Peroneal Nerve Surgery

At The Nerve Surgery Centre, peroneal nerve surgery is one of several specialised procedures offered to treat conditions such as peroneal neuropathy, nerve compression, and common peroneal nerve palsy. Peroneal nerve compression or injury can result in symptoms like pain in the top of the foot and outer side of the lower leg, numbness, foot drop and foot weakness. The symptoms are caused by compression of the peroneal nerve in the peroneal (also known as fibular) tunnel on the outer side of the knee. 

Our highly qualified and experienced surgeon, Mr Tomas Madura, a leading peripheral nerve specialist, is dedicated to providing top-quality care for patients suffering from nerve-related issues, ensuring that surgical treatments like peroneal nerve decompression surgery are carried out with precision and expertise.

Patients experiencing common peroneal nerve compression or palsy can benefit from our comprehensive approach, which includes advanced diagnostics, nerve dissection, and decompression surgical techniques. At our centre, we aim to restore function and sensation in the affected muscles and nerves, reducing the pain and limitations caused by peroneal nerve injury. Our team ensures that every patient receives thorough care, from pre-surgical assessments to post-surgery therapy, helping them overcome symptoms such as weakness and foot drop. You can learn more about our nerve surgery services and explore the expertise of Mr Madura, our peripheral nerve specialist.

Peroneal nerve surgery becomes necessary when non-surgical treatments are insufficient to alleviate the symptoms caused by peroneal nerve compression or peroneal neuropathy. Common symptoms that may indicate the need for surgery include persistent pain in the top of the foot and outer side of the leg, burning and pins and needles in the same areas, foot drop and foot weakness. These symptoms often result from compression of the peroneal nerve near the fibular head or knee.

When the common peroneal nerve is compressed, patients may experience pain, burning, numbness and difficulty lifting the foot, a condition known as foot drop. This can severely impact mobility and quality of life. While conservative treatments like physical therapy or orthotic devices can help some patients manage the condition, surgery is often required when these approaches do not resolve the underlying nerve compression.

Peroneal nerve decompression surgery is typically recommended in cases of severe or prolonged nerve compression or in patients with peroneal nerve injury. The surgical procedure involves relieving pressure on the nerve to restore function and prevent further damage.

For many patients, surgery offers the best chance to get rid of the pain, regain muscle strength and improve mobility, making it an essential option for those experiencing these significant nerve-related symptoms.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

Before considering peroneal nerve surgery, non-surgical alternatives may be explored to manage the symptoms of peroneal nerve compression and foot drop. Physical therapy is often the first line of treatment, focusing on strengthening the leg muscles and improving range of motion. Through targeted exercises, patients can enhance their mobility and reduce the impact of nerve compression on their daily activities.

In some cases, the use of orthotic devices, such as an ankle-foot orthosis (AFO), can provide additional support to the foot and help manage foot drop. These devices assist with lifting the front part of the foot, reducing the risk of tripping and improving walking stability.

Pain management techniques, including anti-inflammatory medications or nerve blocks, may also help alleviate discomfort and inflammation around the compressed nerve. For patients whose symptoms are mild or have developed recently, these non-surgical interventions can be effective in managing the condition without the need for surgery.

However, if the symptoms persist or worsen over time, surgical intervention may be necessary to fully address the nerve compression. In such cases, nerve decompression surgery may offer long-term relief and restore function to the affected muscles and nerves.

Peroneal nerve decompression surgery is a specialised procedure designed to relieve the pressure on the common peroneal nerve, particularly in cases where non-surgical treatments have not provided sufficient relief. The surgery typically involves making a small incision near the fibular head on the outer side of the knee to access the compressed nerve. The surgeon carefully performs a dissection to free the nerve from surrounding structures, such as fibrous tissue or muscles, that may be causing the compression.

Once the nerve is released, the pressure is alleviated, allowing it to function properly. The surgery aims to relieve pain, restore sensation, and improve muscle strength, particularly for patients experiencing foot drop or weakness in the foot. Peroneal nerve decompression surgery is usually performed as an outpatient procedure, meaning patients can go home the same day.

During recovery, patients are advised to limit activities for the first six weeks after surgery to ensure proper healing and reduce the risk of complications. While some temporary numbness or discomfort may occur post-surgery, most patients experience a significant improvement in their symptoms over time. It usually takes in excess of three months for the benefits of the surgery to be realised and if the foot drop was long standing the return of the function may take even longer and may not lead to a complete return of movement.

Preparing for peroneal nerve surgery involves several important steps to ensure a smooth and successful procedure. During your consultation, your surgeon will review your medical history and conduct a thorough examination to assess the severity of your peroneal neuropathy or nerve compression. This may include imaging tests, such as an MRI, to precisely identify the location and cause of the compression.

Before surgery, patients will receive detailed instructions on how to prepare, which may include fasting before the procedure and avoiding certain medications. It’s crucial to follow all pre-operative guidelines to minimise the risk of complications.

After surgery, patients will need to limit physical activities for the first six weeks, allowing the nerves and surrounding tissues to heal properly. Your surgeon will provide advice on managing discomfort and preventing complications during the recovery phase. In addition, follow-up appointments will be scheduled to monitor your progress and ensure a positive outcome.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

The long-term outcomes of common peroneal nerve decompression surgery are typically positive, with most patients experiencing substantial relief from symptoms like pain, numbness and foot weakness. By alleviating the pressure on the peroneal nerve, the surgery helps to restore function and improve sensation in the leg and foot.

Although the recovery process can take several months, most patients see gradual improvements in their mobility and muscle strength. Regular follow-up visits with the surgeon are important to track recovery progress and address any concerns. In some cases, physical therapy may be recommended to further enhance muscle strength and nerve function, helping patients return to their normal activities.

While every patient’s recovery experience is unique, peroneal nerve decompression surgery offers a long-term solution for those suffering from nerve compression, helping them regain independence and improve their quality of life.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

At The Nerve Surgery Centre, peroneal nerve decompression surgery is performed by Mr Tomas Madura, a renowned peripheral nerve surgeon with vast experience in treating nerve injuries. Mr Madura’s expertise in nerve decompression surgery has helped numerous patients overcome the debilitating effects of peroneal nerve compression, foot drop, and peroneal neuropathy.

Mr Madura’s surgical approach is tailored to each patient’s specific needs, ensuring that the nerve decompression is carried out with precision and care. His commitment to delivering the highest standard of care has earned him a reputation as a leading surgeon in the field of peripheral nerve surgery.

The recovery process following peroneal nerve surgery is critical to achieving the best possible outcome.. Physical therapy is often a key component of the recovery plan, helping to rebuild muscle strength,restore function in the foot and leg and prevent scarring around the released nerve, which could lead to the recurrence of the problem.

Many patients experience significant improvements in symptoms such as pain, numbness and foot drop as the nerve heals. However, full recovery may take several months, depending on the severity of the nerve compression and the patient’s overall health. Throughout the recovery period, follow-up appointments with the surgeon will ensure that the nerve is healing properly and that any post-surgical complications are addressed promptly.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

How serious is peroneal nerve damage?

Peroneal nerve damage can range from mild to severe, depending on the extent of the injury and compression. Mild cases may cause temporary numbness or weakness, while more serious damage can lead to long-term issues like foot drop, chronic pain, and loss of sensation. If left untreated, severe peroneal nerve damage can significantly impair mobility, making daily activities challenging. Early intervention, such as nerve decompression surgery, is critical to prevent permanent damage and improve long-term outcomes.

How long is recovery from peroneal nerve surgery?

The recovery time from peroneal nerve surgery varies depending on the individual and the severity of the nerve damage. Most patients can expect to limit activities for the first six weeks after surgery, allowing the nerve to heal properly. Full recovery, including regaining strength and sensation in the affected muscles, can take several months and may be incomplete, depending on the level of preexisting damage. Physical therapy often plays a key role in speeding up recovery and helping patients regain full mobility.

Can you walk after peroneal nerve surgery?

Yes, most patients can walk after peroneal nerve surgery, although they may need to limit their activity during the initial recovery phase. Depending on the extent of the surgery and nerve damage, patients may require assistive devices, such as ankle foot orthosis (AFO). As healing progresses and strength returns, walking becomes easier. Physical therapy can also help improve mobility and reduce symptoms like foot drop.

How to repair peroneal nerve damage?

Repairing peroneal nerve damage depends on the severity and cause of the injury. For mild cases, non-surgical treatments like physical therapy and orthotic devices can help restore function. In more serious cases, peroneal nerve decompression surgery may be necessary to relieve pressure on the nerve and restore normal function. Post-surgery, rehabilitation exercises and physical therapy are essential to strengthen the muscles and improve mobility. In  the most severe cases, additional procedures, such as tendon transfers may be required to restore the palsy.

What is the cost of peroneal nerve decompression surgery?

The cost of peroneal nerve decompression surgery can vary based on the complexity of the procedure and the patient’s individual needs.

What are the complications of peroneal nerve decompression surgery?

Complications are rare but may include infection, delayed healing, failure to resolve the pain, numbness and paralysis. There is a very small chance of nerve getting injured during the procedure, which is however very unlikely, but could lead to worsening of the symptoms. A further rare postoperative complication is the chronic regional pain syndrome (CRPS), where not only the are where the surgical cut was done is painful but all of the lower leg and foot. This will require use of special painkillers to treat neuropathic pain and make take months to resolve. Following post-operative care instructions is crucial to minimising these risks.

What type of anesthesia is used for peroneal nerve decompression surgery?

The procedure is typically performed under general anesthesia but a use of regional anesthesia is possible, depending on the patient’s condition and the surgeon’s recommendation.

Are exercises important after peroneal nerve surgery?

Yes, exercises are essential to recovery. Physical therapy, including specific peroneal nerve release exercises, helps restore strength and function in the affected muscles.

Can nerve decompression surgery help with foot drop?

Yes, peroneal nerve decompression surgery is often performed to treat foot drop by relieving pressure on the nerve, allowing the muscles to regain strength and mobility.

To book your initial consultation with us simply click here email info@nervesurgery.uk or call 07340 651908

Mr Tomas Madura MD(Hons), PhD, FRCS(Plast), is a highly experienced Consultant Plastic Surgeon specialising in hand and peripheral nerve surgery, with over two decades in the medical field. He has been a Consultant at the Birmingham Hand Centre and Brachial Plexus and Peripheral Nerve Injury Service at the Queen Elizabeth Hospital in Birmingham since 2017. Mr Madura’s distinguished career includes a PhD in Neurobiology from Osaka University, multiple fellowships in reconstructive microsurgery and peripheral nerve surgery, and numerous contributions to research in the field of nerve injuries and paralysis.

He is a Fellow of the Royal College of Surgeons of Edinburgh and a full member of several prestigious organisations, including the British Association of Plastic Reconstructive and Aesthetic Surgeons and the British Society for Surgery of the Hand. Mr Madura has been recognised with the Syme Medal for outstanding contributions to surgical research.

For more information, please visit his About page.

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