Peroneal Nerve Injury

The peroneal nerve is a branch of the sciatic nerve which runs down the outside of the lower leg, serving the peroneal muscles which help pull the foot upwards and inwards.

Peroneal nerve injury symptoms

Symptoms of a peroneal nerve injury, also known as peroneal neuropathy include numbness or tingling in the front and or side of the lower leg. There will be decreased sensitivity when touching these areas. Weakness in lifting the foot upwards and turning it outwards may be experienced and in severe cases - foot drop  will occur where the foot cannot be lifted up enough to clear the floor when walking. A slapping gait may be seen as the foot slaps on the ground when walking.

Causes of peroneal nerve injury

Crossed legsThis nerve may be injured in a number of ways including injury to the outside of the knee where the nerve is very close to the skin. Swelling, inflammation or infection can also injure the peroneal nerve as can repeated pressure on the outside of the knee from for example sitting with legs crossed in tight clothing. Other injuries can result in nerve injury such as a fracture of the fibula or more seriously a dislocated knee. Damage can also occur during surgery.

Similar symptoms may be present due to compression of the nerve at a higher level, usually either at the nerve root in the lumbar spine (L4 - S3) or in the buttocks.

Treatment of peroneal nerve injuries

Treatment depends on the cause of the injury. Peroneal nerve symptoms caused by an acute injury to the outer knee may resolve once the knee injury has healed and any swelling or pressure on the nerve has dispersed. If injury is caused by repetitive compression then this should be addressed.

Symptoms caused by damage to the nerve itself (i.e. from a fracture or dislocation) are more difficult to treat, although in all but the most severe cases, the damage will usually heal itself, although this can be a very slow process. In the meantime, physical therapy may be beneficial in improving muscle strength and control. Exercises to stretch and strengthen the muscle of the lower leg may help improve the condition.