novocaine) can be dripped into the carpal canal. When treatment is ineffective andprogressive atrophy of muscles, surgical decompression of nerve in the region of carpal canal is indicated.
Neuropathy of ulnar nerve
appears as a result of its injury or compression in theregion of elbow or, less frequently, radiocarpal joint. In its injury, resolve the injury,then carry out therapeutic gymnastics and massage; in tunnel neuropathy, thetreatment is the same, as carpal tunnel syndrome, and surgical decompression of nerve is also effective.
Neuropathy of radial nerve
usually appears after its injury (in fracture of humerus) or compression at the level of the lower divisions of humeral bone. At thelevel of brachial-axillary angle, compression of nerve can be caused by the incorrectuse of crutch. The lesion of nerve frequently develops acutely as a result of thecompression hand by head in the sleep, period of inconvenient pose (in alcoholicintoxication). Restoration with the injury occurs spontaneously after 2 months, withthe use massage and therapeutic gymnastics. If after 2 months, the restorationdoes not occur after injury, and also like tunnel neuropathy, surgical treatment isrecommended.
Neuropathy of ischial nerve
more frequently appears in the place of its passagethrough piriform muscle by mechanism of tunnel syndrome and is manifested bypain and paresthesias of leg and foot, and disturbance of the function of nerve ispossible. The palpation of piriformis muscle is painful with propagation of pain alongthe path of ischial nerve. The syndrome of piriformis muscle can be caused by the injury of sacral-iliac orbuttock region with post-traumatic spasm of muscle, and also by reflex muscletension during the compression, intervertebral disk of lower lumbar and first sacralof radix changed. In traumatic lesion, there is a possible spontaneous restorationafter 2 months, in spasm of piriformis muscle, novocaine blockade is used.
Neuropathy of femoral nerve
appears usually in the region of inguinal fold, as aresult of the injury (with formation of hematoma) or spontaneous hematoma, forexample, with the use of anticoagulants. The lesion of nerve is manifested by painin the inguinal region, which can spread to the anterior and medial surface of thigh,medial surface of leg and foot. The disturbance of nerve function appears in chroicdisease. Spontaneous restoration is possible after 2 months, with the use of therapeutic gymnastics and massage.
Neuropathy of n. cutaneus lateralis femoris (Rot disease)
appears in itscompression in the region of inguinal ligament, which more frequently caused byinjury, carrying of corset, bandage or tight belt or by the excess deposit of fat in thelower division of front abdominal wall and in thighs region, less frequent by tumor,ascites, and pregnancy. It is necessary to explain the reason for the compression of nerve and, if possibly, then remove it. In majority of cases, the disease does notcause serious sufferings to patient. In case of obesity, symptoms weaken withdecrease of mass of body. The introduction of local anesthetics and corticosteroidsinto the region of the passage of nerve at the level of front upper iliac crest can helpwith the expressed pain, in the rare cases surgical treatment is required.