Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)


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Old 06-17-2015, 07:01 PM #11
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His foot eversion (turning outward) is painful and distinctly weaker than his good foot. I think, from my research, that this points towards a superficial peroneal nerve entrapment. Both EMG and NCS are scheduled. Hopefully, if there is an entrapment, it will show up on testing. Neurology may be able to move up his appointment for testing sooner than mid-July. (Crossing my fingers, and should hear something tomorrow.)

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Originally Posted by Littlepaw View Post
Sticky pads are used for Nerve Conduction Study, they are not painful and are accurate. They do EMG if motor signal is impaired enough on NCS to warrant it. Keep in mind either EMG or NCS will mostly read for larger nerves. Small nerves with damage cannot be read as accurately or sometimes at all. Tests will give a good indication if large nerves are intact but there can still be a problem with smaller ones that doesn't show.
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Old 06-18-2015, 08:56 PM #12
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They will get a good read on both superficial and deep peroneal and compare those to the unaffected leg. The superficial branch does drive eversion. Also the cutaneous nerves of the dorsal foot come off the superficial peroneal. It is worth asking if they can read those. They are right there. You can actually see and feel them.

His hardware is on the anterior ankle isn't it?

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Old 06-18-2015, 10:25 PM #13
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Haha, hardware is pretty much everywhere. Long plate along the lateral ankle, two huge screws through the anterior ankle in the tibia, another angled screw through the fibula that comes out the other side of the bone into the achilles tendon area, which they said will probably cause tendonitis later if it doesn't come out.

He was fitted for custom orthotic inserts to correct a significant overpronation that is likely increasing pressure on the top of his foot. That could be another possible cause of weak eversion. I'm hoping that will help him tolerate longer periods of weight bearing.

Pain has always been in the band across the top of the foot, the inferior extensor retinaculum. It used to also shoot along the entire top of the foot, stopping short of the toes. Weight bearing and eversion both trigger pain in the band. He's so much better than he was, just very limited still in how much he can do. I'm thankful he's improving, it's just such a long process. The fact that the pain is so localized is what made his doctor suspect an entrapment.

Last edited by swimtime; 06-19-2015 at 07:15 AM.
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