Institute for Sports Medicine Frankfurt Main

1. Risk kinds of sport:

none

2. Anatomy:

Directly below the Innenknöchels is a bottleneck for the internal sole nerve.

3. Function:

The nerve supplies sensitively the sole.

4. Injury mechanism:

It comes by pro nation position (drop the longitudinal curvature) of the foot to a pressure damage of the nerve in this range. Also chronic pressure by edge of shoe or fastening is possible.

5. Symptoms:

Trapping feeling and pain within the range under the inside ankle with radiant emittances along the sole and the foot inside up to the toes

6. First measures:

- stress break over several weeks
- Cooling within the range concerned

7. Diagnostics:

- Neurological investigation

8. Therapy:

a) Conservative therapy
- Support of the arch of foot by means of inserts, in order to prevent the hyperpronation position
- anti-inflammtory medicines
- Injections
- Ointments
b) Operational therapy
- with chronic complaints (over 6 months) Neurolyse = opening nerves 

9. Physiotherapie/rehablitation:

- Lymphdrainage
- Electrical therapy
- with chronic complaints thermal treatments
- Exercises for the correction of the hyperpronation (putting the foot longitudinal curvature up)

10. Prevention:

- Strengthening the arch of foot by appropriate exercises, barefoot running
- optimal sport shoes
- Inserts
- Stretch of the long and above all short calf musculature

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