Common peroneal nerve dysfunction
Alternative names:
neuropathy - common peroneal nerve; peroneal nerve injury
Treatment:
Treatment is aimed at maximizing mobility and independence. The cause should be corrected, if possible, to reduce further damage.
If there is no history of trauma to the area, and the condition developed suddenly with minimal sensation changes and no difficulty in movement, and no test evidence of nerve axon degeneration, then a conservation treatment plan will probably be recommended. Corticosteroids injected into the area may reduce swelling and pressure on the nerve in some cases. Surgery may be required if the disorder is persistent or symptoms are worsening, if there is difficulty with movement, or if there is evidence on testing that the nerve axon is degenerating. Surgical decompression of the area may reduce symptoms if the disorder is caused by entrapment of the nerve. Surgical removal of tumors (or other conditions) that press on the nerve may benefit some other cases.
control of symptoms:
Over-the-counter or prescription analgesics may be needed to control pain (neuralgia). Other medications may be used to reduce the stabbing pains that some people experience, including phenytoin, carbamazepine or tricyclic antidepressants such as amitriptyline. Whenever possible, medication use should be avoided or minimized to reduce the risk of side effects.
Physical therapy exercises may be appropriate for some people to maintain muscle strength.
Orthopedic assistance may maximize the ability to walk and prevents contractures. This may include use of braces, splints, orthopedic shoes, or other equipment.
Vocational counseling, occupational therapy, or similar intervention may be recommended to help maximize mobility and independence.
Expectations (prognosis):
Common peroneal nerve dysfunction may cause eventual disability. The nerve pain may be quite uncomfortable. The disorder does not usually shorten the expected life span.
Complications:
Calling your health care provider:
Call your health care provider if symptoms indicate common peroneal nerve dysfunction may be present.
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