Table 3 Suggestions on patients' management
First Evaluation | After the establishment of the diagnosis of peroneal nerve mononeuropathy | Preventive means |
|---|---|---|
Detailed history; overcome obstacles in communication (onset of symptoms, weight loss, tendency to retain prolonged postures, e.g. squatting, legs crossed, is the patient bed-bound) | If exclusive or predominant demyelination: Conservative treatment (appropriate diet, mobilization physiotherapy) | Information of medical and nursing staff in psychiatric units |
Complete clinical neurological examination | If predominantly axonal lesion and/or anatomical causes: Reference to qualifying centre for surgical repair (e.g. neurolysis) Physiotherapy (approximately 3 weeks after the surgery) Clinical outcome evaluation-follow up after 6 months If not satisfied with the clinical outcome, consideration for additional surgical management (e.g. tendon transfer) | Patients' weight monitoring, establishment of well-balanced, nutritious dietary plan |
Reference for neurophysiological and electromyographic examination | Â | Mobilization of patients and avoidance of prolonged postures |