Expert Insights On Peripheral Nerve Surgery For Tarsal Tunnel Syndrome
- Volume 16 - Issue 9 - September 2003
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Apply this bulky Jones-type compression dressing in such a manner that there is no real direct compression on the extremity. We do not want to compress something we just spent meticulous time in decompressing. However, you would apply a compressive wrap for 30 minutes after deflating the tourniquet and then remove the wrap.
Emphasize partial weightbearing for three weeks with a gradual increase in pressure and activity during this time. Remove sutures or staples at three weeks. These patients usually are fully active between three and five weeks, and should be informed that they can expect the swelling to dissipate over the next three to four months.
Surgical intervention for lower extremity peripheral nerve pathology can be positively life-changing for the patient. However, a lack of adherence to sound surgical procedures, indelicate tissue handling and a lack of surgical experience with regard to nerve tissues could lead to disastrous consequences for the patient.
Dr. Burks is a Fellow of the American College of Foot and Ankle Surgeons and is board-certified in foot and ankle surgery. Dr. Burks practices in Little Rock, Ark.
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