34-1 Microneurosurgery



» Chronic pain is a common and unfortunate complaint in patients with lower extremity pathology.

Peripheral nerve pathology can often be perplexing and go undiagnosed. These patients may have a sudden onset of symptoms after a new exercise routine, motor vehicle collision, history of trauma or a prior surgery. Neuropathic symptoms are debilitating to patients, affecting their activities of daily living and quality of life. Patients are looking for answers to the cause of their pain and the treatment options available to them. Consults to other services are often necessary to determine the etiology of the pain. A multidisciplinary, interprofessional approach is needed in order to ensure that the provider has all the pertinent information required to address the peripheral nerve injury. The condensations and commentaries within this issue take a close look at some of the cutting-edge surgical options currently available.

Podiatric literature has historically focused on orthopedic pathology, in which patients have an abundance of musculoskeletal abnormalities. As a result, the peripheral nerve and plastic surgery literature does not have as large of a presence within the podiatric journals, although patients can have concomitant orthopedic and lower extremity peripheral nerve pathology diagnoses.

I am honored to be the Guest Editor for this issue of Foot and Ankle Quarterly on Microneurosurgery, and am immensely grateful for the support from the Editor-in-Chief, Dr. Stephanie Wu and my colleagues at the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, for contributing their time and input to this important subject. Our goal is to bring awareness to lower extremity peripheral nerve pathology, tips and pearls to clinically assess, identify and address a peripheral nerve injury, and to introduce knowledge of the surgical options available.

Lauren L. Schnack, DPM, MS, AACFAS, FACPM



In this Issue:

  • FEATURE ARTICLE: The Influence Peripheral Nerve Surgery on Chronic Pain
    Lauren L. Schnack, DPM, MS
    • Implantable Neuromodulation Device in the Lower Limb: An Adjunctive Procedure in Patients with Continued Chronic Pain after Failed Revisional Microneurosurgical Procedure in a Nonreconstructable Zone of Injury
      Commentary by Erin Klein, DPM
    • Evaluation and Treatment of Foot Drop Using Nerve Transfer Techniques
      Commentary by Ashka Trivedi, DPM
    • An Updated Nerve Sparing Surgical Technique for Addressing Morton’s Neuroma
      Commentary by Leland Jaffe, DPM
    • Surgical Treatment Protocol for Peripheral Nerve Dysfunction of the Lower Extremity: A Systematic Approach
      Commentary by Qeena C. Woodard, DPM
    • Conduit-Assisted Allograft Neurorrhaphy for the Treatment of Intractable Lower Extremity Pain Due to Neuromas-in-Continuity
      Commentary by Sitong (Tom) Chen, DPM
    • Regenerative Peripheral Nerve Interface for the Treatment of Iatrogenic Neuroma-in-Continuity Cases in the Foot: Two Case Reports
      Commentary by Qeena C. Woodard, DPM
    • Reset Neurectomy for Cutaneous Nerve Injuries
      Commentary by Ashka Trivedi, DPM
    • Saphenous Nerve to Posterior Tibial Nerve Transfer: A New Approach to Restore Sensations of Sole in Diabetic Sensory Polyneuropathy
      Commentary by Darrell R. Latva, DPM
    • Damage to the Superficial Peroneal Nerve in Operative Treatment of Fibula Fractures: Straight to the Bone? Case Report and Review of the Literature
      Commentary by Pratibha Patel, DPM
    • Targeted Muscle Reinnervation in the Lower Leg: An Anatomical Study
      Commentary by Edgardo R. Rodriguez-Collazo, DPM
  • AUDIO LECTURE 1: Identifying Lower Extremity Peripheral Nerve Pathology in the Office
    Lauren L. Schnack, DPM, MS
  • AUDIO LECTURE 2: Surgically Addressing Peripheral Nerve Pathology
    Lauren L. Schnack, DPM, MS