Columbia Advanced Chiropractic, LLC

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How To Identify and Address Tarsal Tunnel Syndrome

How To Identify and Address Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist.  We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’  Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness.  In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.

The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →

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Meralgia Paresthetica…What Is It and How Is It Treated?

Meralgia Paresthetica…What Is It and How Is It Treated?

Meralgia Paresthetica aka Roth’s Disease aka Lateral Femoral Cutaneous Nerve (LFCN) syndrome is a condition we see from time to time.  The patient tends to present with pain in the lateral thigh that almost feels like an itchy feeling.  The discomfort can be anything from burning pain to tingling.  The pain is not a deep pain but is superficial.  This means you only feel it on the outside of the thigh vs. deep in.   It can be very bothersome and it is certainly annoying enough that people will go to find a solution.  Left untreated, it tends to get worse with time. Continue Reading →