Posterior tibial neuritis

　　There are many causes of posterior tibial neuritis. Anomalies in foot function or inflammatory arthritis may sometimes cause synovitis of the ankle flexor tendons, which can lead to secondary compressive neuritis of the posterior tibial nerve. In addition, venous stasis edema can also cause posterior tibial neuritis.

　　The pain of posterior tibial neuritis is exacerbated during activity and alleviated during rest. Pain may occur when standing, walking, or wearing shoes. The disease has few complications, mainly complications arising from the treatment of chronic pain, the most common being nerve injury.

　　The clinical manifestations of posterior tibial neuritis include burning or pricking pain around the ankle and its periphery (often extending to the toes), with the pain exacerbated during activity and alleviated during rest. Pain may also occur when standing, walking, or wearing shoes.

　　The prevention of posterior tibial neuritis mainly involves some nursing care, specifically as follows:

　　1. Actively prevent
　　Learning how to sit, stand, and carry things properly is the best way to prevent various types of neuralgia. Different physical therapy methods can teach you how to act correctly to prevent pain attacks, and you can also consult a trained therapist about treatment methods.

　　2. Use an ice bag to massage
　　Massaging with an ice bag can interrupt the transmission of signals along the nerve pathway and be replaced by temperature signals, thereby relieving pain.

　　3. Avoid catching a cold
　　Coldness can sometimes trigger pain.

　　The diagnosis of posterior tibial neuralgia is based not only on clinical manifestations, but also on physical examination, which is the most common and relatively simple method. When tapping or palpating the posterior tibial nerve below the medial malleolus, a tingling sensation in the distal part (Tinel sign) often occurs, which is a characteristic manifestation of the disease. In addition, electro生理 examinations are also often performed, which are helpful for the clear diagnosis of the disease.

　　In addition to conventional treatment, the diet of patients with posterior tibial neuralgia should also pay attention to the following aspects:
　　1. Pay attention to the calorie content of food and avoid consuming too many high-calorie foods.
　　2. Try to eat at regular times, and eat small and frequent meals as the principle of eating.
　　3. Avoid eating foods that are too cold or too hot, and do not have a preference for one type of food or overeating.
　　4. The principle is to consume easily digestible foods, but do not always eat easily digestible foods. Eat more fibrous vegetables to avoid constipation. Exercise regularly to promote gastrointestinal function and consume sufficient nutrition.
　　5. Foods that can be eaten raw should be eaten raw as much as possible to ensure full absorption of nutrients.
　　6. Eating more black beans, potatoes, cucumbers, celery, etc., is beneficial to the treatment of this disease.

　　The treatment of posterior tibial neuralgia mainly includes conservative treatment and care: 1. Use adhesive tape to fix the foot in a natural position or slight inversion, or install an orthotic in the shoe to keep the foot in an inverted position to reduce the tension of the posterior tibial nerve; 2. Local infiltration therapy with insoluble corticosteroids and local anesthetics may be effective when the posterior tibial nerve is not truly compressed in the fibrous bony canal; 3. Surgery is only used for cases that are ineffective after conservative treatment.