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Tarsal tunnel syndrome: Assessment of treatment outcome with an anatomic pain intensity scale
Foot and Ankle Surgery, 07/30/09
Gondring WH et al. – In patients who had successful non–operative treatment, overall pain intensity was significantly improved in the medial calcaneal, medial plantar, and lateral plantar nerve regions. In patients who had ongoing symptoms despite non–operative treatment, surgical treatment resulted in significant pain improvement in the medial calcaneal and medial plantar, but not lateral plantar, nerve regions. Pretreatment motor nerve conduction latency was significantly greater in patients who had surgical treatment than those who had only non–operative treatment. Anatomic pain intensity rating models may be useful in the pretreatment and follow–up evaluation of tarsal tunnel syndrome. Predictors of failed non–operative treatment included longer motor nerve conduction latency and greater predominance of foot comorbidities.
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