Coventry University – International School of Physiotherapy, Gokula Education Foundation, M.S.R Nagar, MSRIT Post, Bangalore, Karnataka 54, India.
Physiother Theory Pract. 2012 Oct;28(7):552-61. doi: 10.3109/09593985.2011.653709. Epub 2012 Feb 2.
This case report describes a 40-year-old male who presented with complaints of pain in the left lower lateral one-third of the leg. Tenderness was elicited 9.7 cm above the lateral malleoli with a positive Tinel's sign at the same site causing radiating pain into the foot (visual analog scale (VAS) score of 6.3 cm). Physical diagnosis for entrapment of the superficial peroneal nerve at the site of the peroneal tunnel was entertained based on clinical examination and three positive provocation tests. Conventionally, treatment for this type of entrapment has been surgical decompression by splitting the crural fascia, with successful outcomes. This is potentially a first-time report describing physical therapy management of entrapment mechanical interface with pain modalities, soft tissue mobilization, and neural mobilization. Reduction of pain was noted in this patient (VAS score of 0 cm by the sixth session) with complete pain resolution maintained at a six-month follow-up.
本病例报告描述了一位 40 岁男性，主诉左腿外下三分之一疼痛。在外踝上方 9.7 厘米处出现压痛，并在同一部位出现阳性 Tinel 征，引起放射痛至足部（视觉模拟评分（VAS）为 6.3 厘米）。根据临床检查和三项阳性激发试验，考虑诊断为腓骨肌间室综合征导致的腓浅神经在腓骨肌间室处受压。传统上，这种类型的受压的治疗方法是通过切开小腿筋膜进行手术减压，取得了良好的效果。这是首次描述通过疼痛模式、软组织松解和神经松动来治疗机械性界面压迫的物理治疗管理。该患者的疼痛得到缓解（第六次治疗时 VAS 评分为 0 厘米），在六个月的随访时完全缓解。
