Abstract
Objective: The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve. Clinical features: A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3. days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa. Intervention and outcome: A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1. week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1. week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function. Conclusion: A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve.
| Original language | English |
|---|---|
| Pages (from-to) | 176-181 |
| Number of pages | 6 |
| Journal | Journal of Chiropractic Medicine |
| Volume | 12 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Sep 2013 |
Fingerprint
Keywords
- Manual therapy
- Peroneal neuropathies
- Sciatic nerve
ASJC Scopus subject areas
- Chiropractics
Cite this
Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis : A case report. / Villafañe, Jorge Hugo; Pillastrini, Paolo; Borboni, Alberto.
In: Journal of Chiropractic Medicine, Vol. 12, No. 3, 09.2013, p. 176-181.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis
T2 - A case report
AU - Villafañe, Jorge Hugo
AU - Pillastrini, Paolo
AU - Borboni, Alberto
PY - 2013/9
Y1 - 2013/9
N2 - Objective: The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve. Clinical features: A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3. days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa. Intervention and outcome: A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1. week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1. week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function. Conclusion: A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve.
AB - Objective: The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve. Clinical features: A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3. days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa. Intervention and outcome: A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1. week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1. week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function. Conclusion: A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve.
KW - Manual therapy
KW - Peroneal neuropathies
KW - Sciatic nerve
UR - http://www.scopus.com/inward/record.url?scp=84888194775&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888194775&partnerID=8YFLogxK
U2 - 10.1016/j.jcm.2013.10.007
DO - 10.1016/j.jcm.2013.10.007
M3 - Article
AN - SCOPUS:84888194775
VL - 12
SP - 176
EP - 181
JO - Journal of Chiropractic Medicine
JF - Journal of Chiropractic Medicine
SN - 1556-3707
IS - 3
ER -