Outcomes of lower extremity peripheral nerve decompressions in the setting of radiculopathy

Abstract

There have been volumes of literature published evaluating “Double Crush Syndrome” (DCS) and nerve pain treatment options, with little data centered on neuropathy specifically of the lower extremity. “Double Crush Syndrome” references a compression at two or more locations across a peripheral nerve that can synergize symptoms. Many surgeons will not attempt procedural treatment of this patient population due to the belief of a high risk-reward ratio. The objective of this case series is to evaluate patients suffering from lower extremity peripheral nerve entrapment and the impact of lower extremity nerve decompressions in the setting of radiculopathy. Twenty-seven patients treated with lower extremity nerve decompressions were followed for a minimum of 3 years. Outcomes were measured by subjective overall improvement in neuropathic pain. Twenty-five patients experienced pain relief post-operatively, including two patients who underwent a subsequent soleal sling tibial nerve decompression which improved their outcome. Two patients experienced no pain relief, though did not report an increase in their pain.