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Common peroneal nerve block for sciatica

K Tajiri1, K Takahashi, K Ikeda

  • 1Department of Orthopaedic Surgery, Tsuruga City Hospital, Japan.

Clinical Orthopaedics and Related Research
|April 1, 1998
PubMed
Summary

Common peroneal nerve block effectively reduced lower leg pain in patients with lumbar disc herniation. This suggests distal nerve impulses play a role in sciatic radicular pain generation.

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Area of Science:

  • Neurology
  • Pain Management
  • Orthopedic Surgery

Background:

  • Sciatic radicular pain is a common symptom of lumbar disc herniation.
  • The precise mechanisms generating this pain, particularly the role of distal nerve impulses, require further elucidation.

Purpose of the Study:

  • To evaluate the efficacy of a common peroneal nerve block in alleviating pain associated with lumbar disc herniation.
  • To investigate the contribution of distal nerve impulses to the generation of sciatic radicular pain.

Main Methods:

  • A double-blind study was conducted involving patients with lumbar disc herniation.
  • Common peroneal nerve blocks were administered near the fibular head using either 2% lidocaine or a saline placebo.
  • Pain scores and straight leg raising test results were recorded and compared between groups.

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Main Results:

  • The lidocaine group showed a significant reduction in average pain scale scores (3.1 to 0.6) compared to the placebo group (3.0 to 2.6).
  • Improvement in straight leg raising test results was more pronounced in the lidocaine group (61 to 84 degrees) than in the placebo group (44 to 50 degrees).
  • Lower leg pain reduction was greater in patients who received the lidocaine block.

Conclusions:

  • Common peroneal nerve block is an effective intervention for reducing lower leg pain in lumbar disc herniation.
  • The study suggests that nerve impulses transmitted distal to the lumbar lesion are significant contributors to sciatic radicular pain.