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Post-Operative Instructions Common Peroneal Nerve Decompression. Day of Surgery. Relax. Diet as tolerated. Icing is important for the first 5-7 days post-op. While the post-op dressing is in place, icing should be done continuously. Once the dressing is removed on the first or second day, ice is applied for 20-minute periods 3-4 times per day.
Entrapment of the common peroneal nerve (CPN) at the fibular head is an under-recognized lower extremity neuropathy that contributes to weakness of the musculature within the anterior and lateral compartments of the leg and progress to foot drop.
What to Expect From Nerve Decompression Surgery. Surgical nerve release aims to relieve the compression or entrapment of the common peroneal nerve, allowing it to function properly and promoting nerve recovery. Here's how the process works: Identification of the compression site.
Care is taken to look for two branches of the SPN and decompress both branches. This release is performed on patients that present with peroneal neuropathy that fail to resolve from conservative management and have symptoms that localize to the territory of the SPN.
We recommend all patients take 325mg of Aspirin daily starting the day after surgery for 3 weeks to help prevent blood clots. ACTIVITY. Elevate the operative leg ABOVE chest level whenever possible to decrease swelling. This involves lying completely flat with the leg elevated.
If you have surgery for a peroneal nerve injury, recovery time varies. Generally, you’ll limit activities for the first six weeks after surgery. After six weeks, you can start increasing activity levels slowly.
Peroneal nerve decompression is performed to reduce pressure on the peroneal nerve and to remove any lesions. The procedure involves a small incision below the lateral knee, following the course of the nerve. The nerve is found initially posteromedial to the biceps femoris.
Compression of the common peroneal nerve at the fibular head is under recognized. Symptoms range from numbness and tingling in the posterior and lateral aspect of the lower leg and dorsal aspect of the foot to foot drop in severe cases of denervation.
Figure 10 – Superficial peroneal nerve release. The superficial fascia posterior to the superficial peroneal nerve is also released to relieve possible tensile force to complete the decompression of the superficial peroneal nerve. The nerve distal has a course over the extensor digitorum longus.
How is peroneal nerve entrapment/injury treated? Nonsurgical. NSAIDs, ankle-foot orthotic (AFO) brace, physical therapy. Surgical. Peroneal nerve decompression: removes pressure on the nerve allowing it to heal.