Double Crush Syndrome
Once a nerve is damaged, it becomes more susceptible to injury elsewhere. The concept remains controversial e.g.
a. a pinched nerve in the neck from a herniated C6 disc increases likelihood of Carpal Tunnel syndrome in hand.
b. a patient with diabeticneuropathy have increased incidence of nerve entrapments in extremities.
If there are 2 points of nerve compression, then decompression of both the regions may be needed to optimize recovery.
While the exact pathophysiology is not known, it is possibly due to disturbance in axonal flow kinetics and the disruption of neurofilament architecture.
Once a nerve is damaged, it becomes more susceptible to injury elsewhere. The concept remains controversial e.g.
a. a pinched nerve in the neck from a herniated C6 disc increases likelihood of Carpal Tunnel syndrome in hand.
b. a patient with diabeticneuropathy have increased incidence of nerve entrapments in extremities.
If there are 2 points of nerve compression, then decompression of both the regions may be needed to optimize recovery.
While the exact pathophysiology is not known, it is possibly due to disturbance in axonal flow kinetics and the disruption of neurofilament architecture.
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