Preprint Concept Paper Version 1 Preserved in Portico This version is not peer-reviewed

High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol

Version 1 : Received: 15 January 2021 / Approved: 19 January 2021 / Online: 19 January 2021 (09:00:21 CET)

How to cite: Reilly, I.; Uddin, A. High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol. Preprints 2021, 2021010366 (doi: 10.20944/preprints202101.0366.v1). Reilly, I.; Uddin, A. High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol. Preprints 2021, 2021010366 (doi: 10.20944/preprints202101.0366.v1).

Abstract

Tarsal tunnel syndrome is a focal compressive neuropathy of the posterior tibial nerve or one of its associated branches. Brief mention is made in the literature of the use of corticosteroid injections for this condition. The basic technique of hydrodissection is used for other nerve entrapments and includes identifying the region of nerve compression, and the injection of a fluid medium to dissect between structures or fascial planes. We introduce our treatment protocol using a methylprednisolone/sterile water/ropivacaine hydrochloride injectate mix and peripheral nerve stimulation to a perform hydrodissection technique for tarsal tunnel syndrome.

Keywords

tarsal tunnel syndrome; compression neuropathy; high volume injection; hydrodissection; hydrodilatation; nerve stimulator

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