CPA 3 - Common Fibular n. Compression Neuropathy Flashcards
What are 3 components of the Biomechanical model for Common Fibular n. Compression Neuropathy?
HVLA posterior fibular head
BLT posterior fibular head
Hiss whip plantar cuboid
What are 2 components of the Respiratory/Circulatory model for Common Fibular n. Compression Neuropathy?
Petrissage/Effleurage (open thoracic inlet)
Pedal pump
What are 2 components of the Neurologic model for Common Fibular n. Compression Neuropathy?
Sensory = L4-S2 --> sacral rocking to reduce firing ANS = Lateral ankle TP - normalize SNS tone
What are 2 components of the Metabolic/Energy model for Common Fibular n. Compression Neuropathy?
NSAIDs - reduce pain
Muscle relaxers - reduce tension on bone
What are 3 components of the Behavioral model for Common Fibular n. Compression Neuropathy?
Stretching exercises
Avoid strenuous activity until pain subsides
Refer to PT
What is the first area to assess and what are the TART findings?
Proximal, lateral leg
Tenderness
Leg ROM
Erythema, swelling, ecchymosis
What is the second area to assess and what are the TART findings?
Ankle
Tenderness
Ankle ROM
Erythema, swelling, ecchymosis
What is the third area to assess and what are the TART findings?
Foot
Tenderness
ROM of foot bones
Erythema, swelling, ecchymosis
What tests would you use to diagnose an SD at the proximal, lateral leg in a pt with Common Fibular n. Compression Neuropathy?
Evaluate fibular head - ant/post Tibia ROM Valgus/Varus of knee ACL/PCL Leg ROM at knee Leg ROM at ankle
What tests would you use to diagnose an SD at the ankle in a pt with Common Fibular n. Compression Neuropathy?
Ankle ROM
Evaluate lateral malleoulus
How would you Tx a proximal, lateral leg SD (posterior fibular head) and is it an indirect or direct Tx?
HVLA to posterior fibular head
Direct
How would you Tx an ankle SD (anterior lateral malleoulus) and is it an indirect or direct Tx?
BLT to fibula
Indirect
What is an OMM ANS Tx for Common Fibular n. Compression Neuropathy?
Lateral ankle TP counterstrain
What is an OMM lymphatic Tx for Common Fibular n. Compression Neuropathy?
Effleurage/Petrissage
*Open thoracic inlet first