{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:39:34Z","timestamp":1789472374038,"version":"build-2803163510"},"reference-count":30,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Podiatr Med Assoc"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p>Upton and McComas first described double crush syndrome in 1973. The theory behind double crush syndrome postulated that a proximal lesion in a nerve would make that same nerve more vulnerable to additional distal lesions. Many of the studies investigating the possibility of the double crush syndrome involve lesions in the upper extremity with very few articles written specifically about double crush syndrome in the lower extremity. We present the case of a 33-year-old massage therapist who uses her feet to provide therapy to clients who presented to our clinic with symptoms consistent with tarsal tunnel syndrome. Her failure to progress in a satisfactory manner after a variety of therapies made us search for additional etiologies for her foot pain. In cases where tarsal tunnel persists after surgical therapy, the treating physician should search for more proximal lesions along the course of the nerve. (J Am Podiatr Med Assoc 102(4): 330\u2013333, 2012)<\/jats:p>","DOI":"10.7547\/1020330","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T09:44:28Z","timestamp":1396345468000},"page":"330-333","source":"Crossref","is-referenced-by-count":12,"title":["Double Crush Syndrome in the Lower Extremity"],"prefix":"10.3390","volume":"102","author":[{"given":"Anthony V.","family":"Borgia","sequence":"first","affiliation":[{"name":"Department of Surgery, University Medical Center, Las Vegas, Nevada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome K.","family":"Hruska","sequence":"additional","affiliation":[{"name":"Graduate Medical Education, Valley Hospital Medical Center, Las Vegas, Nevada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Braun","sequence":"additional","affiliation":[{"name":"Private Practice, Henderson, Nevada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"b1-1020330","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/S0140-6736(73)93196-6","article-title":"The double crush in nerve entrapment syndromes.","volume":"302","author":"Upton, AR","year":"1973","unstructured":"Upton, AR and AJMcComas. :The double crush in nerve entrapment syndromes. .Lancet302::359. ,1973. .10.1016\/S0140-6736(73)93196-6"},{"key":"b2-1020330","series-title":"Electromyogr Clin Neurophysiol","first-page":"115","article-title":"Double crush syndrome in lower extremities.","volume":"38","author":"Golovchinsky, V","year":"1998","unstructured":"Golovchinsky, V\n          . :Double crush syndrome in lower extremities. .Electromyogr Clin Neurophysiol38::115. ,1998. .9553749"},{"key":"b3-1020330","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1136\/jnnp.55.1.65","article-title":"The tarsal tunnel syndrome after a proximal lesion.","volume":"55","author":"Augustijn, P","year":"1992","unstructured":"Augustijn, P and JVanneste. :The tarsal tunnel syndrome after a proximal lesion. .J Neurol Neurosurg Psychiatry55::65. ,1992. .131258210.1136\/jnnp.55.1.65"},{"key":"b4-1020330","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1136\/jnnp.62.1.71","article-title":"Entrapment of motor nerves in motor neuron disease: does double crush occur?","volume":"62","author":"Chaudhry, V","year":"1997","unstructured":"Chaudhry, V and LClawson. :Entrapment of motor nerves in motor neuron disease: does double crush occur?J Neurol Neurosurg Psychiatry62::71. ,1997. .10.1136\/jnnp.62.1.719010403"},{"key":"b5-1020330","series-title":"J Hand Surg Br","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/0266-7681_85_90018-X","article-title":"The relationship of the double crush to carpal tunnel syndrome (an analysis of 1,000 cases of carpal tunnel syndrome).","volume":"10","author":"Hurst, LC","year":"1985","unstructured":"Hurst, LC, DWeissberg, and RECarroll. :The relationship of the double crush to carpal tunnel syndrome (an analysis of 1,000 cases of carpal tunnel syndrome). .J Hand Surg Br10::202. ,1985. .10.1016\/0266-7681_85_90018-X4031604"},{"key":"b6-1020330","series-title":"J Hand Surgery Br","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/0266-7681(93)90206-U","article-title":"Axonal transport and morphological changes following nerve compression. 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