Patient Satisfaction with Surgery for Tarsal- and Carpal- Tunnel Syndrome - Comparative Study

Overview

Journal Neurol Med Chir (Tokyo)

Specialties Neurology
Neurosurgery

Date 2023 Jan 22

PMID 36682791

Authors

Rinko Kokubo

Kyongsong Kim

Toyohiko Isu

Daijiro Morimoto

Akio Morita

Affiliations

Soon will be listed here.

Abstract

We compared the treatment satisfaction of patients who had undergone surgery for tarsal tunnel syndrome (TTS) and carpal tunnel syndrome (CTS). We enrolled 44 patients in this study; 23 were operated for CTS and 21 for TTS. All patients had received surgery under a microscope and under local anesthesia. Using the numerical rating scale (NRS) for numbness/pain (range 0-10) we compared their preoperative outcome expectations with their satisfaction with our treatment 6 months after the operation. We also recorded their pre- and postoperative EuroQol 5-dimension 5-level (EQ-5D-5L) scale for their health-related quality of life (QOL). The subjective assessment of their QOL showed that it was significantly lower in TTS- than CTS patients both pre- and postoperatively. Six months after the operation, the NRS for symptoms and the (EQ-5D-5L) scale for the QOL were significantly improved in TTS- and CTS patients; however, these scores were significantly better after CTS- than TTS surgery. Also, the postoperative NRS was significantly lower in the CTS- than the TTS patients. Our comparison of the patients' expected- and actual surgical outcome showed that the result was better than expected after CTS- and TTS surgery; in CTS patients the difference was significant. Overall, CTS- were more satisfied than TTS patients with the treatment outcome. Satisfaction with the treatment was greater after CTS- than TTS surgery. TTS- experienced less symptom relief than CTS patients although the actual- exceeded the expected outcome in patients operated for TTS.

Citing Articles

Manual therapy compared to surgery in the treatment of moderate carpal tunnel syndrome.

Wielemborek P, Kapica-Topczewska K, Bielecki M, Kulakowski R, Mirowska-Guzel D, Kochanowicz J Postep Psychiatr Neurol. 2025; 33(1):248-256.

PMID: 40070424 PMC: 11891758. DOI: 10.5114/ppn.2024.147102.

A Patient with Tarsal Tunnel Syndrome Associated with the Flexor Digitorum Accessorius Longus Muscle.

Miwa K, Kim K, Kokubo R, Dan H, Koketsu K, Murai Y NMC Case Rep J. 2024; 11:125-129.

PMID: 38863580 PMC: 11165262. DOI: 10.2176/jns-nmc.2023-0136.

References

Kim K, Isu T, Morimoto D, Sasamori T, Sugawara A, Chiba Y . Neurovascular bundle decompression without excessive dissection for tarsal tunnel syndrome. Neurol Med Chir (Tokyo). 2014; 54(11):901-6. PMC: 4533351. DOI: 10.2176/nmc.oa.2014-0090. View

Geoghegan C, Mohan S, Cha E, Lynch C, Jadczak C, Singh K . Achievement of a Minimum Clinically Important Difference for Back Disability Is a Suitable Predictor of Patient Satisfaction Among Lumbar Fusion Patients. World Neurosurg. 2021; 152:e94-e100. DOI: 10.1016/j.wneu.2021.05.036. View

Moroni S, Zwierzina M, Starke V, Moriggl B, Montesi F, Konschake M . Clinical-anatomic mapping of the tarsal tunnel with regard to Baxter's neuropathy in recalcitrant heel pain syndrome: part I. Surg Radiol Anat. 2018; 41(1):29-41. PMC: 6514163. DOI: 10.1007/s00276-018-2124-z. View

Gerritsen A, de Vet H, Scholten R, Bertelsmann F, de Krom M, Bouter L . Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA. 2002; 288(10):1245-51. DOI: 10.1001/jama.288.10.1245. View

Vega-Zelaya L, Iborra A, Villanueva M, Pastor J, Noriega C . Ultrasound-Guided Near-Nerve Needle Sensory Technique for the Diagnosis of Tarsal Tunnel Syndrome. J Clin Med. 2021; 10(14). PMC: 8303982. DOI: 10.3390/jcm10143065. View

Kim K, Kokubo R, Isu T, Nariai M, Morimoto D, Kawauchi M . Magnetic Resonance Imaging Findings in Patients with Tarsal Tunnel Syndrome. Neurol Med Chir (Tokyo). 2022; 62(12):552-558. PMC: 9831623. DOI: 10.2176/jns-nmc.2022-0118. View

Jackson J, CHAMBERLIN J, Kroenke K . Predictors of patient satisfaction. Soc Sci Med. 2001; 52(4):609-20. DOI: 10.1016/s0277-9536(00)00164-7. View

Bailie D, Kelikian A . Tarsal tunnel syndrome: diagnosis, surgical technique, and functional outcome. Foot Ankle Int. 1998; 19(2):65-72. DOI: 10.1177/107110079801900203. View

Iborra A, Villanueva M, Barrett S, Rodriguez-Collazo E, Sanz P . Anatomic Delineation of Tarsal Tunnel Innervation via Ultrasonography. J Ultrasound Med. 2017; 37(6):1325-1334. DOI: 10.1002/jum.14499. View

10.

Ronnberg K, Lind B, Zoega B, Halldin K, Gellerstedt M, Brisby H . Patients' satisfaction with provided care/information and expectations on clinical outcome after lumbar disc herniation surgery. Spine (Phila Pa 1976). 2007; 32(2):256-61. DOI: 10.1097/01.brs.0000251876.98496.52. View

11.

Patel A, Gaines K, Malamut R, Park T, Del Toro D, Holland N . Usefulness of electrodiagnostic techniques in the evaluation of suspected tarsal tunnel syndrome: an evidence-based review. Muscle Nerve. 2005; 32(2):236-40. DOI: 10.1002/mus.20393. View

12.

Cook C, Baxendale S . Preoperative predictors of postoperative satisfaction with surgery. Epilepsy Behav. 2022; 129:108612. DOI: 10.1016/j.yebeh.2022.108612. View

13.

Soroceanu A, Ching A, Abdu W, McGuire K . Relationship between preoperative expectations, satisfaction, and functional outcomes in patients undergoing lumbar and cervical spine surgery: a multicenter study. Spine (Phila Pa 1976). 2011; 37(2):E103-8. DOI: 10.1097/BRS.0b013e3182245c1f. View

14.

Nariai M, Kim K, Kawauchi M, Ishii A, Kido M, Isu T . [Magnetic Resonance Imaging Conditions for Imaging of the Tarsal Tunnel]. No Shinkei Geka. 2018; 46(1):11-19. DOI: 10.11477/mf.1436203667. View

15.

Seidel G, Jamal S, Weidert E, Carington F, Andary M, Millis S . Predictive Outcome Modeling of Preoperative Clinical Symptoms and Electrodiagnostic Data in Tarsal Tunnel Surgery. J Brachial Plex Peripher Nerve Inj. 2021; 16(1):e37-e45. PMC: 8315987. DOI: 10.1055/s-0041-1731747. View

16.

Doneddu P, Coraci D, Loreti C, Piccinini G, Padua L . Tarsal tunnel syndrome: still more opinions than evidence. Status of the art. Neurol Sci. 2017; 38(10):1735-1739. DOI: 10.1007/s10072-017-3039-x. View

17.

Jackson J, Kroenke K . The effect of unmet expectations among adults presenting with physical symptoms. Ann Intern Med. 2001; 134(9 Pt 2):889-97. DOI: 10.7326/0003-4819-134-9_part_2-200105011-00013. View

18.

Fujihara F, Isu T, Kim K, Sakamoto K, Matsumoto J, Miki K . Artery Transposition Using Indocyanine Green for Tarsal Tunnel Decompression. World Neurosurg. 2020; 141:142-148. DOI: 10.1016/j.wneu.2020.06.042. View

19.

Bouysset M, Denarie D, Coillard J, Boublil D, Lalevee M, Tavernier T . Predictive factors of effective tibial nerve release in tarsal tunnel syndrome. Foot Ankle Surg. 2021; 28(5):610-615. DOI: 10.1016/j.fas.2021.06.009. View

20.

Kadzielski J, Malhotra L, Zurakowski D, Lee S, Jupiter J, Ring D . Evaluation of preoperative expectations and patient satisfaction after carpal tunnel release. J Hand Surg Am. 2008; 33(10):1783-8. DOI: 10.1016/j.jhsa.2008.06.019. View