Foot Drop, peroneal nerve Injury
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- Dr. Ebraheim’s educational animated video describes the condition known as foot drop , which occurs due to Peroneal nerve injury . Causes and treatment of Peroneal nerve injury is outlined .
What is foot drop?
The inability to raise the front part of the foot due to weakness or paralysis of the tibialis anterior muscle that lifts the foot.
A common symptom of foot drop is high steppage gait often characterized by raising the thigh up in an exaggerated fashion while walking.
When the person with foot drop walks, the foot slaps down onto the floor.
Foot drop usually results from injury to the peroneal nerve which is susceptible to injury at any point of its course.
The peroneal nerve begins from the L4,L5, S1 and S2 nerve roots and joins the tibial nerve to form the sciatic nerve.
The sciatic nerve starts n the lower back and runs through the buttock and lower limb.
In the lower thigh, just above the back of the knee, the sciatic nerve divides into two nerve, the tibial and peroneal nerves, which innervate different parts of the lower leg.
The common peroneal nerve then ravels anterior, around the fibular neck, dividing into superficial and deep peroneal nerves.
The deep peroneal nerve gives innervation to the tibialis anterior muscle of the lower leg which is responsible for dorsiflexion of the ankle.
Conditions causing foot drop:
1-L4-L5 disc herniation
A herniated disc compressing the L5 nerve root may cause foot drop.
2-Lumbosacral plexus injury due to pelvic fracture
3-Sciatic nerve injury: hip dislocation
The common peroneal division of the sciatic nerve is commonly injured during fracture dislocation injuries involving the hip.
4-Injury to the knee: knee dislocation
In the event of a knee dislocation, it is important to check for common peroneal nerve and popliteal artery injury.
5-Established compartment syndrome
•Foot drop is a late finding
•Irreversible muscle and nerve ischemia occur in patients if fasciotomy is not performed.
•Fasciotomy should be done early.
•4 hours of ischemia may be tolerated, but by 8 hours, the damage is often irreversible.
Treatment of peroneal nerve injury/foot drop:
•If a disc herniation in the low back is impinging on the nerve and causing symptoms of foot drop, then the herniated disc should be treated or removed.
•Obtain EMG and nerve studies of the patient.
•Recovery may take 1 year to 18 months.
•The big toe is the last to recover.
•If no recovery is achieved, explore the nerve for repair, graft or tendon transfer.
special thanks for NATHAN ELKINS FOR HIS CONTRIBUTION TO THIS VIDEO
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Finally, someone who explains the entire scope of treatment. Something my doctor has not done. Thank you!
Thank you as always. GOD bless you in Jesus name
This is a really informative video. It’s the best information I’ve found about this condition and it has helped my understanding of it. Thank you! 😃👍
Mate.. excellent video, been looking for somthing with this much understandable details. Cheers
Always enjoy learning from you Dr Ibrahim
Thank you for this very clear explanation x
I’ve had foot drop too before…I got scared and concerned…a change of diet helped…now I’m back to normal and still recovering
Could you please let us know what diet and exercise have you followed my father had foot drop grade 2 we are taking physiotherapy from 5 weeks and continuing still....
Kindly share exercises and diet plans for foot drop because I also suffer in foot drop from last 2 years
I have foot drop on right leg after disc surgery since December 2022 till now.
Good topic
I have had 20 years of the following symptoms: Every 20-30 steps I take there’s a snapping/popping on the inside of my left ankle accompanied by an extremely sharp pain that shoots to the heel, and to the foot. I lose stability and collapse. I have a history of disc disease in my spine and have had surgery on L4-L5-S1 (microdiskectomy). Usually orthotics help with walking but I need to tape the ankle to run. My podiatrist thinks it could be referred pain from my spine but I feel like it’s coming from the ankle. The pain is shooting pain and abates immediately. My X-rays are normal and my MRIs do not show any Tarsal Tunnel issues. As of right now I am in a brace, on steroids and in PT for my spine but I need to figure out this ankle issue. Any advice? Greatly appreciated.
MY DOCTOR WONT EVEN ORDER ME A FOOT DROP BRACE HE IS A POOR EXCUSE FOR A DOCTOR
Why you have foot drop?does condition improved?
I developed this shit due to prolonged squating and kneeling on concrete floor for days few hours per day..
My neurogist gave me some medicine and says to relax,no explanation like this
I ordered my own
Order one yourself bonehead.
The most common cause of footdrop is MND (ALS)
Thank you
Very very Best and very Helpful video. Small right Mathod will make best results. 🙏
Thank you
I need something done ! What type of doctor do I need to see ? I’ve seen a podiatrist a neurologist/nuro surgeon and ortho also PE and they are doing none of these test I need to see the right doctor ! My foot drop went away my big toe got better but my little toes are still not working right also I get bad nerve pain in my right foot I’ve also seen a pain and spine dr who can help me ? I fell hard on my back and then I was fine then I went in the hospital in the icu in a coma due to lack of oxygen from severe septic pneumonia! Thanks for your videos !
It a very beautiful thing to see myself healthy again after using remedy from Dr Ake on TH-cam, I finally got cured of my Footdrop with his herbs med and I can tell how great my health has turned out so far.
Thank you 🙏 ❤️
It's embarrassing that something like foot drop has no cure. So much for medical science.
Why no cure? How long you have the condition?
My doc says me it will be ok soon
@@majstorvuksan There are many reasons for foot drop. Some can be explained and fixed, some can not. Good luck! Tell me how your doc plans to fix yours.
@@samkitty5894 im affraid my doctor have not plan for cure..she gave me some medicines and to wait.
Im im problem 4 days now and i have just litlle improvments,first day ,no movement at all,now i can lift just 7,8 cm...im very disapointed..
Thank you sir
Hello! how to treat it? can it be treated?
Did you treat yours?
@@sup3rNico ты кто? Мы тебя не звали? Я вопрос задал?
@Rashid Toxirovich bro for some reason TH-cam isn't translating.
What are the types of foot drop
My peroneal nerve was cut by a doctor in 2009 is there any help for me. I can move the foot only to the natural position. It hurts all the time, it there a chance I could have it repaired or a tendon transfer. Do you have any suggestions on who I could talk to. This is the first Video I have seen that gives me hope. I am 76 and I keep tripping and falling
I’m so sorry you have to go through this my perineal nerve was cut by a doctor to I have had multiple surgery’s if surgery is an option I recommend it best of luck to you.
@@hulker5563 mujhe bhi yhi problem hai please help me
@@hulker5563 me bhut presan hu please help me 😭
Aapki ns shi ho gyi kya @@hulker5563
Sir plz informed me that its also hand 🖐 are effected like foot are only foot are effected
How many days its recover
Is it set dictor
No. Took me over s year to fully recover from drop foot.
A shot in the hip.
So?
How foot drop get recovered with any surgery
It a very beautiful thing to see myself healthy again after using remedy from Dr Ake on TH-cam, I finally got cured of my footdrop with his herbs med and I can tell how great my health has turned out so far.
Thank you 🙏 ❤️🫣💕
I don’t think I have this but I’ve had sciatica for almost all my life I was told in high school that I got sciatica after taking some X-rays and till this day my back kills me
I have it on my left foot. I fell about 2 years ago and hurt my left knee ????
It hasn't healed yet?? I fell down the stairs and had a small fracture to my foot. That's how I got it. I'm hoping that mine will heal in a few months.
Woow 2 years,how man?
I got this due to prolonged kneeling on concrete flor for days,docs says i pinched nerve,he gave me therapy and says it will heal soon
Took me a year and a half to recover from it@@promisedove
Hospital place in tell me
very well explained . Thank you. It has been 19 years I've had an traffic accident and living with foot drop since then (R foot) I've just came across with your video just now Jan 7th 2024 Can you help me now? I can walk by holding on yo someone or something for balance which I fear to fall. Your valuable opinions , ideas is so important and will be highly appreciated. Serdar
Please aapna contact number do
Mujhe bhi aesi problem hai
Please help me 🙏🙏🙏🙏🙏🙏🙏🙏
19 years? Holy sh1t..I thought my year and a half was bad.
@@dontgetittwizted AAPKO KYA PROBLEM THI
My foot drop was caused from my stroke (Medalla Stroke )
You can add childbirth to cause of this injury too
I finally came to an answer after 2 months of this. But they want me to do physical therapy for a month and only then they’ll do an MRI
This happened to me I had open heart surgery back in 2015 the idiot surgeon nicked a nerve and cause acute compartment surgeon then his stupid team and him decided to wait 3 days to even consider doing fasciotomys I now have severe nerve and muscle mass problems in my right leg.
2:15 conditions
❤❤❤
Pppppp
Any special doctor to solve the foot drop problem in srilanka pld give me with contact number