Tarsal Tunnel Syndrome in Patients with Fibromyalgia

Overview

Journal Arch Rheumatol

Specialty Rheumatology

Date 2021 May 28

PMID 34046575

Citations 3

Authors

Yoon-Sik Jo

Bora Yoon

Jun Yeong Hong

Chung-Il Joung

Yuseok Kim

Sang-Jun Na

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aims to evaluate the frequency of tarsal tunnel syndrome (TTS) in fibromyalgia (FM) patients.

Patients And Methods: In this prospective study, we investigated paresthesia of the foot, sensory and motor deficits, atrophy of the abductor hallucis muscle, and the presence of Tinel's sign in 76 female FM patients (mean age 39.3±7.4 years; range, 24 to 52 years) and 60 sex-matched healthy control subjects (mean age 38.6±8.2 years; range, 28 to 49 years) without FM between July 2016 and June 2018. Bilateral electrophysiological studies of the tibial, peroneal, sural, and medial as well as lateral plantar nerves were performed.

Results: Paresthesia was observed in 22 FM patient extremities and four control subject extremities (p=0.002). Local tenderness at the tarsal tunnel was observed in 12 FM patient extremities and two control subject extremities (p=0.021). TTS was detected electrophysiologically in 14 FM patient extremities and two control subject extremities (p=0.009).

Conclusion: Paresthesia of the foot and local tenderness at the tarsal tunnel were significantly more prevalent in FM patients than in healthy control subjects. TTS is statistically more frequent in patients with FM than the normal population. The potential comorbidities of TTS and paresthesia of the foot should be carefully examined in FM patients.

Citing Articles

Relationship Between Morphofunctional Alterations of the Foot and Its Functionality in Patients with Fibromyalgia Syndrome: A Case-Control Study.

De Maya-Tobarra M, Zunica-Garcia S, Gracia-Sanchez A, Chicharro-Luna E J Clin Med. 2024; 13(21).

PMID: 39518578 PMC: 11546798. DOI: 10.3390/jcm13216439.

Chronic overlapping pain conditions and nociplastic pain.

Johnston K, Signer R, Huckins L HGG Adv. 2024; 6(1):100381.

PMID: 39497418 PMC: 11617767. DOI: 10.1016/j.xhgg.2024.100381.

Chronic Overlapping Pain Conditions and Nociplastic Pain.

Johnston K, Signer R, Huckins L medRxiv. 2024; .

PMID: 38766033 PMC: 11100847. DOI: 10.1101/2023.06.27.23291959.

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