Treating Extreme Nerve Pain After Foot Injury

Eric H. Williams MD
Specializing in reconstructive surgery and pain relief in the Greater Baltimore area.
We are now approximately nine months from a decompression of the common peroneal nerve at the fibular head. The superficial peroneal nerve and she had a little bit of thickening in her scar here, and the deep peroneal nerve on the top of the foot. These nerves can be seen on this picture. You see the common peroneal nerve, the superficial peroneal nerve, and the deep peroneal nerve right there.
Tell me about your symptoms. What were your symptoms like, and when did they begin?
 
My symptoms began almost four years ago while I was at work, holding a door open. One of my coworkers was pulling a trolley in and ran over my foot.
 
Ran over your foot. Did you have an ankle sprain, did you twist your ankle at that time, or just rolled over it.
 
It just rolled over it. I felt the cart on my foot and started screaming in pain while holding the door. 
 
This is a casino cart - you’re carrying everybody’s money - so how heavy is that, is it a light thing?
 
No, it’s very, very heavy.
 
Very heavy - we’re talking more than 10 pounds, right?
 
Yes, sir.
 
More like a car.
 
Yes, it was full of money.
 
What kind of symptoms did you have? Were you able to touch the skin? Were you able to comfortably wear clothing? What did it feel like?
 
No, I didn’t want anybody touching my foot, I didn’t want no socks on, I didn’t want nothing on it. 
 
And that was going on for four years?
 
Yes.
 
Four years. Okay. So, you’re saying that if I come and did this to you, what would you have done?
 
Oh, back then? I probably would have knocked the daylights out of you! 
 
What does your leg feel like now? It’s been about nine months since surgery, what does it feel like?
 
It’s wonderful! I have no pain, I go on my merry way!
 
The pain you had before - you had some shooting pain too, did you not? Like electrical shooting pain down the legs?