Go back
Title: Common Peroneal Nerve Entrapment Syndrome, A Rare D/D For Lumbar Radiculitis: A Case Report
e-poster Number: INSIM116
Category: Pain
Author Name: Firoz Khan N
Institute: Kokilaben Dhirubhai Ambani Hospital Mumbai
Co-Author Name: Navita Purohit
Abstract :
Entrapment neuropathy is mainly diagnosed on the basis of clinical symptoms. Often electrodiagnostic studies help in detecting the abnormalities in conduction velocity, latency, and amplitude and aid in diagnosis. There is lack of guidelines on the management of Entrapment nueropathies. While a relative paucity of cases have specifically reported hydrodissection of peroneal nerve, the procedure has been described as successful in other neuropathies. Earlier surgical decompression or neurolysis was done in patients who had failed conservative treatment. However, in recent times, US-guided injections, hydrodissection, and PRF are being increasingly done. PRF is a recent treatment modality with good benefit. SPN PRF has been reported to provide pain relief in mechanical allodynia in CRPS patients which was even resistant to lumbar sym-pathetic neurolysis. We present a case of severe pain from CPNN which was misdiagnosed and treated as lumbar radiculopathy finally got relieved with adhesiolysis through hydrodissecton under ultrasound guidance. Use of ultrasonography, looking for possible nerve entrapment, and diagnostic LA and/or steroid injection helps in confirming the diagnosis as well as can be a therapeutic modality by relieving the inflammation at the area of compression.
A 40 year?old female, presented with severe burning pain and occasional numbness over the left leg radiating over the dorsum and lateral aspect of the left foot for more than 1 and 1/2 years. There was no history of any trauma, pain was gradual in onset, started with occasional needle and pricking sensation followed by numbness on the dorsum of the foot, especially after sitting.
