Peripheral Nerve Entrapment Syndromes: Early Signs and Modern Treatment Options

Nerve entrapment is a phenomenon where a nerve gets trapped or compressed between two structures in the body. Peripheral nerve entrapment means the peripheral nerves are getting affected- and the nerves get compressed between a bone and ligament. Such peripheral nerve compression can occur due to injury or ageing and repeated movements which can strain tissues in the body. Severe pain and stiffness can affect your quality of life, so you should talk to a specialist at the best orthopaedic hospital in Hyderabad, This condition can be treated by neurologists, orthopaedicians or other therapists.
Peripheral Nerve Compression Causes
The incidence of entrapment neuropathy is high in India, as it is a side effect of various chronic conditions like diabetes or related metabolic syndromes. The other common causes include-
- Repetitive motion- this can cause strain due to the ligament and bone surfaces repeatedly rubbing against the peripheral nerve. Over time, the myelin sheath gets worn down and neuropathy occurs. This can occur in a number of regions in the body.
- Injury where there is severe shifting or swelling of bones and ligaments.
- Tumours or benign cysts that press against a nerve.
- If you suffer from chronic conditions like rheumatoid arthritis.
- If you are pregnant- hormones can cause ligaments to loosen or stretch- causing nerves to get compressed in the process. But, symptoms in this case are temporary and will get better after childbirth.
Symptoms Of Peripheral Nerve entrapment
Common examples include carpal tunnel syndrome, tarsal tunnel syndrome, cubital tunnel syndrome, sciatic nerve compression, peroneal nerve entrapment etc. These are different regions in the body where entrapment neuropathy can more commonly occur, when compared to other regions.
- Carpal tunnel syndrome symptoms – The median nerve gets affected in this region and can affect how all fingers except the pinky move. There is inflammation which can worsen compression. It can cause numbness and tingling in hands.
- Tarsal tunnel syndrome symptoms – The tibial nerve at the heel of the foot gets damaged and can cause severe pain and related symptoms.
- Cubital tunnel syndrome symptoms– When the ulnar nerve in the cubital tunnel under the elbow gets affected, the pinky and some parts of the ring finger can tingle. Compression of the ulnar nerve can occur with repetitive movements like bending the elbow often.
- Sciatica is one of the most common chronic conditions people complain about- a herniated disc or inflammation due to some reason can put pressure on the sciatic nerve and lead to pain, tingling, numbness in the legs, feet or lower back, among other symptoms.
- Peroneal nerve entrapment symptoms– The peroneal nerve which comes from the sciatic nerve can cause you not be able to lift the foot up at the ankle.
Diagnosis of Peripheral Nerve Entrapment Syndromes
- The Phalen’s maneouvre- If you stay in this position about 60 seconds or longer and report tingling, then you have carpal tunnel syndrome.
- Tinel’s test- The front of the wrist or elbow are lightly tapped- if there is tingling, there is carpal tunnel syndrome or cubital tunnel syndrome.
- Neurological evaluation is done to check sensitivity to different kinds of stimuli.
- A nerve conduction study test or electromyogram is where an electrical impulse is sent into the testing area- to see how your muscles react to them. The extent and location of nerve compression can be seen clearly with this test.
- Imaging using an X-ray, MRI or ultrasound can also help.
Treatment for Peripheral Nerve Entrapment
You will be asked to stop repetitive motions and make ergonomic changes at home and work. Painkillers can be used to manage symptoms. But, if these don’t work, surgery is recommended. Minimally invasive nerve release surgery can be done where the ligament compressing the nerve is cut, so there is more space for the nerve to pass through.
Conclusion
Most people do really well after surgery, but at times physiotherapy may be required. Physiotherapy is also a good way to manage pain, stiffness and tingling even during the course of your treatment. If you would like to learn how to manage your symptoms, call our specialists today for a consultation at KIMS Sunshine- the best hospital in Hyderabad.