doesn't know."

Visit our website https://podofinquiry.com/latest-episodes/ - click on the show link to read the show notes and get more information.

Timestamps: 00:00 - Introduction 01:19 - Opening Discussion 02:06 - Discovery of Soleus Sling Syndrome 05:27 - Historical Context 07:21 - The Epiphany Moment 10:48 - Exertional Compartment Syndrome Connection 17:08 - Clinical Examination Techniques 18:02 - Physical Examination Details 22:25 - Additional Clinical Signs 24:52 - Muscle Testing Discussion 26:56 - Post-Phlebitic Pain Syndrome 29:04 - Combined Nerve Entrapments (2012 Paper) 33:27 - Additional Entrapment Sites 37:07 - Deep Posterior Compartments 38:01 - Physical Exam Emphasis 40:05 - Surgical Approaches 42:30 - Surgical Technique Details 45:55 - Dr. Ellison's Lateral Approach 47:26 - Treatment Decision Making 50:06 - Art vs. Science of Treatment 52:53 - Patient Psychology 54:36 - Contact Information 55:45 - Revision Tarsal Tunnel Surgery 58:40 - Madrid Study Discussion 1:00:21 - Closing Remarks

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