Tibial nerve, tibial nerve neuritis
Tibial nerve (n. tibialis) — is a mixed function (is also responsible for the movement and sensitivity) nerve. Tibial nerve is the other main branch of the sciatic nerve. Tibial nerve consists of fibers from L4 to S3 spinal nerves.
Functionally tibial nerve is largely antagonist of peroneal nerve (n. fibularis). Tibial nerves motor fibers innervate flexor muscles of the feet, toes and muscles, rotating the foot inside.
Formation of the tibial nerve originates from the sciatic nerve.
Tibial nerve sensory fibers innervate the back of the legs, soles and plantar surface of the finger, calling at the rear surface of the terminal phalanges and the outer edge of the foot, consisting of fibers of the peroneal and tibial nerves.
The damage of the tibial nerve (neuritis of the tibial nerve) causes paralysis of the flexor foot and toes (plantar flexion) and turn the foot inwards. Achilles reflex in the tibial nerve neuritis lost.
Sensory impairments in the tibial nerve neuritis occur on the back of the leg, soles, plantar surface of the fingers on the rear of the terminal phalanges. Joint-muscular sense in the toes at safety function of the peroneal nerve did not suffer (it is broken only by the joint lesions of both nerves, ie, peroneal and tibial or the main trunk of the sciatic nerve).
Diagnosis of the level of damage to the tibial nerve in neuritis produced by ENG.
Muscle atrophy in tibial nerve neuritis is usually significant and relate to the back of leg muscles and foot (arch depth, retraction intertarsal intervals). The foot is in the extension. Gait is difficult, but less than hanging "peroneal" foot, in which case the patient is on the heel by the available traction of the foot.
Tests to determine the movement disorders in neuritis tibial nerve are:
- Impossibility of flexion (plantar) of the foot and toes and feet turning inwards.
- Inability to walk on their toes.
Pain in neuritis tibial nerve (and its fibers in the sciatic nerve) are often very intense.
Injured the tibial nerve and its bundles in the trunk of the sciatic nerve can cause kauzalgichesky syndrome. Vasomotor, secretory, trophic disorders and usually significant. In this regard, there are some similarities tibial nerve with the median nerve.
Traumatic neuritis of the tibial nerve may occur in fractures of the tibia.
Treatment of tibial nerve neuritis chosen individually in each case. It includes a set of conservative procedures:
- stimulation of nerve and muscle
- vitamin B, "C" and "E"
- antiviral drugs
- homeopathic remedies
- surgery (neurolysis, nerve trunk cross-linking, etc.)
The use of acupuncture is very effective in the treatment of neuritis of the tibial nerve.
Neurostimulation (physiotherapy) eliminates paresthesias and pain, restores power in the muscles during tibial nerve neuritis.
If you have any questions about the diagnosis or treatment of neuritis of the tibial nerve, you can specify them with our neurosurgeon or a neurologist on the phone: (499) 130–08–09
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Eyeball and visual pathway:
- Peripheral neuropathies (neuritis):
- Facial nerve neuropathy (neuritis), Bell's palsy
- Median nerve neuropathy (neuritis)
- Peroneal nerve neuropathy (neuritis)
- Radial nerve neuropathy (neuritis)
- Sciatic nerve neuropathy (traumatic neuritis)
- Tibial nerve neuropathy (neuritis)
- Trigeminal nerve neuropathy (traumatic neuritis)
- Ulnar nerve neuropathy (neuritis)
- Neuropathy and polyneuropathy (alcoholic, diabetic)
- Optic nerve and retina diseases:
- Opto-chiasmatic arachnoiditis (optic chiasm)
- Pain in the arm and neck (trauma, osteochondrosis)
- Sciatica, leg pain (hernia and protrusion of the disc)
- Traumatic neuropathies (neuritis)
- Trigeminal neuralgia
- Tumors of peripheral nerves