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Nerve entrapment, neuropathy, and nerve dysfunction in athletes

L C Schon1

  • 1Dance Medicine Clinic, Union Memorial Hospital, Baltimore, Maryland.

The Orthopedic Clinics of North America
|January 1, 1994
PubMed
Summary

Nerve entrapment in athletes is often missed, but usually resolves with conservative care. Surgery is rarely needed for persistent nerve dysfunction in the legs and feet.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Neurology

Background:

  • Nerve entrapment, neuropathy, and dysfunction in the lower extremities of athletes are frequently overlooked.
  • These conditions are often misdiagnosed due to a focus on more apparent musculoskeletal injuries.

Purpose of the Study:

  • To highlight the importance of recognizing and diagnosing nerve entrapment in athletes.
  • To outline the diagnostic and treatment approaches for peripheral nerve issues in athletic lower extremities.

Main Methods:

  • Review of common nerve entrapment and neuropathy conditions affecting athletes' legs, ankles, and feet.
  • Discussion of diagnostic considerations, emphasizing the distinction from musculoskeletal injuries.
  • Outline of conservative and surgical treatment strategies.

Main Results:

  • Conservative treatment, including local anesthetic and corticosteroid injections, often leads to resolution.
  • Tricyclic antidepressants may be used for severe, diffuse nerve irritability.
  • Surgery is indicated for well-localized findings unresponsive to conservative management, requiring minimal nerve manipulation.

Conclusions:

  • A thorough understanding of peripheral neuroanatomy is crucial for diagnosing and treating nerve entrapment in athletes.
  • Early recognition and appropriate management are key to successful outcomes for nerve dysfunction in athletic lower extremities.

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