Peripheral Neuropathy Tingling Numb FeetLegs Symptoms Resolved DavisClinc
When you initially presented to the office,you presented with numbness, tingling, and irritation in the lower extremities and feet.We've managed this condition with our peripheral neuropathy program. How have you done withthe management and how are you doing today? Oh I'm feeling fine, I'm feeling great. WhenI came in here I thought I'd have to live with pain the rest of my life and it's great,really great. Well we're very very proud to have you here as a patient and congratulationson your results. Thank you , thank you a lot.
Suprascapular Nerve Decompression Arthroscopic Shoulder Surgery Vail Colorado
the purpose of this meeting tutorials the demonstratedtechniques for suprascapular nerve decompression using arthroscopy this is a lesson basic wayof addressing suprascapular decompression the suprascapular nerve branches at erbspoint and travels below the transverse scapular ligament it crosses the suprascapular notch to enterthe superspinatus fossa where it integrates the superspinatus muscle from there the nerve angles around the spineof the scapula at the spinal glenoid notch and terminates at the infraspinatus muscle
it can be compressed at anyone of these locationsalong its course this view from posterior on a dissecting cadavershows nicely how the nerve travels under the spinaglenoid ligament through the spinal glenoid notchand branches in the infraspinatus muscle the mechanism of injury of the superscapular nerve like all injuries comes from compression tractionor direct trauma injury to the superscapular nerve hasbeen associated with multiple sports including volleyball football and overhead sports
has also been associated with trauma to theneck or scapula heavy labor and even crutch use it typically will cause shoulder pain and inmore advance forms weakness the al features an evaluation are dependentupon a careful understanding of the anatomy of the nerve the symptoms can present as pain over theposterolateral shoulder fatigue with overhead activities or weaknessin external rotation
however some patients may be asymptomaticor present with vague nomspecific pain physical examination can also be specificor nonspecific muscle atrophy of the superspinatus orinfraspinatus may be present as shown in this figure in more advance cases there may be significantweakness and in those cases with localized compressiontenderness to palpation may be present the diagnosis of superscapular nerve entrapmentcan be difficult to make and requires a high index of suspicion
MRI's can be helpful to look for structurallesion such as a spinal glenoid notch cysts or a paralabral ganglion which is compressing themnerve EMG studies and nerve conduction velocitytests are more useful and they demonstrate compression of the nerve they can also help to localize a lesion tothe transverse scapular ligament and superscapular notch or to the spinal glenoid notch region typically when the lesion is proximal
both the superspinatus and infraspinatusmuscles will be involved when the lesion is more distal at the spinalglenoid notch it may affect only the infraspinatusmuscle treatment for superscapular nerve entrapment included operative and surgical options typically nonoperative treatment is startedwith rest pain control range motion and strengthening exercises and in those who have done repetitive overheadwork or repetitive overhead sports avoidance of the aggravating activity is recommended
Alleviate Chronic Foot Pain with Nerve Decompression
This is Carrie and earlier this summer, Carrietwisted her ankle. She broke her heel bone but continued to have worse and worse pain.Tell us what happened, Carrie. I broke my calcaneus and the bone seemed toheal fine, and after that I continually had problems with it. It was swelling, it hurts,it's tingling, it goes numb, my toes it just feels like I don't have very much sensationin my feet right now at all, or from my knee down, it hurts all of the time. So I'm hopingwith this surgery, it will relieve that pain. It just doesn't feel right. It hurts walkingup and down the stairs. There's no way I could run on it, or try to jog or anythingon it it hurts really just to even bear
weight and walk on it at all. Ok, so Carrie went to the pain andthen the pain sent her here and what she has, she has a couple pinchednerves which happened after the injury. One is here and that goes down to the top of thefoot and is why she's having all this pain, the other one is here below the knee. Whatwe're going to do, in a week or two we're going to do a surgery to unpinch those nervesand we'll see if you get better feeling and reduction of pain in the top of your foot. This is Carrie and she's less than threemonths following her nerve decompression and
how's that nerve pain doing now? It's feeling pretty good. I don't reallyhave much pain and it doesn't hurt to walk anymore. Overall I don't have the tinglingsensation I don't have the shooting pains I had before and the aching. Overall it feelsreally good it feels 100% better. You had a lot of pain at night when you weretrying to sleep before, disrupted your sleep. Right, exactly. It feels really good now andI don't have any of those problems now. It's helped a lot. Let's take a look and see what we did there.We decompressed this nerve here and one there,
and both these go down and they cause a lotof pain in the top of the foot and you're doing pretty good. Yep much better!.