Foot Drop, Peroneal Nerve Injury - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition known as foot.drop , which occurs due to Peroneal nerve injury . Causes and treatment of Peroneal nerve injury is outlined .
What is foot drop?
The inability to raise the front part of the foot due to weakness or paralysis of the tibialis anterior muscle that lifts the foot.
A common symptom of foot drop is high steppage gait often characterized by raising the thigh up in an exaggerated fashion while walking.
When the person with foot drop walks, the foot slaps down onto the floor.
Foot drop usually results from injury to the peroneal nerve which is susceptible to injury at any point of its course.
The peroneal nerve begins from the L4,L5, S1 and S2 nerve roots and joins the tibial nerve to form the sciatic nerve.
The sciatic nerve starts n the lower back and runs through the buttock and lower limb.
In the lower thigh, just above the back of the knee, the sciatic nerve divides into two nerve, the tibial and peroneal nerves, which innervate different parts of the lower leg.
The common peroneal nerve then ravels anterior, around the fibular neck, dividing into superficial and deep peroneal nerves.
The deep peroneal nerve gives innervation to the tibialis anterior muscle of the lower leg which is responsible for dorsiflexion of the ankle.
Conditions causing foot drop:
1-L4-L5 disc herniation
A herniated disc compressing the L5 nerve root may cause foot drop.
2-Lumbosacral plexus injury due to pelvic fracture
3-Sciatic nerve injury: hip dislocation
The common peroneal division of the sciatic nerve is commonly injured during fracture dislocation injuries involving the hip.
4-Injury to the knee: kee dislocation
In the event of a knee dislocation, it is important to check for common peroneal nerve and popliteal artery injury.
5-Established compartment syndrome
•Foot drop is a late finding
•Irreversible muscle and nerve ischemia occur in patients if fasciotomy is not performed.
•Fasciotomy should be done early.
•4 hours of ischemia may be tolerated, but by 8 hours, the damage is often irreversible.
Treatment of peroneal nerve injury/foot drop:
•If a disc herniation in the low back is impinging on the nerve and causing symptoms of foot drop, then the herniated disc should be treated or removed.
•Obtain EMG and nerve studies of the patient.
•Recovery may take 1 year to 18 months.
•The big toe is the last to recover.
•If no recovery is achieved, explore the nerve for repair, graft or tendon transfer.
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[@V8SplashMan]

Long story short. Neurologist determined my Peroneal nerve from my knee down was damaged. Had every symptom of Foot drop including massive numbing. Based of many tests estimated heal time was 3 years nerve 10 years for numbness to go away. I wore a ankle brace I bought from Frys (Gel Padding), took massive amounts of L-Glutamine, Massive amounts of vegetables and ULTRA healthy diet, applied heat and stimulated the muscle with exercises. Fully healed in 5 months. Both doctors were surprised.

[@rubythomas1765]

Diet plan?

[@touseefkhan6120]

Please tell me what u eat that days

[@nayeemmalikshaik1790]

Great brother...my son got sciatic nerve injury above the knee few days back.... doctor said it will take 12 months for recovery & said can expect foot drop..... please suggest plan of treatment

[@manasiranadive5438]

Wow good..tell me exercise n diet.i have right leg foot drop problem.

[@catchlifewithpriyarohit]

Pls share diet plan nd detail pls

[@prayamam]

I'm glad I ran into this video! So good to see a professional takes his time to post his video so that the public can understand. I'm sure many people benefit from this video. Thank you!

[@nabilebraheim]

I'm not sure how many, but I believe it is a sizable market as it can be caused from issues with the spine, perennial nerve, etc. I am glad that you are doing this project, as it will help a lot of people. I hope you will promote this video among your colleagues.

[@haqzahoorul]

JAZAKALLAH for this fantastic video on such a complex problem. I watched several videos on this problem, but undoubtedly, this is the best. Thank you.

[@drmaqsoodali]

Excellent description of foot drop and the nerve injury.

[@nabilebraheim]

THANKS

[@beachcomber4evah]

Thank you, you're providing an excellent service.

[@AliciaMully]

I understand your pain. I got drop foot when I was 23 & just graduated from PSU. I had a shoe obsession that had to go into hibernation since this injury not only changes your life but your sense of self. Shoe shopping is very difficult but thank the Almighty that flats have become amazingly fashionable (although sometimes an outfit only heels will make). Online shopping for shoes allows a larger variety but depending on your brace you porobably have to try them out.

[@nabilebraheim]

@kaleidoscopekay yes ,you are correct a brace is worn to support the foot

[@nabilebraheim]

thanks

[@nabilebraheim]

@MsGumptious thank you for sharing

[@drraghda3096]

Thank you for your simple way to inform us about the disease

[@TheMissBunny22]

I honestly find your videos very educational and easy to learn about any condition...so thank you! i would like to see more about the drop foot, because i have my dissertation with this topic...something about neurological (why drop foot is occurring). Thank you again and hope to see more videos!

[@kendalbeffre2776]

I got drop foot when I found out I had cancer at 10 years old couple years later almost done with chemo (hopefully don't get cancer again) now I'm just hoping I get my foot back

[@flamingovet]

Kendal Beffre d

[@umarz4872]

Did it work??

[@shootersshooters3392]

Have you gotten any movement back on your foot?

[@chinafox1]

excellent introduction of the foot drop,great thanks

[@geojor]

informative, thank you...

[@rosealbahrain9019]

We really appreciate arab Dr as an egyptian : for demonstrating such graet educational content🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼💜💜💜

[@nabilebraheim]

Foot drop may take up to one year to recover. I would repeat the EMG study at a minimum of three weeks post-surgery in order to receive a reasonable response.

[@JLincoln777]

Excellent and informative video. Much thanks and appreciation

[@medicalxft21]

Excellent presentation, thank you so much

[@oldhippo2158]

Doctor I was advised back surgery but was hoping it would heal with exercise since my case is rather new. Now I understand some intervention has to be done or it will worsen for good. They told more or less the same thing but your video is very informative for us with no medical training. Anybody who has experienced an operation please write here.

[@rahulsejwar3561]

very helpful and knowledgable video sir

[@aemiir7075]

biggest Fan of Dr Nabil Ebraheim...

[@nabilebraheim]

Foot drop may take up to one year to recover. If the recovery does not come, you may need surgical intervention such as a tendon transfer.

[@desertlion151]

Good video , thanks Dr Ebraheim

[@NYOrthoRN]

Fantastic video. I really learned a great deal of information.

[@nabilebraheim]

Foot drop may take up to one year to recover. You may need a surgical intervention, possible tendon transfer

[@superduperman5187]

Wonderful videos. I am currently using these to review for the boards. Love from NYC

[@Virginia_Sc]

Es la mejor explicación que he recibido. Por secuela de polio tengo un pie caido que fue operado cuando pequeña. El pie derecho se mejoró solo y fue operado para corregir que al caminar lo hacia con toda la parte interna del pie. Ese el pie que sufrió la caída ya que al caer de rodillas se extendió en contra de la fijación. Tengo el movimiento reducido. No puedo girarlo alrededor de si mismo. Estoy haciendo hace más de dos años ejercicios... mejora pero poco. Se mejora el pie y la rodilla se cansa con pocos pasos, se empieza a aflojarse hacia adelanlate. Y la izquierda tiene una ortesis y no ayuda mucho. Gracias por estás explotaciones

[@waniamajeed1122]

so nicely described sir....got it all understood

[@nabilebraheim]

great

[@souravpaul3430]

A very helpful video.... thanks Dr.

[@grethomory]

Great video. A re-education for me. I graduated from college as an Occupational Therapist, but after being diagnosed with MS, I went back and got a degree in Human Resources. I'm dealing with foot drop right now.

[@ferniechavez9116]

Hi did you ever get ur foot back normal???

[@tahirnadim3363]

Hi, Did you get back normal from foot drop ?

[@ramanyadav4206]

very well explained in 5 mins of lecture we come to know abt foot drop very easily ....

[@nabilebraheim]

yes it can follow it ,use EMG and nerve studies may need surgery thanks i have several videos that are very good

[@victoriawambui1284]

This was very helpful. Recovering from tibia and fibula fructure surgery

[@nabilebraheim]

@94brigate watch the recovery be patient

[@pequazone]

Great info. Wish I was told this awhile ago.

[@SamKhan-vg3xg]

nice information ...thanks

[@HafizahHoshni]

Awesomely informative and perfectly explained! Thank you so much! 😊😊 2/9/2019

[@nabilebraheim]

@marichalallal may be from the nerve injury it also can result frommuscle injury get EMG and nerve studies

[@rayf7071]

nabil ebraheim had motor cycle crash broke pelvis 20 months latet still got footdrop. You wrote about EMG test how do they do it? And will it hurt? Because i still have a bit of swelling around the toes Thanks.

[@paulyoung4781]

Very well explained thanks

[@nabilebraheim]

@V8SplashMan great story thanks

[@insanoinsano3878]

hello sir, i had tissues isquimia because i have been with Both legs crossed for more or less 12 hours and when i wake in the hospital i have been cirurgy in intensiva care because the cyrurgic room was ocupied and so the cireurgeon take out the necrosie part of muscles but to help the already bad situation i get a bacteria from intensiva care room who start eating the legs tissue, after a battle against the bacterias and to stay with the Legs no cutt because one of the doctors wanted to cut both, my lucky was my familie didnt gave autorization to that , they said i never walk again but i recover but stay with a drop foot in the right leg and wick muscle and i cant move the fingers in the right leg, it das 2011 do foi think i can recover still after that time? im doing eletroestimulation, what you think, hope foi can answer me for i dont spent more time and money. thanks

[@nha8909]

you make anatomy more fun thanks

[@davidliovic9100]

I have been installing laminate flooring in my room for about 2 days. I worked about 8 hours per day and I was kneeling, crouching and sitting crossed legs a lot (I suppose that I have injured nerves in my knee). When I was done with work I have noticed that I can't lift my right foot anymore. But, at first sight, I was thinking that maybe somehow I have streched or injured a muscle in right leg. Therefore, I waited for 6-7 days before I visited my family doctor (that was a mistake). Two days before I visited my family doctor, I have been reading a lot about the foot drop on the internet. That's why I knew I had a symptoms of foot drop. My family doctor confirmed that I have foot drop and with an emergency procedure she sent me next day (20.11.2018.) to a physiatrist. Diagnosis was laesio nervi peronei and because of that I wasn’t able to lift my right foot. Physiatrist gave me a prescription for the Neurobion (combination of vitamins B1, B6, B12 and other ingredients) and also they have showed me how to perform exercises (you can find similar exercises on yt) at home. I have been taking Neurobion and performing exercises 2 times per day. Today (28.11.2018.) I can lift my right foot normally, I can drive a car and walk properly. But, I don't have yet full strength in my right foot like I had before the injury. Also, 3.12.2018. I need to go on physical therapy (abbreviation is AFT - I don't know what that abbreviation stands for). Physical therapy will last for 10 days, and after that (20.12.2018.) I need to visit that physiatrist again (just because of examination). Btw I am from Croatia, probably in other countries they have a different medicines and procedures. If your injury is similar like mine, don't be afraid. Be persistent with exercises and take your medicine regularly and you will be ok again. Good luck!

[@dylanchatfield50]

David Liović hmmmmm I Wonder if mine come from that as I have been doing slot of skirting at work

[@BalynOmavel]

Hi please tell me what exercises you did?

[@chilloften]

Thank you, please tell us which exercise.

[@neilangelo1337]

How are you now? Give us an update.

[@majstorvuksan]

Same here! I kneeling all day few days and same i got this foot drop,i went to the dr and same medicine i was given! And to do exercises,now is 5th day and it is better,btw im from serbia,probably same procedure like in our neighbour😂 Interesting i got this same like you,installing laminate floor ! Same sitting on crossed legs for hours!

[@sivagamikalyanasundaram5725]

Very useful video Dr

[@MultiMusik4]

very good video!

[@jimmyjustpassing]

I am four weeks into foot drop. This video gives me an excellent understanding of the condition. Thank you.

[@ferniechavez9116]

Hi did you go back to normal???

[@UmarFarooq-rt1cm]

What's your position now? Plz ansaw

[@shadabmirza9968]

​@@UmarFarooq-rt1cm How is your condition now.

[@UmarFarooq-rt1cm]

Very good from past

[@amirsaedi2303]

Thank you for the video, its very useful

[@nabilebraheim]

In regards to your mother's case, I would have her see a Neurologist for a consult.

[@nimraadeelkhanzada8103]

Sir very well explained thanks alot Allah bless you.

[@nabilebraheim]

@MrVickydoc thanks

[@nabilebraheim]

@IIHoppa123II sorry to hear that

[@nabilebraheim]

You may contact my medical assistant Erica. She will get all of the information to me and keep in touch with you. Her e-mail address is [e-mail]

[@ELF3945]

Dr. Ebraheim, these are great videos. You should consider putting together a text or handbook.

[@WilhelmCaspary]

Or anybody else should stop making books, and start to make movies! :)

[@talabioluwakemi900]

watching this clip educated me more on my foot drop.

[@dolurium]

Thank you for this very educational video. Do you know how many people suffer from foot drop in the world? I am currently working on a market analysis for an active ankle orthosis.

[@paulholdstock4751]

Thank you so much for all your videos and for being caring enough to take the time , very much appreciated, Thank you.

[@nabilebraheim]

Thank you very much Try to check my community page, it has quizzes with explanations.

[@paulholdstock4751]

@@nabilebraheim thank you I will definitely do that. Best wishes.

[@nabilebraheim]

@@paulholdstock4751 thanks

[@debbiekae6]

I have suffered tripped fallen for ten over my feet dragging. I have worn devices to lift the foot with out positive results,my neurologist says it is foot drop. I though it was part of my neurological condition of ATAXIA so thought I had exhausted all systems of help. Your video has shown me there may still be help out there. I am going to seek another doctor ans ask about tendon transfer. Thank You for your educational video.

[@6629jones]

this video has eased my mind .Iwas told by my dr i had foot drop [casually] but as im 66 and a smoker i was expecting to lose my foot/leg and as i live on a hill it would be very awkward going for a pint

[@nabilebraheim]

@88rampitup88 thank you will do that in the future

[@nabilebraheim]

@SenseShine1 a bad disc can cause a foot drop

[@SergioAlvarado]

thanks , you made easy

[@sarbro2769]

thank u for doing this sir....really appreciate it.....its very helpful...:)

[@joeschmo1516]

Wonderful Thank you for the info

[@Lilium_25]

Thank you now i can use this for my Stories

[@skibitom]

Foot drop is controversial in treatment. Thank you Doctor NAbil for excellent presentations.

[@khalilhaidari7213]

@@CuteGirl-fj1zk How long have you been having foot drop?

[@Phenie9303]

My baby 1yr4mths was given injection on his butts last week he is unable to put his right foot down at times he has not started walking. I am confused as I don't know if it is the pains from the injections or if it is a nerve injury.

[@davidpotteiger9091]

ive had peroneal nerve damage resulting in nerve damage from an injury 5 months ago and I am just NOW being able to move my toes... BUT not the big toe. thanks for the information. I was starting to think I wouldn't be able to move my big toe but as u say usually the last to recover!!

[@caragon10]

Hello! My wife is in her 5 month after surgery, and i her 6th after the injury. Since this post was made 5 years ago, how are you with your condition today? Is it fully healed? Thanks in advance!

[@miguelsendra4303]

@@caragon10 hello.Has your wife recovered ?

[@jihadkirby6614]

Did it recover?

[@lynnosa8963]

Hi! In the same boat ! Can move my toes but the muscle on the left side of ankle is tender to the touch still and hurts to dorsiflex. We’re you able to recover over time ??

[@ranimotivation1]

Sir ji btao ji aapka agutha shi ho gya please 🙏🙏🙏🙏🙏😭

[@Phoenix-hd1tk]

Dear sir, thank you.

[@nabilebraheim]

@NYOrthoRN thanks

[@nabilebraheim]

@americangirlballet need to see a doc and get EMG AND NERVE STUDIES

[@jjdd3465]

Great, thank you!

[@tingzhu6268]

Hello, if no recovery after a reasonable time, at the end of the video; how many months do you refer to? A nerve repair is possible after 6 months?

[@mostafaelmasry7501]

Thanks a lot 💓💓

[@ayanda.sikhosana]

Quite an insightful video. I have symptoms that present as mild foot drop that becomes more pronounced when I attempt to run or have been walking for an extended period.

[@TOOOTKSA]

thank you very very much realy nice video

[@nabilebraheim]

SEE A DOC GET EMG AND NERVE STUDY FIND THE SITE OF THE INJURY AND THE CAUSE ,THEN TREAT IT

[@venice1115]

I have foot drop after the removal of a brain tumour, the whole of my left leg was left parylised in 2012. What's strange is my big toe was the first to move upward with the smaller ones the last to move. There is improvement I can get about with a crutch, my foot has started to lift a little, but my heel can't touch the floor which makes walking very exhausting.

[@verticallimit974]

Thank you

[@nitinyadav6562]

Thanks for sharing...

[@crazy-medicos]

Outstanding

[@THE_GREAT_INDIAN]

its very informative... 👍

[@ooopsyantsoshadrytv-2911]

Thanks mate

[@nathalieu]

That is so precise!! Thanks a lot!! 😊

[@nabilebraheim]

You're welcome 😊and thank you

[@bhuvanakr1169]

super for learning

[@nabilebraheim]

@tmorant thanks

[@spiritual79]

thank you

[@kaleidoscopekay]

Very good descriptive video. Would a patient need to wear a brace to support the foot while walking?

[@88rampitup88]

Would be useful to also cover how to specifically differentiate between foot drop from L5 radiculopathy and a peroneal injury since these are the two most common causes and a frequent source of test questions :D However, I thought this was a GREAT video, very helpful, ty for making it.

[@user-rg1wp3mg2z]

88rampitup88 छ

[@bharathibharathi5871]

Sir lgot paralysis four years back my left leg and hand is paralysed can iget back my left leg movement by your treatment please send your adress and contact numbett

[@nabilebraheim]

@wobblechopps see a doc tendon transfer may help you

[@nabilebraheim]

@94brigate get EMG check recovery check progress may take several month last one to recover is the big toe the first one is the anle dorsiflexion

[@MrVickydoc]

good video sir

[@nabilebraheim]

@ger0863 NEE TO SEE A DOC TO SEE IF THE NERVE IS COMPRESSED

[@sachinsaini4988]

Very nice..

[@hussainalhamal6155]

How can I differentiate foot drop from siatic nerve and the peroneous nerve clinically

[@altafhussain2221]

Pleass give treatment

[@MegaMusical10]

Wonderful video!! I have been telling different doctors for 3 years ALL of these symptoms but really had no clue what was going on. Finally, after the 3rd year the last MRI showed L4 & L5-S1 issues. No Dr.EVER diagnosed that the Peroneal nerve may be injured. Neither did they understand that several areas will be affected due to this condition, hurting at the same time. Can you recommend KNOWABLEABLE doctor in Atlanta? A name to a puzzle that has severely affected my quality of living.Thanks!

[@mamtasehgal4212]

wrong side injection i have nerve injury last 1 month i have burning sensation in foot it is very painful i cried please

[@HPgraffitiUL]

@@mamtasehgal4212 avhaha same bro my body went fully numb i had fever dizzy and needle poking everywhere it was so scary

[@beachcomber4evah]

Thank you, this was really informative. I get more information from you than from these doctors whom i'm paying. Can foot drop heal without surgery?

[@CatStashh]

Yes, with proper physical therapy, I have a physical therapist helping me with it every week

[@shadyeiyah9009]

@@CatStashh, is your foot back to normal now?

[@nabilebraheim]

@TOOOTKSA thanks

[@georgekafantaris7807]

CAN IT BE FIXED