Tibial nerve dysfunction

Alternative names:

neuropathy - tibial nerve

Treatment:

Treatment is aimed at maximizing mobility and independent self-care. The cause should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous.

Surgical removal of lesions that press on the nerve may benefit some people.

Over-the-counter analgesics or prescription medications may be needed to control pain (neuralgia). Various other medications may be used to reduce the stabbing pains that some persons experience, including phenytoin, carbamazepine, or tricyclic antidepressants such as amitriptyline. Whenever possible, their use should be avoided or minimized to reduce the risk of side effects of medications.

Physical therapy exercises may be appropriate for some people to help them maintain muscle strength. Orthopedic assistance may maximize the ability to walk. This may include use of braces, splints, orthopedic shoes, or other appliances. Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.

Expectations (prognosis):

If the cause of the tibial nerve dysfunction can be identified and successfully treated, there is a possibility of full recovery. The extent of disability varies, with partial or complete loss of movement or sensation. Nerve pain may be quite uncomfortable and persist for a prolonged period of time.

Complications:

• partial or complete loss of foot movement
• partial or complete loss of sensation in the foot
• recurrent or unnoticed injury to the leg
• deformity of the foot, mild to severe

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of tibial nerve dysfunction are present. Early diagnosis and treatment increases the likelihood that symptoms can be controlled.