In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, cover the intricacies and surgical treatment of fibular nerve release, a crucial procedure for patients experiencing various complications often associated with nerve entrapments in the lower limbs. They discuss the nitty-gritty of podiatric surgery, specifically the peroneal, or technically the fibular nerve, and its susceptibility to injury or entrapment. Doctors Dauphine and Hussein then discuss the surgical nuances of nerve release, providing critical insights into how such procedures substantially improve patient outcomes.

Quotes

• "Nerve flossing is a really great technique. We'll get folks into the physical therapists and have them start nerve-flossing as quickly as we can. Usually, right after we get the stitches out at two weeks.” -Dr. Raafae Hussain

• “You've got to always keep in mind that when patients are complaining of burning, stabbing, shooting pain, tightness at nighttime, that is nerve-related pain for sure.” -Dr. Damien Dauphinee

Top Takeaways:

• Fibular nerve release is improving patient outcomes, with modern technology playing a pivotal role.
• Detailed nerve anatomy understanding and careful surgical techniques are essential for the successful treatment of the fibular nerve and its branches.
• The surgical approach to decompressing the fibular nerve involves meticulous dissection 
• Diagnostic blocks are a helpful tool in identifying specific nerve entrapments that could contribute to conditions like restless leg syndrome (RLS).
• Nerve flossing is crucial to prevent adhesions and maintain nerve health.

What You Will Learn:

• Surgical procedures to address nerve entrapment
• Using diagnostic blocks as a tool
• How the application of protective materials like umbilical cord tissue prevent scarring and promote healing
• Postoperative care that encourages movement

Resources:

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