The Effectiveness of Tibial Nerve Mobilization in Patients With Tarsal Tunnel Syndrome

The Effectiveness of Tibial Nerve Mobilization in Patients With Tarsal Tunnel Syndrome

This randomized, clinical, single-blinded, controlledstudywasinitiallyplannedtoinclude 35 patients diagnosed with tarsal tunnel who applied to Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Physical Medicine and Rehabilitation outpatient clinic.Patients aged 20-55 years who were diagnosed with tarsal tunnel syndrome by electromyography (EMG) in the last 6 months were included in the study. The patients were randomized into two groups using the computer-assisted randomization method. Tibial nerve mobilization and foot-ankle range of motion exercises will be given to the study group, and only foot-ankle joint range of motion exercises will be given to the control group. All the patients were evaluated with the Visual Analog Scale (VAS), Foot Functional Index (FFI), Neuropathic Pain QuestionnaireN (NPQ) and Tibial Nerve ultrasonography before the intervention and at the fourth week of intervention.

Inclusion Criteria:

• Patients aged 20-55 years who were diagnosed with tarsal tunnel syndrome by electromyography (EMG) in the last 6 months were included in the study.

Exclusion Criteria:

• Have a systemic inflammatory disease
• Presence of a cognitive disorder, receiving psychotherapy or any psychiatric treatment, disease affecting the central nervous system
• Being illiterate
• Having hearing, vision problems
• History of foot and ankle surgery
• Any pathology that may cause pain in the foot joint diagnosed on physical examination
• Inadequate function of any extremity that would prevent exercise
• The presence of a balance disorder or a disease that can disrupt the balance
• Diagnosis of advanced cardiac or lung disease for which exercise would be contraindicated