Millions of people every year suffer from nerve pain in their feet. Diagnosis of your specific type of nerve pain is paramount to becoming pain free. The foot pain you are experiencing may be caused by inflamed, swollen, impinged, or damaged nerves.
Peripheral neuropathy is the result of nerve damage from various causes including diabetes, Hansen’s disease, alcoholism, medications, heavy metal poisoning, or chemotherapy. Toxins cause the nerves to become swollen and damaged, causing abnormal sensation. Peripheral neuropathy most commonly affects the feet and hands. The nerves become damaged, cause burning, tingling, and numbness.
Nerves may also become entrapped beneath ligaments in the foot, ankle and leg. Causing pressure on the nerves resulting in pain and numbness similar to peripheral neuropathy, which includes shooting pain down the foot or up the leg. A. Lee Dellon MD, a plastic surgeon at Johns Hopkins University, pioneered methods to selectively release nerves at the site of entrapment and relieving pain. The release of nerves in this fashion is often called the “Dellon procedure”.
Nerve pain located in the forefoot or toes is frequently the cause of an entrapped and swollen nerve near the base of the toes called a “Morton’s Neuroma”. Excision of nerves has historically been performed with larger open incisions. Technological advancements, now allow us to perform nerve releases endoscopically with minimal incisions and little trauma to surrounding tissues.
Pain that encompasses the heel, arch, or the entire bottom of the foot may be caused by entrapment of a large nerve that courses behind the inside of the ankle. Other symptoms may include burning pain, and electrical shocks going down the foot or up the leg. Large open incisions have been used to release the ligaments and surrounding tissue to relieve the nerve pain. New techniques utilizing cameras allow us to relieve your pain with minimal incisions.
These advance procedures include endoscopic tarsal tunnel release, and the EDIN procedure (endoscopic decompression of intermetatarsal nerve).
Dr. Michael Wynn received advanced training in lower extremity nerve surgery by the “Association of Extremity Nerve Surgeons”/ Dr. Dellon’s associates and the Mayo Clinic.
Dr. Wynn is available for consultation and testing to help relieve your pain.
Endoscopic Tarsal Tunnel
Do you suffer from Foot Pain, Numbness and Tingling?
Kingwood, TX, July 16, 2015 - The podiatric surgeons at Kingwood Medical Center work with patients to provide the best treatment options available to relieve foot pain, numbness and tingling due to tarsal tunnel syndrome. Endoscopic tarsal tunnel decompression is a minimally invasive foot surgery technique used to relieve the pressure exerted on a compressed nerve pulled across a rigid, unyielding ligament on the inner side of the ankle that becomes inflamed, which causes it to eventually become entrapped in scar tissue.
Podiatric Surgeon Dr. Michael Wynn said, "Kingwood Medical Center is the only hospital in northeast Houston and one of only three hospitals in Houston that offers endoscopic tarsal tunnel surgery. This procedure provides relief to patients that suffer from an entra- pment of nerves in the foot and ankle. Symptoms may include pain, numbness, and burning sensations in the ball of the foot and ankle that may radiate out into the toes or up the leg. The aching or shooting pain may occur while standing or walking, can range from mild to severe and may occur at night or in the evening and may lead to balance issues."
"The Endoscopic Tarsal Tunnel procedure is performed via a small 1" incision on the side of the ankle and is less traumatic to the patient than an open technique, which required a 7-8" incision," said Dr. Wynn. "The technique allows for a quicker recovery and a faster return to normal activity than traditional surgical techniques and is performed in an outpatient setting. Most patients can bear weight immediately after surgery and return to shoes one week after surgery. Everyone heals differently and factors such as age, weight, circulation and occupation contribute to healing times. "
Carol Russell, a 70-year-old Livingston resident, had lived with an aching leg and numbness in three of her toes in her right foot for several years. After consulting with Dr. Wynn and completing a nerve test and x-rays, he recommended the endoscopic tarsal tunnel surgery. Ms. Russell said, "I felt immediate relief when I woke up in the recovery room at Kingwood Medical Center. Three days after surgery, when I began walking on my foot, I noticed the numbness was gone. I gained full range of movement back in my ankle that I had lost. I am now able to move my foot in a complete circle without pain or discomfort and the aching in my leg has disappeared. I would strongly recommend this surgery to others, especially senior citizens who tend to live with foot pain and believe it's just a part of growing old."
For patient Cheryl Maley, a 55-year-old Texas resident, the Endoscopic Tarsal Tunnel Surgery has significantly improved her life. "I had chronic ankle pain for four years. It was a nonstop pain that gradually increased during the day and by nighttime, my ankle was throbbing and aching," said Ms. Maley. "I am very active and the chronic pain has slowed me down tremendously."
After completing a nerve study and MRI, Dr. Wynn recommended the endoscopic tarsal tunnel surgery. Ms. Maley was very reluctant to have foot surgery, but after learning about the fast recovery for the endoscopic procedure, she entrusted Dr. Wynn to perform the procedure.
"The healing process for the endoscopic procedure is minimal, and after 5 days, I was walking as normal and felt so much better," said Ms. Maley. "The hospital staff is extremely professional and very efficient. I would definitely recommend the endoscopic procedure," Ms. Maley feels blessed that she found Dr. Wynn and that he was able to relieve her pain.