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Old 11-07-2019, 07:16 PM #1
DinoGirl DinoGirl is offline
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Default Bilateral Tarsal Tunnel AND Bilateral Cubital Tunnel Sydromes?

This is my first post on NeuroTalk, I recently discovered the forum and have been blown away by all the knowledge and support of everyone here. It feels incredible to have this community of people dealing with similar issues so I don't feel like I'm going crazy.

I was diagnosed with bilateral tarsal tunnel by an orthopedic surgeon (w/ specialty in feet/ankles) about 4 months ago. An EMG test confirmed this diagnosis. I went through the steps of orthotics, resting/icing, and steroid injections with little to no response. I was prescribed Neurontin but don't want to try it due to the bad side effects that seem all too common. Tendon release surgery was suggested, but I'm doing everything I can to avoid that route.

I saw another doctor (interventional orthopedist) to start a form of treatment called perineural injection therapy. Right before starting this treatment (about 2 weeks go) for the TTS, both of my arms began hurting at the elbow along with tingling in my ring and pinky fingers. I saw another orthopedic surgeon that specializes in wrist/arms about this tingling and pain in my arms/fingers and was diagnosed with cubital tunnel syndrome. Ulnar nerve transposition surgery was suggested.

Thinking that it may be a deeper issue, I scheduled an appointment a week from today to see a neurologist about getting to the root of the neuropathy. After combing through some threads here, it seems that it could be TOS, HNPP, or cervical sydrome? I just have no clue how I could have gotten bilateral nerve entrapments in both my feet and elbows.

If anyone can shed light on this, that would be so helpful. It's gotten to the point where I can barely complete tasks for work and I cannot drive at all.

Some possibly relevant info: I am a 27 year-old female with a short and slender frame, of Mediterranean/Middle Eastern descent. Currently taking Aderall XR and have been for years now.

Thanks so much everyone.
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Old 11-08-2019, 12:09 AM #2
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Explore our TOS forum & stickies there to see if any of it fits..
Posture? forward head & shoulders , hunched /rolled shoulders ?
Other factors..
Desk work, sports, hobbies, phone, gaming, computer..
Past whiplash
Repetitive work , previous RSIs

and xray/MRIs to check for bone anomalies or extra cervical ribs..

Best to find out if TOS or not before any surgery, some had carpal tunnel or cubital tunnel surgeries only to find out later when symptoms were still happening, that they did have TOS and probably didn't need those other surgeries..
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Old 11-08-2019, 09:38 AM #3
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Quote:
Originally Posted by Jo*mar View Post
Explore our TOS forum & stickies there to see if any of it fits..
Posture? forward head & shoulders , hunched /rolled shoulders ?
Other factors..
Desk work, sports, hobbies, phone, gaming, computer..
Past whiplash
Repetitive work , previous RSIs

and xray/MRIs to check for bone anomalies or extra cervical ribs..

Best to find out if TOS or not before any surgery, some had carpal tunnel or cubital tunnel surgeries only to find out later when symptoms were still happening, that they did have TOS and probably didn't need those other surgeries..
Thank you for your response. I definitely have some issues with posturing and have been doing my best to become more aware of when I'm hunching my shoulders or craning my neck. I do a lot of computer work, so that doesn't help either. Perhaps PT could help with some muscle strengthening or posture correction.

In terms of imaging, I've had an ankle MRI, lumbar MRI, and elbow x-ray. None of these showed any issues. It seems like it would be wise to get MRIs of the thoracic and cervical areas of my back as well. I definitely want to hold off on surgeries for the time being. Like you said, it seems way too common that patients jump into surgeries with the urging of their doctor, only to find out that it was completely pointless.

One question I have not yet found an answer to is whether or not TOS can cause symptoms of tarsal tunnel? It seems unlikely due to the anatomy, especially since TTS were the first symptoms I was having for awhile...
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Old 11-08-2019, 10:57 PM #4
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Possibly TTS might be related if you have hyper-mobile joints, or lax tendons?

Or might be something unrelated to the upper body sx..

Advanced PT or expert chiropractic care might be something to explore..
My chiro used many modalities.. low level laser for pain areas , also ultrasound, E stim & top rib mobilizations
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