Compression Syndrome In The Lower Limb

Question 1

What is compression syndromes

Answer 1

① direct pressure on a nerve
2 trapped nerve
③ commonly on the spino-root compression
4 root compression secondary to herniated disc
⑤ symptoms- pain tingling numbness and muscle weakness

Question 2

What is lateral femoral cutaneous nerve also called

Answer 2

Meralgia paresthetica

Question 3

What are the signs and symptoms of LFCN

Answer 3

Pain and numbness to the anterior and lateral thigh

Question 4

What could cause compression of LFCN

Answer 4

Trauma on the area
Mass - inguinal hernia
Sudden weight gain
Tight clothing

Question 5

Treatment of LFCN

Answer 5

• Conservative treatment
• physio
• exercise
• NSAIDs

Question 6

Common sites for sciatic nerve compression

Answer 6

Ischial tuberosity

*Piriformis-performs syndrome.

Question 7

What happens in Piriformis syndrome

Answer 7

The muscle gets stretched and inflamed compressing the nerve

Question 8

What are the symptoms of sciatic nerve compression

Answer 8

Pins and needles of posterior thigh.

Question 9

What is the treatment of SNC

Answer 9

Similar to LFCN

Question 10

What is tarsal tunnel syndrome

Answer 10

Compression on the tibial nerve under flexor retinaculum

Question 11

What are the intrinsic factors causing TTS

Answer 11

Cysts, tenosynovitis, tumour, fibrosis, osteophytes,

Question 12

What are the extrinsic factors of TTS

Answer 12

Tight shoes, trauma, Valgus or dedema

Question 13

What rung through tunnel

Answer 13

1 tibial Nerve
② posterior tibial artery
③ flexor hallucis longus
4 flexor digitorum longus
⑤ tibias postenor tendon

Question 14

What are the signs and symptoms of TTS

Answer 14

Paraesthesia of toes, sole of heel

Question 15

What is tune sign

Answer 15

Tapping on nerve very hand and feeling pins and needles running down = positive for compression

Question 16

What test are positive for TTS

Answer 16

EMG= decreased amplitudE

Tingle sign

Question 17

Treatment of TTS

Answer 17

Change shoes, NSAIDS

Surgery = release retinaculum

Question 18

What is obturator nerve compression

Answer 18

Hip adductors overuse-skaters neuropathy = medial pain = treat conservatively

Question 19

What is Saphenous nerve compression

Answer 19

Situated at hunters canal = adductor canal = inferior medial knee pain = treat consevaterly

Question 20

What are the boundaries of hunters canal

Answer 20

• Sartonius muscle- medially
• vestus medialis- anterolaterally
• adductor longus - posteriorly
• Magnus muscle -posterioly

Question 21

What is Morton’s neuroma

Answer 21

Compressive neuropathy of interdigital nerve

Question 22

What are the signs and of symptoms Morton’s neuroma - MN

Answer 22

Pain and paresthesia

Question 23

How to test for MN

Answer 23

Web space compression test = compress the new and pt will feel pain and paresthesia and hear mulders click

Question 24

How to Dx MN

Answer 24

Ultra sound- will see neuroma

Question 25

How to treat MN

Answer 25

• Conservative treatment

* neurectomy= sensation loss

Question 26

Superficial peroneal nerve compression

Answer 26

Numbness and pins and needles dorsum of foot = Cons treat = surgical release fascia
Remember nerve runs 12am proximal to lateral malleolus

Question 27

Deep peroneal nerve

Answer 27

Also called anterior tarsal tunnel

Question 28

How to diagnose deep peroneal nerve

Answer 28

Tinel sign

Question 29

S+S of Deep peroneal n

Answer 29

Parasthesia of first webspace

Question 30

How to Tx DPN

Answer 30

Conserviterly

Surgically release external retinaculum