Nerve Entrapment Syndrome Case Study

Kathy, a 20-year-old woman, awakens one morning to a tingling, numb sensation covering both of her feet. This has happened to her a number of times throughout the year. In the past, when experiencing this sensation, within a couple of days to a week the numbness would subside, and so she is not too concerned. About a week later, she

DOI: 1/23/2014. This is a 36- year old male relief driver who sustained injury while he was putting away the automatic tarper when he was struck on the right shoulder and got driven into the ground and twisted his right foot. Per OMNI, he was diagnosed with right shoulder strain, and back/neck/right foot fracture. As per office notes dated 6/3/16, the patient is complaining of numbness in all extremities specifically the bilateral feet, arms and bilateral elbows. He has had a flare-up of pain that past couple of weeks around lateral column of the right foot made worse with walking and standing. He has been taking Neurontin 300 mg thrice a day which is helping control his symptoms. He apparently had a bilateral upper extremity upper extremity

I have trench foot and no longer can feel my feet. Well, it mainly feels numb, but sometimes I feel immense pain which

assess, diagnose and treat abnormalities and diseases related to the foot and lower limb in people of all ages

On examination of the right ankle, there is edema. Range of motion is limited in all planes. Dorsiflexion shows 15 degrees, flexion to 20 degrees and inversion/eversion of 10 degrees. There is tenderness upon palpation of the lateral and medial malleolus. Sensation is decreased. Atrophy/wasting is noted.

Patient's complaints regarding weakness or lack of sensation often are rationalized as generalized sequel of the burn injury and healing process. However, these symptoms may be due to peripheral neuropathies and entrapment syndromes resulting from impaired nerve axons, or myelin sheath or both (7). Mononeuropathies and entrapment syndromes have been observed following thermal injury and most often affect nerves under the area of the burn, and they are usually seen in patient with burn greater than 20% of total body surface area (TBSA) (8).

CTS is the most common entrapment neuropathy in the United States and is responsible for a large number of lost workdays. 1 There are 3.5 new cases of CTS per 1000 people in the USA every year, and about 2.1% of the population has this condition at any point in time. 1 About 70% of cases occur in women, and people who are obese are 2.5x more likely to develop CTS. 1,2 Most people are diagnosed between the ages of 30 and 50. 1

The main cause of Charcot foot is repetitive injuries seen in patients who have peripheral neuropathy. Peripheral neuropathy is defined as a break in communication, or damage done to, a peripheral nerve resulting in a loss in varying degrees of sensation. Peripheral neuropathy has

that causes bones in the foot to weaken. The longer charcot foot isn’t taken care of, the more

These exercises build strength and control of your ankle. Endurance is the ability to use your muscles for a long time, even after they get tired.

Neuropathy is Greek in origin as are most of the medical terms used today and roughly translates to a disorder of nerves. There are various reasons a person will experience neuropathy in their extremities, and the feet are the most common place people will notice it. Everyone has had their foot fall asleep while sitting at some point and time, and the tingling, burning sensation that results from blood returning to the nerves. This is a condition that many who have diabetes feel on a continuous basis, for others the cause may be unknown. Seeing a physician who does Neuropathic Pain Treatments in Joliet IL can help relieve the symptoms and find the underlying cause of the neuropathy.

It is nice to propose many assumptions to be the probable causes of the existed problem. These assumptions will be diminished within the clinical examination process till reaching for the most possible assumption which supposed to be tested to be either proved or disproved. I think the clinician's clinical experience and the level of knowledge will take place here to guide for proper using of the differential diagnosis to exclude the non related assumptions. In my post, I have posted a real scenario I practiced during my clinical practice using the differential diagnosis and HD model. Nice to have an idea about this case Fayeh, I understood that the hypotheses for the heel pain can be planter fascia tear, ankle instability,

Morton’s neuroma is widespread in women than in men, with symptoms occurring in the fifth decade of life (Torres-Claramunt, Gines, Pidemunt, Puig, & de Zabala, 2012). According to Bignotti et al. (2015), if the patient has pain or tingling on the plantar aspect of the foot that intensifies while wearing shoes that are tight fitting and the symptoms are relieved by rest, this present as a clinical suspicion for Morton’s neuroma. Moreover, the affected web space is tender to touch and there is sensory impairment between the toes of the affected area (Bignotti et al., 2015). US and MRI are both sensitive and reliable imaging tools to verify Morton’s neuroma diagnosis (Bignotti et al., 2015).

From an anatomical and a clinical point of view, these syndromes are classified as bone impingement, soft tissue impingement and entrapment neuropathy, depending on which joint portion impinges on the

Foot injuries are very common in athletics as well as in everyday life. It’s very debilitating to have a foot injury since we use our feet in all of our daily activities. Research published in "Medicine and Science in Sports and Exercise” indicates that the average adult takes between 5,000 to 7,000 steps a day. Some sports require the most dedicated athletes spend multiple hours a day pounding their feet on the turf or pavement. Most injuries that occur in the foot require a person to try and stay off of it or completely immobilize it. Since this is very difficult for a person to do, a large percentage of foot injuries often have a very high chance of reoccurring. The severity of some injuries that can be deceiving as well. Often times a nagging pain is ignored and eventually becomes a much bigger problem.