Treatment

In the treatment of peroneal paresis, the therapist always considers the patient’s entire static condition. Due to the compensatory movement in peroneal paresis, the patient may show a false rotation in the pelvic region or put significantly more stress on one side of the body. This malposition is improved by appropriate mobilization and soft tissue techniques.

Furthermore, the entire leg musculature should be strengthened. PNF (Proprioceptive Neuromuscular Facilitation) grip techniques are very well suited for this purpose, as the activity of the foot lifter muscles can be increased in this way. If there is a disorder in the lumbar spine area that causes the peroneal nerve to become trapped, this area should be treated with specific physiotherapy.

This involves releasing the pressure on the nerves by traction (pulling). The area should also be mobilized to improve blood circulation and mobility in the segments. Mirror therapy and stimulation of the peroneal nerve by various stimuli are also suitable for peroneal paresis.

Exercises

Active exercises with the foot are particularly suitable as exercises for peroneal paresis.

The patient tries to actively lift the foot as often as possible. If direct control is not possible, the patient can achieve an irritation of the nerve that supplies the affected foot by simply imagining the pulling up.
In addition, it is important to point out to the patient a proper gait pattern, which he can control and improve again and again in his everyday life.
The patient can also practice ascending and descending on a box, especially with stabilization of the affected leg, on stairs in his own home, provided that he can secure himself.
General strengthening exercises such as quadruped stand, side support, hand support, forearm support strengthen the entire trunk musculature. Balance and coordination are also trained.
Exercises from PNF (Proprioceptive Neuromuscular Facilitation) are also very effective in neurological disorders such as peroneal paresis. The concentration on movement patterns of the pelvis (pelvic patterns) helps to improve muscle tone.Strengthening exercises of the play and support leg phase ensure strengthened muscle activity.
In addition, the patient should generally train the entire leg muscles. Lunges, knee bends, leg press, abductor/adductor devices are suitable for this. Exercises on uneven surfaces such as nodding pillows, spinning tops, large mats, nodding boards are especially important to train balance and stimulate the nervous system.