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Ankle & Foot Related Neuropathy

ICD 10 - G90.09

Nerves are the internal electrical wiring system by which messages are carried between the body and the brain. Nerve injuries can result in muscles not working properly and becoming excessively rigid, flaccid or unstable and uncontrollable. Ankle and foot neuropathy related to diabetes and congenital disorders are reviewed in greater detail in their respective study pages.

Symptoms:

• Lack of conscious control over the limb
• Weakness of the limb
• Numbness and tingling of limb
• Excessive flaccidness or rigidness of local surrounding muscles
• Excessive wearing of the foot due to shifts in pressure during physical activity

Diagnosis:

Clinicians will observe and take note of the patient’s medical history. The clinician will perform an examination to test for sensory sensitivity, patient reflexes, pain and balance. Neurological testing is also likely to be ordered.

Treatment:

In severe cases of nerve damage, surgery is usually a requirement to sew together split nerves to provide the possibility of healing and prevent neuromas. If the nerve insulation is intact, it’s possible for the nerve to heal on its own. Physical therapy, orthotics and braces are likely to be prescribed to maintain joint flexibility and muscle strength prior and after surgery and treatment.

Sources:

https://orthoinfo.aaos.org/en/diseases--conditions/nerve-injuries/ 
https://www.foothealthfacts.org/conditions/diabetic-peripheral-neuropathy