Nerve Injuries Physiotherapy Treatment

Nerve Injuries Causes

  • General causes: metabolic diseases, collagen diseases, malignancies, endogenous or exogenous toxins, thermal chemical ofr mechanical trauma.
  • Local cause: 40% of bone and joint injuries

Nerve Injuries Type

Primary: injury to peripheral nerve resulting from same trauma of injured bone.

Secondary: due to involve of the nerve
in infection,scar, callus,etc.

INCIDENCE OF PERIPHERAL NERVE INJURIES

1.Radial nerve is commonly injured

2. Ulnar nerve 30 %

3. Median nerve 15%

4. Peroneal nerve

5. Lumbosacral plexus 3%

6. Tibial nerve

TYPICAL DEFORMITY ASSOCIATED WITH NERVE INJURIES

  • Wrist drop- radial nerve injury
  • Claw hand- ulnar nerve injury
  • Foot drop- lateral popliteal nerve injury
  • Ape thumb- median nerve injury
  • Winging of scapula- thoracodorsal nerve injury
  • Pointing index- median nerve injury
  • Policeman tip- brachial plexus injury

 

Nerve Injuries Physiotherapy Measures

  • Splinting of limbs
  • Passive movements of all joints are done to prevent contracture
  • Massage ,exercises, stimulation
  • Care of skin: especially the anaesthetic skin to prevent pressures sores