Tibial Nerve Decompression at the Soleus 3 Mackinnon SE1 Yee A1 April 20, 2011Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.Compression of the tibial nerve by the tendinous leading-edge of the soleus is rare but under recognized. The tibial nerve is decompressed by dividing the soleus arch found deep within the lower leg. The surgical approach involves proceeding between the lateral and medial gastrocnemius muscles. The soleus muscle is then identified deep to the gastrocnemius muscles, at which the tibial nerve is identified proximal to this muscle. The tibial nerve dives deep to the soleus arch, at which the compression point is found.Keywords: soleustibial nervecompression neuropathynerve decompression Standard Edition Table of Contents- Slow down- Frustration00:00:00 - Introduction00:00:10 - Orientation00:00:15 - Incision / Exposure00:00:30 - Identification of the Fascial Plane Superficial to the Gastrocnemius Muscles00:00:37 - Incising the Fascial Plane Superficial to the Gastrocnemius Muscles00:00:54 - Identification of the Medial Sural Cutaneous Nerve00:01:29 - Dividing the Lateral and Medial Gastrocnemius Muscles00:02:01 - Identification of the Soleus Muscle00:02:11 - Identifying the Tibial Nerve00:02:24 - Identification of the Tendinous Soleus Arch00:02:43 - Dividing the Tendinous Soleus Arch00:04:04 - Inspecting for Proximal Compression Points of the Tibial Nerve00:04:29 - Inspecting for Distal Compression Points of the Tibial Nerve You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.