Peroneal Nerve Palsy with Foot Drop

With ‪@OrthoEvalPal‬ today I will talk you through an evaluation of a patient with a "Foot Drop" due to a Peroneal Nerve Palsy! I will talk about the mechanism of injury, I will show you exactly what looks like, talk about "look-a-likes", review my treatment strategy and much more!
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#PeronealNervePalsy #FootDrop #OrthoEvalPal #CommonPeronealNerve

[@pengjunsun3683]

thank you Charles and therapist!

[@randallynngraham83]

Thank you very much for this video. I have seen a neurologist in an orthopedics doctor for 4 years and I've been trying to explain this to them and I have also asked them to check it and I also have popping now behind my knee on the side. This has been left to go so long that everything is shortened and I am now searching for new doctors because it seems like the ones I have just don't care. Everything you have explained is everything that I'm going through and why these doctors have not acknowledge this is beyond me other than trying to suck my insurance up. Thank you so much and thank you for making everything clear and understandable.

[@antonanton7267]

Thank you very much for your valuable instructions video for who suffering foot drop sickness .

[@OrthoEvalPal]

You are welcome Anton!

[@mobandy8660]

Great Job Sir. Concise explanation of condition. Thanks both of you!!!!

[@erich3558]

Great video! Informative and helpful

[@mobat5815]

Oh Doke.... You are awesome

[@joan-hv7tv]

Great video.Appreciate it!

[@lbazemore585]

Thank you for this information!

[@fitphysioclub]

Thank you Charlie❤

[@samahpedia514]

Thank you charlle !!

[@Marginal391]

Very helpful indeed. Thank you 🙂 ✔️

[@jakelinedennis]

Thank you guys.

[@OrthoEvalPal]

Our pleasure!

[@gy3n65]

Your videos are teaching me so much!! I am preparing for License exam and looking at the real patients is very helpful. In future I would love to visit your clinic to learn and get some training.🙏 big thank you

[@OrthoEvalPal]

Glad you enjoy the videos! Lots more to come. I also do online coaching.

[@gy3n65]

@@OrthoEvalPal Awesome! I will reach out to you if time permits. Right now I am preparing for Jan-21 exam. Thanks

[@nandinijoshi5768]

Thanks for sharing

[@Sincere8250]

Very helpful information.

[@OrthoEvalPal]

Glad it was helpful!

[@onlyusernameleft2]

Thanks for this video. You do such a great job at explaining the symptoms, causes and anatomy involved. I've sent this to friends and family to help them understand my condition.

[@Admin-yy2mh]

I have foot drop too due to a knee injury is been 9months no improvement at all

[@jeremiahleflore3166]

@@Admin-yy2mh stay positive my guy it’s a long process. Still recovering from my nerve damage from 2016

[@sundaysommers1476]

See my comment above

[@sundaysommers1476]

​@@Admin-yy2mhsee my comment above

[@sundaysommers1476]

​@@jeremiahleflore3166see my comment above

[@mr.dronez8315]

Thank you for the info

[@rachelvanraub]

THANK YOU FOR SHOWING US SIR 😢

[@OrthoEvalPal]

You are welcome!

[@phebajohn4606]

Thank you!

[@OrthoEvalPal]

You're welcome Pheba! Much more to come.

[@dwilton2609]

Thank you. I've gotten more info from you than a few ER doctors. I woke up to a "dead leg" 6 days ago, and this is very scary. Just like this gentleman, I fell asleep in an odd position! I'm also in my 50's.

[@yazosali]

Neurodynamic technique helps alot also , I'm a physiotherapist and my foot dropped while I was driving because the nerve was compressed , I did all what he said with the Dr prescription, I added Neurodynamics , soft tissue release technique, water exercises and visualisation

[@MikeB-sp6gp]

Great video. Really thorough and well explained-- which is hard to find about leg issues, where so many "instructional" videos are actually advertisements for podiatrists. I was a bit surprised though. Did you mention peripheral neuropathy from diabetes as a cause of drop foot?

[@tede5939]

For diabetics it might appear as insidious onset, unlike his presentation

[@aramjamil5285]

You’re great!

[@OrthoEvalPal]

Thank you!

[@Kojtxiv5555]

I have this after getting a tumor removed from my L5. Help is much needed.

[@ankushsingh1147]

How is ur foot now

[@Kojtxiv5555]

@@ankushsingh1147 slightly better. More mobility have came back but still not 100%. I say I'm at 45-50%. Recovery projection for me is 4years..thanks

[@sergeyryabov7262]

Thank you both very much! Can peroneal nerve is compressed in tunnel of this typically place? And what you think about exercises for nerve gliding for patients with peroneal tunnel syndrome? And one more question. In your opinion, why are acute trauma and compression not painful? It is strange for me, because I know that neuropathic pain must be in case of nerve fibres damage.

[@OrthoEvalPal]

Thanks for the questions Sergey! Yes I would do nerve gliding but not right away. It is so easy to irritate the nerve early on but yes it could scar down and nerve gliding can help. As far as the nerve pain goes, I don't have the answer to that. Probably not a lot of sensory nerves near the central aspect of the nerve. More motor related.

[@life-mm5do]

I had mine on and off for years. I Finally figured it out it from crossing my legs.

[@ManaswiniGupta]

How foot drop recovered?

[@simpleinvesting7371]

*Hello i operated tendon transfer 18 months ago. Now, my active dorsiflexion range is 10 degree. I have still pain when i'm walking around. I'm 26 years old. Should i expect more ROM on my toes and dorsiflexion next years ? My toes are still not that good, especially the big toe. I would be happy if you answer. Thank you so much.*

[@jw9609]

What a fabulous video, I really appreciate it. I have had this for over 4 months now with no sign of recovery. A nerve study showed it was where described in your video yet I am clueless to how I damaged it, I believe I just woke up with it? I initially thought my foot arch had collapsed so purchased new insoles then new shoes but it was still there. Had MRI scans on brain, spine, neck and all normal. Even had 16 blood tests done so neurologist eliminating genetic disorder and a whole host of other issues as I also have PTS (still awaiting results). As a result of hardly any walking as unable to do my job my legs muscles have wasted away as well as my core muscles hence I am unable to carry anything and have often suddenly buckled over. I have to consciously tense my abs when doing any walking even with a brace. Have lost over 6kg since it started. I have no hope and have lost a huge amount of fitness and definition. Thanks again Joel

[@degas]

Joel… have your doctors come to a diagnosis? Hope you have healed…

[@jw9609]

@@degas Hi there, yes, unfortunately I have motor neurone disease.The neurologist estimated I have a year or so left looking at my symptoms. At least it all makes sense now. Both biceps and pecs now twitch 24/7 and have done since April.

[@degas]

@@jw9609 sorry to hear brother…thanks for getting back to me…I might be following behind ya. So keep an eye in your rearview. ✌️❤️

[@jw9609]

@@degas You may have MND too? I hope not, it's a horrid disease as I am now finding out. I am already wishing to not live another day. Every day is pain, discomfort and effort to do the smallest thing. I pray they pass assisted dying but doubt it will occur in my life time.

[@degas]

@@jw9609 have not had a definitive diagnosis. (Yet) sharing similar symptoms and onset… CT’s scans and such coming back clean unfortunately. Rather they found something! Blood tests galore and samples still being taken. I plan on having a heavy dose of magic mushrooms and Lion’s Mane in the near future etc… Again sry to hear your diagnosis… I hope you have a strong circle around you. ✌️❤️🌍

[@vaxinjuredbypfizer]

Mine happened after my pfizer Vax #2. Exactly the same as you.

[@1korayozer]

?

[@umaddotjpg7772]

Same. I noticed foot drop and a huge inflammation attack on my body after the second shot. I guess some nerves down there got damaged?. Eventually I got diagnosed with distal hereditary motor neuropathy after extensive testing.

[@patmcgrath1227]

Like to see foot brace shown in video.thanks 😊

[@bobbloch5424]

My PCP has diagnosed footdrop which is painful at the ball of the foot while walking. Although I have watched many footdrop videos none of them mention pain in the ball of the foot. Is this unusual ??

[@tarasmith2055]

I broke my tibia and fibula it required nailing surgery. I ended up with foot drop and rely on a AFO for the exact same problem

[@UrviShah-hp7hq]

Hello, what is the purpose of applying moist heat on back of the leg.? Is it same as hot pack application?

[@jamesleary3486]

Just got done playing tennis and I could barely drive my car. Can flat shoes be the cause of foot drop. Or might it be that I tied my shoes to tight. Happens almost every time I play. Also, I almost tripped like you were saying.

[@samkitty5894]

I have drop foot on my right side, with numb toes. This foot is swollen during the day but the swelling goes down over night, to normal. When I press massager bellow the knee on peroneal nerve my lower leg feels like it is going to explode from stimulation. It feels like every nerve is hyped to the max. I had the nerve conductivity study done.....well, they tried to do it, but could not. My nerves are not behaving as expected. MRI of the head and spine didn't reveal anything. I guess it's the wheel chair for me now...

[@user-ty1pl2qg5q]

i got heavy foot drop,which. turned ankle sprain,then after 2 months,it cause knee ,hip back pain. the mri done ,it's l5 nerve touching by spine,but in xray of knee nothing is there,i m confused what could be the reason please I need urgent help it's been 8 month already

[@azizp.t757]

Great sir , I learned a lot of you Thank you I have questions please : can i use Fardic current stimulation with this condition?

[@OrthoEvalPal]

Yes you can Aziz.

[@azizp.t757]

@@OrthoEvalPalIs it better than EMS ?

[@natashajames5402]

When I can buy massager machine?

[@logogonzalez6083]

That's exactly what happened to me Dr and it has been a long year for me in the Napa valley and I go to different doctors and they don't do nothing

[@OrthoEvalPal]

Not a lot to do with the nerve but give it time. If the foot is still dropping then a brace to help it lift up can help

[@deez9805]

Great vid. Hard to ignore the wife’s toy getting a random cameo tho 😂

[@OrthoEvalPal]

😂😂

[@fitphysioclub]

When i walk for so long or starting running i feel this kind of symptoms , are they the same? Thank you

[@Pete.Ty1]

😊👍.

[@OrthoEvalPal]

Thanks Pete!

[@rashadal-safar1931]

How is he doing now?

[@abdullahaybe7092]

Sir My sciatic nerve damage Due to Sports injury. And it cause foot drop. And I realized after 1 year that I actually got Foot Drop. I got lots of pain in my whole Leg . Due to stretching and some Exercise I overcome my Problem at least 60 %. Sir I'm a Hockey player. I thought that My Brain Not Connected with my Right leg. I got lots of problem at playing Hockey. I have Lost my Right leg muscles too. It becomes weak even with exercise. Sir plz tell me how can I get my Right Leg muscles Back to strong

[@brucemacneil6846]

Hi, I’m recovering from stroke, 1 1/2 years, there’s about 5% of ankle movement, any suggestions?

[@anjiakkenapally1416]

My leg cut by grinder fibula tibia and nerve also now 3 months comlpeeted Bones are some recovary but nerve no working my ankle was not upside Pls advice give me

[@mrjmos69]

Hi, great job, I have literally the some problem and the treatment was as you discribe. It take long to revover. I was in coma for 40 days and even I left the hospital unfortunately I have a l'évasion on the nerve and automatic foot droop. Is passed 5 months all days whit phisipterapy and a very strong capacity from my side. All my famaliy support me. Go a head and be strong

[@ishakkallayil2123]

Sir, Ihave peroneal nerve compression during hip surgery. Before 2 months I can lift my foot 40% and i can move my leg finger and also foott dropp. Is this temperary or permenanet foot foot drop I expected replay sir

[@saadkhan_011]

Does Numbness is common in person facing Foot drop due to peroneal Nerve/Popliteal nerve injury ?

[@OrthoEvalPal]

Yes

[@saadkhan_011]

@@OrthoEvalPal How much time it will take to recover ? We are facing this issue from last 5 months can you please guide me about that , what should I do ?

[@45nikhilesh39]

Is it recovered, I am facing same problem after tibia orif surgery.

[@bytlh__Dyb]

my foot is in very bad condition can you help me 🙏

[@suwandonyai4182]

Can damage perineal nerve be cure? My was bruised during the surgery it’s had been about 6weeks since I have foot drop. Please help 🙏

[@charumathit6229]

How is now foot drop

[@suwandonyai4182]

@@charumathit6229 it’s much better now after 8 months I have no movement for nearly 7 months then I saw my foot twitching slowly my dorsiflex came back but I still have long way to go.

[@charumathit6229]

You do any exercise for this foot drop. i have also foot drop problem after tibia plateau surgery my big toe cant lift up

[@suwandonyai4182]

@@charumathit6229 yes I have always do exercise I went to physio and fallow exercise for foot drop from KZbin it’s seem so pointless sometimes but never give up because nerve take long time to heal it’s depending on your injury. Keep moving but never give up

[@TheSD75]

@@suwandonyai4182 Did your leg get numb?

[@shamaali4033]

Sir mere bete ka footdrop ho gya hipriplesmet ke baad saitika narv khich gai h panja upr ki or nhi aa raha

[@VoidVerses]

How long is recovery time of this?

[@OrthoEvalPal]

Could be 9-12 months

[@VoidVerses]

@OrthoEvalPal this just happened to me because I was kneeling at work for a really long time. It is extremely frustrating.

[@rey-691]

My nerve got injured 1 month ago. Still not took any medicine It will cure automaticaly?

[@OrthoEvalPal]

It varies with everyone. Depends on the severity of the injury also.

[@rey-691]

@@OrthoEvalPal thank you

[@averyt6521]

@@colebrown8293 juicing Fasting Herbs

[@NAPPYLICIOUS]

I was just diagnosed with this a few days ago. It came as result of continued leg crossing.

[@OrthoEvalPal]

Yes it could. Could take a long time to come back.

[@user-dc6nc5mg7n]

Did you regain foot function?

[@leshaj1989]

My daughter is experiencing this out of the blue. Or atleadt I'm pretty sure it's this. We thought it was her back but orthopedics wants her to see a neurologist now. I'm scared I also have nerve problems and have no awnsers I hope she don't have what I'm dealing with.

[@OrthoEvalPal]

Seeing a neurologist is the right thing to do. Good luck!

[@leshaj1989]

She never told us what she thinks it is. She said she don't want us to get worried before we get the results. She said she wants to do blood, a mri, physical therapy to see if anything changes. My daughter never even did anything to it. The whole vein to her foot that shows when you lift it is missing.

[@user-dc6nc5mg7n]

I sat on my leg for too long and developed a foot drop a few days ago. How long will it take to come back??

[@OrthoEvalPal]

Hopefully start to return in a couple weeks. Could take months though.

[@user-dc6nc5mg7n]

@@OrthoEvalPal thank you I have regained my foot function! Thanks for making this video it helped a lot

[@Matt_McG]

How is Charlie now has he fully healed? I Currently have foot drop but am only 25 and I am looking for a glimmer of hope :(

[@hawaiisurferdude6714]

im 26 how is ur foot feeling?

[@Matt_McG]

@@hawaiisurferdude6714 back to normal thank GOD!! Took a good few months but I’m back running now 👍

[@gurbhejbajwa972]

My Right side foot drop How to recovery this foot.. Age27 male Little movement

[@OrthoEvalPal]

Get this evaluated. Find the source of the problem and then go for treatment. Good luck!

[@gurbhejbajwa972]

Ok.. Which type treatment i need

[@OrthoEvalPal]

I talk about the treatment in the video. Stim, stretching etc...

[@gloriarader2987]

Can this condition be mis diagnosis as motor neuron disease?

[@OrthoEvalPal]

Could. Should be easy to tease out the difference.

[@gloriarader2987]

@@OrthoEvalPal I've had 5 M ri's, Brain,2 lower lumbar ,neck and pelvic. I've had 5 Emg's, lumbar puncture. The brain only showed minimum vessel ischemic, doctor said this is normal for my age, the other M ri's were clean also. Emg's were worse from the first 2/2018 thru 1/2021. The first Neurologist I was going to said I didn't meat the criteria for als and kept saying I'll see you in 6 M ths so I went to a new Neurologist in January of this year and he went over all the test I had and he is the one that requested the lumbar puncture and 5th emg. During that appointment I asked him about als and he said I would be dead by now if I had it .In February he posted my posted my test results in my chart which led to a phone call which he said he thinks I may have als but he wasn't sure.

[@MsArsenicangel]

@@gloriarader2987 hi Gloria. Sorry to hear about what you’re dealing with. Any update on your health? I know someone in a similar situation so i wanted some insight

[@imho2278]

Gloria sounds like me! I got foot drop after overstressing the arch in 2 incidents 6 months apart, and osteopaths and neurologists did the same scans as Gloria....same results. They scanned everything BUT the leg. So I saw a podiatrist, tweaked the inserts, got shoes that stabilised the foot, got a cane...you need to give the foot a tiny sideways shove as it lands, or you curve the foot too much and it hurts your back. Joined a gym and am getting strength back in the hip. Non functional big toe really messes up the system!

[@andrewtaylor9799]

Sitting with the legs crossed for long periods can cause this condition.

[@OrthoEvalPal]

Yes it can.

[@joshuafinishes]

Got enough ads to make me move on.

[@cburke777]

Get to the point.😀

[@footandanklewellnesscentre7520]

I agree! Talk about rambling!

[@ishakkallayil2123]

I have peroneal nerve compression during hip surgery before 2 months I can lift my foot 40% and i can move my leg finger and I have also foott dropp. Is this temperary or permenanet foot foot drop I expected replay sir

[@45nikhilesh39]

Hey bro how is it now i am in exact condition after nerve damage which is unknown.