Tibial Nerve Injury Caused by Below-Knee Compression Stockings

• Autor(a) principal: Albuquerque, Nelson Ferreira; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal
• Data de Publicação: 2021
• Outros Autores: Peixoto, Irina; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal, Félix, Tiago; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal, Vaz, Mário; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal, Lopes, Bruno; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal, Coutinho, David; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal, Caldas, Jorge; Serviço Medicina Física e Reabilitação, Hospital de S. Teotónio, Viseu, Portugal
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25759/spmfr.334
• topic: Peripheral Nerve Injuries/diagnostic imaging; Peripheral Nerve Injuries/therapy; Stockings, Compression; Tibial Nerve/injuries; Lesões dos dos Nervos Periféricos/ diagnóstico por imagem; Lesões dos dos Nervos Periféricos/tratamento; Meias de Compressão; Nervo Tibial/lesões

Introduction: Peripheral mononeuropathies are one of the leading causes of access to health care.Case Report: A 70-year-old woman felt non-specific pain in the popliteal region. After the exams, it was thought to be a radiculopathy. Therefore, the patient was medicated with muscle relaxants and anti-inflammatories without improvement of complaints, though. On examination, she had apparent pain during palpation of the semitendinosus and semimembranosus tendons. This way, it was decided to make an ultrasound scan of the popliteal region, being verified that the tibial nerve had an increased dimension in comparison to the contralateral one. The patient reported that, for the past two months, she had been using elastic stockings up to the knee region. A nerve block was performed with lidocaine, which led to a successful regression of the symptomatology.Discussion: Tibial nerve lesions tend to be uncommon as opposed to peroneal nerve lesions, since it is found in a relatively deep region.Conclusion: This case report highlights the importance of having a good clinical history combined with a detailed physical examination and the valuable details given by the ultrasound analysis at the time of the evaluation, in order to complement the data collected. Keywords: Peripheral Nerve Injuries/diagnostic imaging; Peripheral Nerve Injuries/therapy; Stockings, Compression; Tibial Nerve/injuries.