Foot Drop Peroneal Nerve Injury - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 28 ก.พ. 2021
- 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: kee 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.
This is one of the most informative, detailed videos available while maintaining to be easily understood.
You sir are producing excellent content.
Thank you
My son sprained his ankle whilst running earlier this year. Afterwards he was unable to move or lift the foot and it felt numb. It took just over 10 weeks before he recovered and was able to regain function of his foot. I am posting this here because nerve injuries can be scary (and I could find so little information at the time). May his story with a positive outcome give someone the hope they need on their journey to recovery.
Had he fully recovery.what did he did to make it heal.Please let me know.I am too much worried and hopeless.
What did he did to make it heal? Please let me know
@@Krishna-fn5nv All it took was time... The time it takes for the body to heal really depends on how severe the injury is. Nerve injuries unfortunately can take a long time to repair which is why you must please see your doctor for a medical diagnosis. Speak to your doctor about vitamins to boost nerve repair. My son also saw a physiotherapist who assisted with appropriate exercises.
Thank you for your comment. I just gave birth to my third child and was left unable to move my left foot and it also felt numb..its my third week and im hoping my foot also gets better..
thank you for sharing am currently going through the same things had a ankle injury about 10 weeks ago and mess up two ligaments and today I woke up and could lift my foot...
What a good explanation! You have given a comprehensible view of the causes and treatments that are available for each case of food drop. Million thanks for you Doctor! ❤❤
Wonderful helpful video, well presented and explained-Thank you
Very helpful...everything now makes sense.
Excellent video, thank you for posting it. You explained this in such a clear manner. Well done!
Excellent as usual ❤️
Thank u Dr Nabil for the very useful information.
Excellent! Thank you.
Thank you. This helped
me so much.
Very helpful doc, you da best!
This is a great video Doctor. I am very grateful that you post this video. It has clarified so much information on my bilateral foot drop. Thank you 🙏🏼
😊 thanks for sharing very helpful information
I learn so much about myself from these videos, what specialist never mentions to me, I tell the specialist all the time about my falling over, and he looks at me like I'm simple.
Juice fast 90-120 days
Do you have still same concern ?
@@TheNAVN7 yes i had steroid shot which fixed it for a while, but its back again now, i fall over and drop things all the time
Very helpful thank you
Thanks for the explain ing.
Dr. Thank you very very much for the vid very educational specially for people like me with dropped foot ... 👏👏👏👏👏👏👏👏👏👏
Good, thanks
Thank you
Thank you Teacher
I have drop foot due to damage to the nerve in right leg from a broken fibula. Hit by a SUV in a crosswalk. 7 months ago. Am taking therapy for drop foot. Pray nerve will regenerate. 66 yr old female that was independent. Now i walk with a rollator or cane. Great explanation on video
Thank you sir
Thanks
Thank you.
allah bless you for your videos Dr ebraheim your videos got me through med school almost 10 years ago and are now helping me
as a doctor
Thx
Does foot drop problems relate to CCRS by any chance?
I was facing probem learning it but now it's crystal clear
Which procudre you are doing , I am doing tendon transfer surgery
Can you treat this ?
Thank you so much. This was incredibly helpful.
I had lapiplasty surgery and now my big toe can no longer plantarlfex. I also have limited dorsiflexion. Could it be damage to my perineal nerve?
I still have foot drop 18 months after the hip replacement surgery that triggered it. There’s some improvement to the movement and lift of my foot, but I still can’t wriggle my toes or properly pull my foot up towards me. 🤷🏼♀️ It’s doubtful I’ll ever have a full recovery now but I make sure I work the muscles and tendons every day.
Got the same thing bro. Sucks having everything I love like being active ripped away at 31 years old. I wish I could go back and say no way to the surgery
14 months my foot drop is a little better. But I feel like I will walk with a limp the rest of my life. Fatigue makes it buckle easy. I think it's about time to hit second gear and try a little harder to rebuild what is gone. My name is Jeff and I'm in the same boat. Thanks for listening.
Early small polyphasic motor unit potentials ( nascent waves) are early signs of reinnervation
My father facing same problem last 6 to 7 year in both leg could please suggest medicine and therepy .
Thank u so very much Doctor for providing us a very useful information about Foot Drop as i'hv the same problem and I'm facing it from more than 11 yrs.
Can u tell me the causes of foot drop
Any solution for foot drop I am also facing it from more than 4 yr 🥲
PATIENTS DO RECOVER FROM FOOT DROP I WORKED FOR A PODIATRIST
How we can take care of this foot drops please let us know thank you , you given us all the technical items we need how to take care of it, because it’s getting extreme unknowing for us, thank you
I have had 1 cervical disectomy & lumber L4 &5 disectomy L5 S1 operated on twice & L4 & L5 Laminectomy. I have terrible numbness down my left leg & into my foot. I now have stenosis. My issue is my walking is terrible. I have drop foot but not confirmed! Why is my numbness worsening, my last MRI scan was 2019. Showing 2 bulging discs but not serious enough to operate on! Obviously I’ve no claudi equina but I only feel like urinating after 9 to 12 hours later! Is this a concern
دكتور بعد اذنك حضرتك مش بتيجي مصر ؟
I blew my knee out sideways and tore 4 ligaments and my nerve. I have had foor drop for over 20 years now. With this long of an injury will it cause back damage due to the gate of my walk? I am having severe back issues and am wondering if it is caused from my complete foot drop?
I was diagnosed with foot drop in late June 2023. The neurologist said the cause was likely the result of entrapment of the perineal nerve in the right knee due to my weight loss of some 60 pounds in previous months. I began physical therapy in September. In my follow up with the neurologist this week he said that my foot strength and range of motion is normal.
My question is, which exercises can we do to recover my foot?
I have that..i need surgery..HELP ME PLEASE.
I have same problem after spine disc surgery.
I was playing football / soccer and now can’t lift my foot like this, should I see a doctor?
My son suffered anoxic brain injury from dying and loss of oxygen to the brain for at least 10 min. The icu didn't "keep up" with the bracing schedule and thus my son has bilateral foot drop he is still mostly paralyzed. He has come of the vent and only on feeding tube. What can I do to help this condition that is mirrored in his hands also. His toes are pointed and turned inward and cannot be flexed to a flat state and his wrist are bent over and drawn under his chin in t-rex arms. What can I do to be proactive and not allow him to degrade farther? I wish I had known those early days how serious this is. While everyone was expecting him to pass away I was focused on him healing. At this point he is aware, breathing on his own and trying to learn to eat and speak again. While he works on that, I want to be prepping his feet and ankles for the work ahead. Please any information is a blessing! Thank you!!!
I have foot drop for almost 6mos... Still doing physical therapy... Is massage therapy good for foot drop? And also the front of my feet are still weak... I can't stand my toes...
Best orthopedics videos ever ... subscribe
Thank you for the information. Unfortunately getting the proper care is not easily obtained. Trying to impress my Primary Care Physician is the hold up. By the time one gets to the final stages you mentioned, critical time elapses. I will advocate. I will be guided by your presentation and will make suggestions for my treatment moving forward. At this time I don't have an etiology for my sciatica and neuropathic symptoms. MRI suggest L4-L5 stenosis. God Bless you. Any suggestions?
Sounds like what happened to me. You know us guys don't like to go to the doctor. So we make excuses why our hand is numb. First it's the fingers than its the hand and it's the arm. By the time you say I better get it looked at it's in your leg. So that's when the run-around starts. They start sending you two doctors and physical therapy and chiropractors and nothing seems to work. Then you finally get to the right doctor and he tells you you should have been in here months ago. He schedule surgery he says if it gets any worse to go to emergency. This will help speed things up with the insurance BS.
I wish us well 🙏.
is it possible for a person to have foot drop for years and can a foot drop be permanent
Hlo sir I can move finger up side but not front part of foot .when it fully cure
I fell and had a pelvic fracture a year ago. I started having a foot drop issue almost a year later. Would this be connected and the cause of my foot drop after this long of a time?
Şu an nasıl oldu acaba
Yes Doctor thank you I have drop foot but it both of my feet that do think I must do i haven't got money fix it I in South Africa and have seen so many doctors and not one help me I haven't had shoes on my feet for 9 years I don't wake at all Pease can u help me thank you so much God bless you and for your kindness.
I have this in my right foot with numbness as well as some numbness in my left foot, I have terrible low back pain for years now. I hope mine can be corrected because I am having trouble walking and I keep rolling my ankles also.
Are you facing same concern ?
@@TheNAVN7 Well seems I have MS. Ugh
Hi this condition needs to be addressed as quickly as possible
Have you seen a doctor
I hope you will get better
@@nadyaal558 Yes I did I have MS. 😢
@@timholloway8821 what is MS
After my son kicked the soccer ball he had a drop foot symptom, went to the emergency room, thankfully after 7 to 8 hours later he became able to lift his foot again and walk much better .. is there anyone who have had this happened to them.. it was very scary several hours
I had similar case for the past nine months I have not been able to lift my foot up due to a knee injury to the peroneal nerve
Hey there I was playing soccer earlier today and I tried to lift my foot up and it doesn’t go up what should I do im only 12 years old
Yes, I played soccer today and it happened to me. I can’t even lift my foot up. Hopefully I heal after several hours like ur son. Was there anything specific that he did for it to heal so fast?
@@theegoat2495 bro literally the same thing I was playing soccer like couple hours ago I came back home and I realized I can’t lift my foot up I hope we go through this really
@@xdior752 hey bro, it’s been about 5 hrs and I’m getting a lot better. What you need to do is make sure that you rest for a couple hours with little to no movement and every now and then grab the foot that is hurting and pull it back slowly so it can get used to go back up slowly. Do this about twice every hour for a minute. You’ll start feeling better.
Gd evning sir my leg fractured with grindr
Fibula tibia also nerves
Now foot drop
MEU amigo cadê À LEGENDA
I have this and it sucks. I had a Herniated Disc at L5. Due to Covid they could not do surgery and mine went too long. Now I have permanent drop foot and numbness. Get chronic hip and back pain.
Numbness in the half side of the leg?
Crossing your legs causes peroneal pinched nerve. Easy fix! I was misdiagnosed with trochanteric bursitis.I finally recovered after I stopped crossing my legs.
I have this problem in left foot and walking difficult I a m doing exercise and therapy for one year please advise for better treatment
Hello ,the treatment depends on the cause
مرحبا دكتور انا قبل سنتين اجرية عملية تغير مفل الورك من مائدا الى سقوط القدم ارجو ارسال راقم الهاتف للتوصل
I had trouble dropping, and especially difficulty moving my left toes up and slightly down, so I had surgery on three of my lumbar discs on the advice of doctors.
But now, 45 days after my surgery, the problem of my left toes not moving has not been resolved.
Where does the problem come from and what is the problem?
Am I being treated?
I am very sad and sad because of this problem that has happened to me.
I am sorry. How are you feeling now?
How are you now?
this is the best video I've found that explains this foot drop thing in a way that makes sense.
is it possible to be born with foot drop? I'm not sure if I have it, but my dad would get upset about me dragging my feet since always, even though I do my best to lift them. sometimes I trip for apparently not lifting my feet high enough.
yes
its possible to be born with foot drop.
Hi, my name is Safanja Dorff i am 27 years old and i am born with footdrop on both feet. This condition has caused me to fall multiple times. I have weak toes, not a good amount of strength to lift my upperfeet, i am limited in wearing shoes, my knees and ankles have witnessed many painfull injuries.😥 Even today (Sunday) in this new year of Jan 2022 i have scraped my ankle and fell down on both knees.
Its all so hard! I have dreams to walk freely without weakness in my feet, i would like to wear slippers too, i would like to drive a car with ease and even become a sprinter too! YES a sprinter!
I am waiting on the Lord Jesus to do a healing miracle for me this year!🙏🙏
Dono pairo me hai sir kya kare
I developed sciatica after working in the garden three weeks ago. I had what I think may be partial footdrop. I found it very difficult to pull my toes towards my leg but could chieve some pull. I also was in a lot of pain. I await a referral to the muscular skeletal unit. I have noticed that the pain is easing and the foot movement is increasing but still not complete and I have been slapping my foot still. Is this improvement a good sign that the nerve is healing?
Have you had any improvement since you posted this?
Yes. The pain was gone after three to four weeks. It had been the worst I had ever experienced but was gone by December. The scariest thing was the numbness and partial footdrop. I did the physio, the cobra, and constantly wagging my ankle, and going for walks upto three miles. I did not know whether this would get better on its own, but it did. Four and a half months later I am walking properly and the numbness at the front of my leg has gone. It still feels a little bit different but gets better every day. I can confidently tell people to avoid surgery. My MRI scan was scary, my disc was extruded at L4 18mm and pressing on a nerve. It still got better.!
@@KingZTV78
@@sandracrawford9813 Awesome!! I currently have been experiencing it since the end of January when I aggravated my sciatic nerve.
My entire right leg had pain but my foot felt like it was losing circulation and as if something was pressing on top of it.
I had X-ray exam in my back but they didn’t show any damage.
I don’t have any pain or numbness now but I still have foot drop. It doesn’t cause me to trip or anything but I walk with a limp and not able to walk as fast as I used to.
Hi, so foot drop, is that a common fibular nerve injury or is it a deep fibular nerve injury? I have a final, thanks! Great video!
Common fibular injury.
I have tibial muscular dystrophy.
Thank you doctor,,,, i hve been fighting with this case almost 5 months , now I could stand at my foot toe easily, but hard to stand at my archilles tendon what is the real cause of this Doc.
Hello, well in my case its been 15 days and nothing really changed so tell me the way you're treating your foot?
@@madridwars3532 physio therapy for 3 months and tablet PREGABID ME 75,twice in a day for 4 months
@@madridwars3532 what you can do for foot drop I have same case from approximately 3 months I’m not able to pull my toe toward my nose what con I do plz tell me
@@jahangirahmed6071 There are many causes so you need to see a doctor to establish the diagnosis
Hope you’ll get better
zohn tell me please how can me stand at my foot toe
and what causes the to be permanent
By the time you fall a couple of times, get to the Dr., have X rays & various tests run its already too late. Once that nerve is damaged that's a wrap!!
is it possible to have foot drop if you have incomplete spinal injury?
Coceira nos pés é o que
What is your experience with Covid neuropathy?
I have been dealing with post covid neuropathy and I currently have foot drop.
I got blood cancer my foot was droped at the age 9 I treated it with some exercises and thearopy ...... But after. 2 years I leave it ..... Now I am 18 I feel my foot is not growing . I cant mentain my balance and I feel disturb in walking .....and my feet skin is changing too means its like damaging ....please tell me any treatment or exercise for this..... And this also effecting on my brain means. I can't sleep at night I feel pain
Geçen sürede bir iyileşme oldu mu?
A tłumaczenie na język polski?
Hindi me vedio send kijiye
I was recently burned in a fire with 25% of my body burned then on my first week of treatment I fell asleep wrong on my left side because that was the only side not burned and somehow cut the blood circulation off on my entire calf muscle and foot now have no feeling and can stand in toes
It’s been 3 days and nothing is better
How are you doing? Have you found anything that works?
Yes, I had two patients with drop foot and they recovered after treatments to their lower back L4/5 and sciatica nerve.
I had the same thing how long does it take to recover it's been 6 moths for me getting alitte better
@@streeze21182 in between 20 to 30 sessions
@@boazdolev8595 exercise sessions?
Yes, there is a one month rehab with different exercises that the patient must do. I monitor them and once their physical therapy is satisfied they can stop these exercises but must keep up with daily activities
I had drop foot after hip replacement surgery and I want to know if you have patients with the same problem that I have .it s been now 6 monts of pain .
My advise to jeinior orthopsedic doctors ...to follow this videos ...as its simple consize let you uderstanding orthopeadic
4months compleeted now not recovery
İyileşme oldu mu acaba ?
Yes sir I have like please help form India ,sultan, sir
both foot drops because of recurrent GBS not recovering from past 12 years, and chances of recovery.
yikes
When you cut your foot open, and you learn to cut this nerve smh
2:20 condition
Hello everyone if you read this, I had an EMG test done for hotness of my bilateral feet. The next day from that test my left leg became weak, complete numbness in my left shin, and weak foot. Anyone relate ? I’m going through a medical malpractice to sue.
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 respect you opinion but your just trying to make money man this can definitely recover on its own with physical therapy. You don’t always need to have discs removed or nerve and tendon surgery. This is like what a dirty doctor told me thankfully I got second opinions.
Every time I play soccer I have foot drop
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 am jafour
i am nissim
Do not self diagnose what are you doing here on TH-cam?
Thank you