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Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve , though this may also refer to nerve root compression (by a herniated disc , for example).
The inferior clunial nerves (also gluteal branches of posterior femoral cutaneous nerve) are branches of the posterior cutaneous nerve of the thigh that innervate the skin of the lower part of the buttocks. [1] [2] They pass inferior to the inferior border of the gluteus maximus muscle. [2]
A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line surgical treatment option ...
Tight control of blood glucose can reverse the changes of diabetic neuropathy if the neuropathy and diabetes are recent in onset. This is the primary treatment of diabetic neuropathy that may change the course of the condition as the other treatments focus on reducing pain and other symptoms.
Nerve decompressions are associated with a significant reduction in pain, in some cases the complete elimination of pain. [64] [58] [59] For patients with diabetic peripehral neuropathy (which affects 30% of diabetes patients [65]) and superimposed nerve compression, this may be treatable with multiple nerve decompressions.
Lumboinguinal nerve (green) and Ilioinguinal nerve (purple). In modern texts, these two regions are often considered to be innervated by the genitofemoral nerve. Medial cluneal nerves (pink) - labeled as "post. division of sacral" Inferior cluneal nerves (pink region, not designated with its own section)
Proximal diabetic neuropathy, also known as diabetic amyotrophy, is a complication of diabetes mellitus that affects the nerves that supply the thighs, hips, buttocks and/or lower legs. Proximal diabetic neuropathy is a type of diabetic neuropathy characterized by muscle wasting, weakness, pain, or changes in sensation/numbness of the leg.
For chronic pain it may be an alternative to a failed nerve decompression when the target nerve has no motor function and numbness is acceptable. [1] Neurectomies have also been used to permanently block autonomic function (e.g. excessive sweating in hands [ 2 ] or involuntary muscle movement causing cramps [ 3 ] ), and special sensory function ...