[Little known forms of compression neuropathies of the lower extremities]

Abstract

Neuropathies of the sural nerve, deep peroneal nerve and tibial nerve at the level of the tendinous arch of the musculus soleus pertain to the little-known forms of compression neuropathies. Examinations of 36 patients with 57 cases of such compression neuropathies have demonstrated that the main etiological moments of the disease are orthopedic diseases, illnesses of the joints and veins of the lower limbs and loading factor. The major clinical symptoms of the disease are spontaneous pains at the site of nerve compression, paresthesias, disorders of sensitivity in the area of innervation of the damaged nerve as well as pains on palpation at the level of nerve compression. Diagnosis is verified by the positive tests inducing pains and paresthesias and by stimulation electromyography. The principal treatment method lies in paraneural injection of glucocorticoids.