Case study 79- Peroneal Neuropathy diagnosis & treatment explained by Dr. Betsy Grunch, neurosurgeon

Case study 79 answer - Peroneal
Neuropathy
The peroneal nerve is a branch of the sciatic nerve. It supplies movement and sensation to the lower leg, foot and toes. Common peroneal nerve dysfunction is a type of peripheral neuropathy (nerve damage outside the brain or spinal cord). This condition can affect people of any age.
Common peroneal nerve is a type of mononeuropathy. Mononeuropathy is nerve damage to a single nerve. Certain body-wide conditions can also cause single nerve injuries.
Damage to the nerve disrupts the myelin sheath that covers the axon (branch of the nerve cell). The axon can also be injured, which is a more severe injury that causes similar symptoms.(source: mountsinai.org)
#neurosurgery #casestudy #sundaycasestudy #ladyspinedoc
#healthcareworker #hospital #surgery #neurosurgeon #medicalschool #medstudent #medicalstudent #nursing #pastudent #paschool #footdrop #legpain #peronealneuropathy #peronealnerve #peripheralnerve

[@sunnygal57]

Dr Betsy takes the time to LISTEN to her patients. She’s like an internal detective who knows her field of expertise and dresses like the rock star that she is! 🌟🌟🌟🌟🌟

[@DollysParadise]

OMG, you are blessed with analytical skills, thank you for helping people!

[@SideB1984]

I was just diagnosed with peroneal neuropathy on EMG. I have Ehlers Danlos and believe hypermobility is the culprit. I was experiencing fibular subluxation and pain, weakness everting but strong invert. Thanks for this video, very comforting.

[@summer651]

Thank you for this!!

[@emilyb5557]

Love these cases, im a neurorehab doc and these gems are a big help + the snappy delivery helps recall!

[@snudder.s.m.l.5026]

Dang that's super smart.. 🌹🥰💝
Big hugs from Denmark 🇩🇰💝

[@melissa4nursing]

Excellent case study! Thanks

[@sandrashevel2137]

Thank you.

[@boolovesyou143]

Why would her surgeon diagnose her with foraminal stenosis, if she fell on her knee? Wouldn’t the knee be the culprit, not the spine?

[@thestudentloangal]

Do you think initial physical therapy for this person could have prevented surgery down the line? Sounds like it may have helped a lot with the problem (helped manage swelling and fibrotic tissue) to help prevent nerve irritation and decompression. Also to check joint alignment to make sure the fibular head was not subluxed and pressing on the peroneal nerve (that was my first thought). Also to rule out lumbar involvement. Or was it an initial significant contusion to the peroneal nerve that would have required surgery either way? Sounds like pretty poor initial mismanagement and poor use of conservative therapy that necessitated more drastic options down the line. I find fibular head problems are often misdiagnosed as they often don’t present on x-ray or MRI (I am a physical therapist and have a special interest in proximal fibular head pathology!)

[@fragilefleur]

Woohooooo! Fixer of pain queen. Just relieving this one woman’s foot drop and pain is worth those Tylenol wakeup calls. Great focussed work. I wondered if she had radiating pain in her thigh briefly but def the “if it looks like a zebra” case in the case of her previous neuro doing that surgery. Bummer that she had back surgery for nothing. It’s no joke in pain, and risk for scars in her spine and back that can cause other issues.