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Common peroneal neuropathy secondary to squatting during childbirth
M Babayev1, M P Bodack, C Creatura
1Department of Rehabilitation Medicine, The New York Hospital-Cornell University Medical Center, New York, USA.
Background:
Common peroneal neuropathy occurs fairly frequently in the adult population; however, very few cases of peroneal neuropathy after prolonged squatting have been reported.
Case:
A 29-year-old woman noted right foot numbness and weakness immediately after childbirth, which involved 15-30 minutes of pushing in a squatting position. Physical examination and an electrodiagnostic study confirmed a common peroneal neuropathy. The patient was referred for rehabilitation, including bracing and gait training, which improved substantially her mobility and function.
Conclusion:
Prolonged squatting should be minimized or avoided. A high index of suspicion for peroneal neuropathy after prolonged squatting must be present. Early diagnosis and treatment may limit the number of complications in these patients, particularly falls.