What Is Peroneal Neuropathy?

The peroneal nerve is a branch of the sciatic nerve. It travels obliquely downward from the popliteal fossa to the fibula neck, which is divided into deep and superficial branches, supplying certain muscle and skin areas of the calf and foot. ^[1]

[féi shén jng]

Pronunciation: féi shén jng

Branch of sciatic nerve from

TCM treatment

1. Commonly used acupoints and parts such as Blood Sea, Yangling, Zusanli, Jiexi, Weizhong, Chengshan, etc.

2. Commonly used rolling method, finger kneading method, holding method, plucking method, twisting method, wiping method, shaking method, rubbing method.

3. Operation method The patient takes a supine position, and the doctor sits on the affected side. First apply the rolling method to the anterior lateral of the affected leg, with the tibialis anterior muscle as the main treatment site, from the proximal end to the distal end to the back of the foot. Round trip up and down for about 10 minutes. It refers to rubbing the blood sea, Zusanli, Yangling, and Jiexi caves, and each cave is about 1 minute. Take the middle and Chengshan points and pluck the tibialis anterior muscle up and down several times. Finger rubbing method, gripping method, and plucking method can also be used alternately to increase the amount of manual stimulation. Twist and rub your toes, shake your ankles and toes. Finally, the treatment was completed by rubbing the tibialis anterior muscle.

Common peroneal nerve entrapment syndrome

For the treatment of the common peroneal nerve entrapment syndrome, the main cause is treatment. The key lies in early diagnosis. For cases with early consultation and short compression time, conservative treatment can be performed. Methods: Oral glucocorticoids, vasodilators, intramuscular injection of neurotrophic agents, and local hot compresses, massage, physical therapy, acupuncture, etc. all worked. For local compression or improper traction, the cause of compression should be immediately lifted or the traction brace adjusted, the compressed part of the fibula head should be suspended, and the pressure of the bone process should be removed early to release the compressed nerve.

The prognosis is mainly determined by the degree and time of compression. The longer the compression time, the worse the prognosis. According to the pathological process of chronic nerve entrapment: temporary nerve ischemia change of vascular nerve barrier severe Wallerianqa's degeneration. If the compressed nerve can be relieved before Wallerian's degeneration occurs, the nerve can be completely released, and the function can be restored quickly and completely. If the conservative treatment does not improve for 2 to 3 months, neuroprosthesis surgery should be performed.

Partial peroneal nerve damage

Common peroneal nerve damage, that is, peripheral nerve damage, mainly damages the sheathed nerves of the human body. Generally, sheathed nerves do not require surgery when they are not completely broken. As long as they are properly treated, most of them can be fully recovered. Only completely broken nerves Surgical treatment is not available, but surgery is a new trauma to the nerves. Some patients are eager to undergo surgery prematurely during the effective recovery period, but the final recovery effect is not good. (The reason is nerve repair Scar end plates are formed, and nerve cells and nerve fibers cannot pass through, resulting in irreversible loss of limb function recovery after nerve injury.) From the perspective of treatment, the key to treatment is early treatment, whether surgery or not should be actively treated Otherwise regret for life.

For current treatment, "spinal nerve regeneration dandan" can be used to make the local microcirculation of nerve damage obtain sufficient blood oxygen, excite nerves (nerve cells) to activate paralyzed and shocked nerve cells after injury to compensate for damaged necrotic nerve cells to recover limb function. .

Foot drop protection

As we all know, the normal function of the foot is directly related to the level of daily life. If the protection of the foot and the prevention of foot drop are ignored, once the sequelae of foot drop remain, it will cause permanent disability. Therefore, those who have symptoms of sagging feet must be carefully nursing and actively treated.

1. Foot warming therapy: This is the use of physical effects to make tissues warm up and then cool down, to promote the absorption of inflammation, increase local neurotrophy, relieve muscle spasms, and reduce swelling. The specific method is to soak the affected foot in warm water at 38-40 ° C for 8-10 minutes, and then soak it in cold water at 15-20 ° C for 8-10 minutes. Repeatedly alternate 3 times, 2 times a day, and persist for 1 to 2 months.

2. Maintain the functional position of the foot: When the patient can only lie in bed, the foot cannot be suspended in the supine or lateral position. You need to place a cushion on the foot, flex the affected hip and knee when supine, and make your foot step on the cushion; in the lateral lying position, you should put a cushion on the affected side to make it firm; cloth shoes can be used when sleeping The therapy is to fix the cloth shoes on the patient's bed rails vertically, put the affected feet into the shoes every 2 to 3 hours every night before massaging, and then place the affected feet on the shoes. Inside until you can get out of bed.

3. Rehabilitation exercise: Beginning with passive exercise and operated by medical staff or family members, perform flexion and extension activities from the ankle joint to the interphalangeal joint. The technique should be gentle, and the force should gradually increase from small to large, 2 times a day, 20 30 minutes, when the patient's muscle strength reaches level 2 or higher, active foot flexion and extension can be performed after passive activities, which is gradual and not mandatory. When the patient can stand, do not rush to train and walk. Start with the platform. Until walking on the ground with both feet and no inclination occurs, you can carry out walking training, and pay attention to the gait, so that the gait meets physiological requirements.

4. Acupuncture and massage: When the spasm of the affected limb is relieved, acupuncture and massage therapy can be performed on the affected limb. Acupuncture can stimulate potential nerve reflexes. Acupuncture points such as Hegu, Waiguan, and Quchi can be selected for the upper limbs, and acupuncture points such as jump, Zusanli, and Yanglingquan can be selected for the lower limbs. Needle retention for 30 minutes each time, 1 2 times. Pay attention to adjusting the techniques when massaging. When the muscle tension is high, use a soothing massage. When the muscle tension is low, rub and massage.

Food therapy for common peroneal nerve damage

(For reference only, please consult a doctor for details)

1.Peanut Leaf Soup

Take the appropriate amount of fresh leaves and flowers, and take the sweat before bedtime. 7 days is a course of treatment, which is more effective in the 2-3 course of treatment.

2, lotus soup

Take 30 lotus seeds, put small salt, and fry them. Take them every night before going to bed for 10 days. ,

3. Sour Jujube Soup

Take 50 grams of jujube and fry in water. Before bedtime, 7-10 days is a course of treatment. ,

4.Renju jujube porridge

Take 50 grams each of glutinous rice and barley kernels, and 10 pieces of red dates. Served twice a day for 10 days. ,

5. Acacia leaf soup

Take 100 grams of acacia leaves and fry them every night. Before bedtime, 7-10 days is a course of treatment.

Patients with common peroneal nerve damage should:

1. Eat more oranges, pomelo, mandarin, orange, lemon, pineapple, grapes, etc.

2. Eat more walnuts, black sesame, peanuts, etc.

3. Eat more foods containing vitamins.

4, diet should eat moisturizing, smooth intestines or high-fiber foods, such as honey and bananas and other fruits and vegetables.

Patients with common peroneal nerve damage

1. Avoid tobacco and alcohol.

2. Try to eat less spicy food.