Common fibular nerve damage

　　The common fibular nerve is a branch of the sciatic nerve. Due to its location at the neck of the fibula, it is superficial, on the surface of the bone, with less surrounding soft tissue and poor mobility, making it easily damaged at this location, such as:

　　1, Penetrating injury, fibular head fracture trauma, traction can damage the superficial and deep fibular nerves.

　　2, Compression: The common fibular nerve is most easily damaged where it wraps around the neck of the fibula, and prolonged squatting can cause it.

　　3, Lead poisoning, metabolic disorders (diabetes), connective tissue diseases (nodular polyarteritis) and leprosy, etc.

　　4, Splint, cast compression injury and surgical misinjury.

　　5, Knee ligament injury with common fibular nerve injury.

　　6, Long-term bed rest in critically ill patients can also cause injury to the lower limbs in an external rotation position.

　　1, Severe patients can ultimately lead to paralysis and atrophy of the fibular muscle and the anterior tibial muscle group, foot drop, gait with a crossover step, and disability from then on.

　　2, If caused by diabetes, it may be accompanied by diabetic foot, etc.

　　3, If caused by lead poisoning, it may be accompanied by epilepsy and incomplete intellectual development, etc.

　　4, Splint, cast compression injury and surgical misinjury

　　5, Knee ligament injury with common fibular nerve injury

　　6, Long-term bed rest in critically ill patients can also cause injury to the lower limbs in an external rotation position.

　　Patients present with inability to dorsiflex the foot and toes, foot drop, walking with the foot raised, toe first landing, gait with a threshold, and sensory disturbance in the anterior and lateral aspect of the lower leg and the back of the foot. It seriously affects the patient's daily life and should be treated in a timely manner.

　　1. Avoid trauma. Prevention is the main strategy.

　　2. Patients with foot drop and inversion can sprain the outer ankle when walking slightly, so patients should be educated to prevent secondary injury.

　　3. When applying plaster cast or splint fixation to treat tibial fractures, attention should be paid to adding cotton pads to protect the neck of the fibula to avoid iatrogenic injury.

　　4. Strictly follow the doctor's orders to restore the function of the affected limb as soon as possible.

　　Electrophysiological examination, through electromyography and evoked potential examination, to determine the extent and degree of nerve injury, the recovery after anastomosis, and the prognosis.

　　Firstly, dietary therapy for peroneal nerve damage

　　1. Peanut Leaf Tea

　　Take a moderate amount of fresh peanut leaves, boil the water and take the sweat before going to bed. 7 days is a course of treatment, and it is more effective in the 2nd to 3rd course.

　　2. Lotus Seed Tea

　　Take 30 lotus seeds, add a little salt, boil in water, take it before going to bed every night, and take it for 10 days consecutively.

　　Secondly, what foods are bad for peroneal nerve damage patients

　　1. Abstain from smoking and alcohol.

　　2. Try to eat less spicy food.

　　Peroneal nerve injury should be treated as soon as possible. Most can be repaired by direct nerve anastomosis. If there is a large nerve defect, consider using autologous peroneal nerve grafting for repair.

　　Clinical treatment shows that the effect of surgery within 3 months after injury is the best. Closed total peroneal nerve injury, although there is a possibility of spontaneous recovery, should be explored as soon as possible, and tension release, anastomosis, or nerve transplantation should be performed. If there is no recovery, the posterior tibial muscle can be transferred or a triple joint fusion can be performed to improve function.

　　Sensory disorders in non-weight-bearing areas can be untreated. To promote the recovery of nerve function, physical therapy, electrical stimulation, acupuncture, physical therapy, and B vitamins can be given.