In which clinical scenarios do you find medial and lateral plantar sensory or mixed nerve conduction studies to be valuable?
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Do you check plantar mixed or sensory studies with there is concern for distal sensory neuropathy and sural conductions are normal?
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2 Answers
Mednet MemberInvited Expert
Neurology · University of Minnesota
Answered on
- If you suspect (and believe in the diagnosis of) tarsal tunnel syndrome.
- When there are concerns about more proximal tibial mononeuropathy or sciatic neuropathy with predominantly tibial division pathology. I have had a couple of cases where the sural SNAP amplitude on the affected side was normal ...
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Mednet MemberInvited Expert
Neurology · Cedars-Sinai Medical Center
Answered on
I agree with Dr. @Dr. First Last. I would just add that I frequently do these when patients are complaining of numbness, paresthesias, or pain in the plantar aspect of their feet. If normal, you can be more clear about whether a large fiber neuropathy is present. If the symptoms are just in the toes...
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