How to differentiate and diagnose common peroneal nerve injury
Disease description:
A friend's mother has had persistent foot pain recently that hasn't improved. After going to the hospital, the doctor diagnosed her with common peroneal nerve injury. How is common peroneal nerve injury differentiated and diagnosed?
Peroneal nerve injury can be differentiated through electrophysiological examinations and evaluation of peripheral nerve lesions. Damage to the peroneal nerve may result from fractures near the fibular head, fibular muscular atrophy, peripheral neuropathies, or compression of the peroneal nerve. Patients may initially present with localized pain in the lower leg as the main symptom. Sensory disturbances in the dorsum of the foot or lower leg, along with foot drop, are commonly caused by acute nerve compression. Treatment for peroneal nerve injury typically lasts from three months to one year. It may involve medications such as vitamin B1, or physical therapy using orthotic devices. If medication and physical therapy are ineffective, surgical options such as nerve exploration and decompression, or nerve repair (e.g., neurorrhaphy), may be considered.