Wieman T J, Patel V G
Department of Surgery, University of Louisville, Kentucky 40292, USA.
Ann Surg. 1995 Jun;221(6):660-4; discussion 664-5. doi: 10.1097/00000658-199506000-00005.
The authors evaluated the causal relationship between entrapment of the posterior tibial nerve and neuropathic pain and describe the results of nerve decompression in a selected group of patients with intractable pain.
Painful metabolic neuropathy has, until recently, been thought to be an irreversible and essentially untreatable complication of diabetes. Recent studies have shown that metabolic deterioration is only one component of the disease process.
A group of patients with intractable painful neuropathy and a positive percussion sign underwent posterior tibial nerve decompression.
Nerve decompression relieved the pain in the majority of treated patients. Return of other sensory function also was noted.
Painful diabetic neuropathy of the lower extremities is potentially reversible. It appears to be caused partially by nerve entrapment and can be reversed by decompression.
作者评估胫后神经卡压与神经性疼痛之间的因果关系，并描述一组顽固性疼痛患者的神经减压结果。
直到最近，疼痛性代谢性神经病变一直被认为是糖尿病不可逆转且基本无法治疗的并发症。最近的研究表明，代谢恶化只是疾病过程的一个组成部分。
一组患有顽固性疼痛性神经病变且叩击征阳性的患者接受了胫后神经减压术。
神经减压缓解了大多数接受治疗患者的疼痛。还注意到其他感觉功能的恢复。
下肢疼痛性糖尿病神经病变可能是可逆的。它似乎部分由神经卡压引起，减压可使其逆转。
