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A patient recovering from surgery to treat foot drop, with limited plantar and dorsiflexion.. Foot drop is a gait abnormality in which the dropping of the forefoot happens out of weakness, irritation or damage to the deep fibular nerve (deep peroneal), including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg.
Peroneal nerve paralysis is a paralysis on common fibular nerve that affects patient’s ability to lift the foot at the ankle. The condition was named after Friedrich Albert von Zenker . Peroneal nerve paralysis usually leads to neuromuscular disorder, peroneal nerve injury, or foot drop which can be symptoms of more serious disorders such as ...
Neurectomy can be an alternative to a nerve decompression for nerve entrapment, such as when the nerves have no motor function and numbness along the dermatome is acceptable. A neurectomy is not a mutually exclusive option to a decompression as a neurectomy can also be used after a failed decompression. [1]
Nerve injury can also occur as a complication but can be avoided with careful procedural execution. Subtalar arthroereisis allows for the removal of the implant in case of postoperative complications while still maintaining the correction achieved for flat feet. The surgery also allows patients to bear weight right after the treatment.
Identifying the level of entrapment is an important consideration for surgery as decompressing the wrong area will lead to a failed surgery (e.g. performing back surgery for extra-spinal sciatica), [2] [3] failure to treat nerve entrapment early can lead to permanent nerve injury, [4] and the patient may be unnecessarily exposed to surgical ...
Nerve gliding cannot proceed with injuries or inflammations as the nerve is trapped by the tissue surrounding the nerve near the joint. Thus, nerve gliding exercise is widely used in rehabilitation programs and during the post-surgical period. Radial, median, sciatic, and ulnar nerves require nerve gliding exercise during the rehabilitation period.
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The goal of treatment is to avoid ulceration, create joint stability, and to maintain a plantigrade foot. [1] Early recognition, patient education, and protection of joints through various offloading methods is important in treating this disorder. Surgery can be considered in cases of advanced joint destruction. [4]
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