Peroneal Nerve Injury: El Paso Back Clinic

A peroneal nerve kukuvara / peroneal neuropathy inogona kukonzerwa nekukuvadzwa kwakananga kumabvi ekunze ane zviratidzo uye manzwiro echiveve, kurira, pini-uye-tsono kunzwa, kurwadziwa, kana kushaya simba kwetsoka kunogona kukonzera mamiriro anozivikanwa se. tsoka inodonha. Chiropractic inogona kuita spinal manipulation, reignment, uye decompression kudzorera basa retsinga. Vanogonawo kubatsira nekufamba uye kufamba nekupa musimba kusimbisa uye kutambanudza maitiro ekugadzirisa maitiro asina kujairika anokonzerwa nekudonha kwetsoka uye kuwedzera huwandu hwekufamba mumakumbo.

Peroneal Nerve Injury

Iyo peroneal nerve inotanga pedyo ne sciatic nerve pane glutes / hip nemagaro. Iyo inofamba ichidzika kumashure kwechidya kusvika kumabvi, iyo inoputira mberi kwegumbo uye inowedzera mutsoka kusvika kuzvigunwe. Inopa ruzivo rwekunzwa kubva kune lateral aspect yegumbo rezasi nepamusoro petsoka. Inopawo kupinza kwemota kumamhasuru ane chekuita nekusimudza tsoka kubva pasi achisimudza zvigunwe nemakumbo uye. kutendeuka tsoka kunze.

Zvinokonzera

Zvinetso zvemaitiro mumuzongoza kana kusarongeka zvinogona kukanganisa mashandiro ehurongwa hwetsinga uye zvinotungamira kune peroneal neuropathy. Traumatic nerve kukuvara kunosanganisira musculoskeletal kukuvara, peroneal nerve paralysis, kudzvanyirirwa, kana kucheka. Kukuvara ne trauma uye nerve compression zvinosanganisira:

• Kudzvinyirirwa kwetsinga mugumbo.
• Kubvisa mabvi.
• Knee kana hudyu replacement operation.
• Kutyoka kwebvi kana gumbo. Kuputsika kwetibia kana fibula, kunyanya munzvimbo dziri pedyo nemabvi, zvinogona kukuvadza tsinga.
• Ankle fracture.
• Ropa rakavhara.
• Kudzvinyirirwa nenerve sheath tumor kana cyst.

Chokwadi pasi pemamiriro ekurapa anogona kukonzera zviratidzo zveperoneal nerve kukuvara. Inokurudzirwa kuongororwa nenyanzvi yezvokurapa inogona kuongorora uye kupa nzira dzakakodzera dzokurapa. Neurologic kusagadzikana kunogona kukonzera zviratidzo zvakafanana:

• Herniated lumbar disc
• Multiple sclerosis
• Chirwere chePalinson
• Amyotrophic lateral sclerosis - ALS kana chirwere cheLou Gehrig.
• Metabolic syndromes - chirwere cheshuga, kudhakwa kwedoro, kuratidzwa kune chepfu.

zviratidzo

Zviratidzo zvekukuvara kwetsinga zvinosanganisira:

• Chiveve, kurira, kana kurasikirwa kwekunzwa pamusoro petsoka kana chikamu chekunze chegumbo rezasi.
• Kusagona kuchinjisa zvigunwe kana zvitsitsinho kumusoro/dorsiflexion.
• Kusagona kuchinjisa gumbo kutora nhanho kuenda mberi.
• Kusagona kufambisa tsoka.
• Kushaya simba kwetsoka eversion/kutenderera kunze.
• Kuputika kana kurova kurira kunonzwika paunenge uchifamba.
• Gait shanduko - kukweva zvigunwe kana kusimudza ibvi kumusoro kune imwe kusimudza tsoka kubva pasi.
• Kufamba kazhinji.
• Kurwadziwa kwetsoka kana gumbo rezasi.

kuongorora chirwere

Mukuongorora chirwere cheperoneal nerve, mupi wehutano anoongorora gumbo uye anoongorora zviratidzo. Miedzo inogona kusanganisira:

• Kufungidzira bvunzo - CT scan, ultrasound, kana MRI.
• Magnetic resonance - MR - neurography inyanzvi yepamusoro-resolution MRI yetsinga.
• An electromyogram inoyera kuti tsandanyama dzinoita sei pakukurudzira tsinga.
• Tsinga kuitisa zvidzidzo kuyera kuti mafambiro emagetsi anofamba sei netsinga.

mabatiro

Kurapa a peroneal nerve kukuvara zvinoenderana nekuoma uye inogona kuvhiyiwa kana kusavhiya. Sarudzo dzisiri dzekuvhiya dzinosanganisira orthotic shangu, chiropractic kuchengetedza, uye kurapwa kwemuviri. Chirongwa chephysical therapy chinogona kusanganisira zvinotevera:

• Icing
• masaja
• Chinyorwa chekushandisa
• Stretching
• Kusimbisa maitiro
• Zviitwa zvekuunganidza
• Kuenzanisa zviitwa
• Ankle bracing
• Ankle taping
• Kuiswa kweshangu - splints, braces, kana orthotics inogona kuvandudza kufamba.
• Gait training kufamba pasina kudonha.

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Ankle Sprain Chiropractor

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References

Longo, Diego, nevamwe. "Iyo Muscle Shortening Maneuver: nzira isingasviki yekurapa peroneal nerve kukuvara. A case report." Physiotherapy dzidziso uye tsika, 1-8. 31 Jul. 2022, doi:10.1080/09593985.2022.2106915

Milenković, SS, uye MM Mitković. "Common peroneal nerve schwannoma." Hippokratia vol. 22,2 (2018): 91.

Radić, Borislav et al. “PERIPHERAL NERVE KUKURWA MUMIITAMBO. Acta clinica Croatica vol. 57,3 (2018): 561-569. doi:10.20471/acc.2018.57.03.20

Thatte H et al. (2022). Electrodiagnostic evaluation ye peroneal neuropathy. ncbi.nlm.nih.gov/books/NBK563251/

T Francis, Vinicius. "Chiropractic kuchengetedza kudonha kwetsoka nekuda kweperoneal nerve neuropathy." Journal of bodywork uye movement Therapies vol. 18,2 (2014): 200-3. doi:10.1016/j.jbmt.2013.08.004