Multiple Crush Concept Applied to Multiple Nerves in Leprous Neuropathy

Research output: Contribution to journalReview articlepeer-review

Abstract

There is a large reservoir of leprosy patients, no longer contagious, due to multidrug therapy, who are considered cured and are becoming increasingly disabled due to progressive chronic nerve entrapment in the upper and lower extremities. After a review of the history of understanding leprous neuropathy, an approach is outlined based on the approach taken to relieve pain and restore sensation that prevents ulcers and amputations in diabetics with neuropathy and superimposed nerve compressions. The results of the first application of this approach in an indigenous area for leprosy, Guayaquil, Ecuador, is discussed with implications for international care of this neglected patient population.

Original languageEnglish (US)
Pages (from-to)203-217
Number of pages15
JournalClinics in Podiatric Medicine and Surgery
Volume33
Issue number2
DOIs
StatePublished - Apr 1 2016

Keywords

  • Leprosy
  • Nerve compression
  • Neurolysis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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