Best Practice Case Studies-Lower Extremity Neuropathie

Video Transcription

Video Summary

In this lecture, presented by Dr. Gary Ho and moderated by Julie Creech-Organ, peripheral neuropathies of the lower extremity in sports medicine are discussed. Dr. Ho, with extensive background in family and sports medicine, elaborates on diagnosing and treating these neuropathies, serving as an adjunct educational resource for fellows, while aiding CAQ board preparation. The lecture touches on the differential diagnosis of neuropathies, from the anatomy and pathophysiology to specific lower extremity cases like entrapments involving the ilioinguinal, obturator, and saphenous nerves, among others.<br /><br />Key teaching points included the differentiation between neuropraxia, axonomesis, and neurotmesis, crucial for evaluating nerve injuries' severity and prognostication. Ultrasound and EMGs are highlighted as diagnostic modalities alongside others, focusing on the importance of a thorough clinical exam and considering a patient's overall metabolic health. Dr. Ho introduces the five Rs—rest, relieve, rehabilitate, release, and regenerate, emphasizing non-operative treatments like nerve hydrodissection and orthobiologics as viable therapies.<br /><br />The lecture also covers nerve glide exercises, appropriate diagnostic tests, and when to consider surgical options. Throughout, Dr. Ho stresses the relevance of understanding the biomechanics of nerve injuries and noting symptoms often mimicking other conditions. He illustrates these points with videos, images, and case studies, providing a comprehensive overview of the treatment and management of sports-related peripheral neuropathies.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 04

Topic Ankle

Keywords

3rd Edition, CASE 04

3rd Edition

Ankle

peripheral neuropathies

lower extremity

sports medicine

Dr. Gary Ho

diagnosing neuropathies

nerve injuries

differential diagnosis

ultrasound

nerve hydrodissection

nerve glide exercises

biomechanics