Isolated sural neuropathy presenting as lateral ankle pain

Manouchehr Refaeian, John C. King, Daniel Dumitru

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


A case of job-related, unilateral traumatic sural neuropathy causing severe lateral ankle pain and impaired work performance for a 26-yr-old female grocery clerk is reported. This diagnosis is made both clinically and electrophysiologically. We review the pertinent electrophysiologic features, anatomy, and clinical findings in our patient with an isolated sural neuropathy. A review of the literature demonstrates that trauma is the most common cause of this unusual isolated neuropathy. Despite its rare occurrence, it should be considered in patients who present with lateral ankle pain and concomitant loss of sensation in the sural nerve distribution. The establishment of a neuropathic origin assists with management strategies that will differ from the more common musculoskeletal causes of lateral ankle pain. After an appropriate diagnosis and treatment, an excellent outcome resulted for our patient.

Original languageEnglish (US)
Pages (from-to)543-546
Number of pages4
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number7
StatePublished - Jul 5 2001


  • Ankle Pain
  • Isolated Neuropathy
  • Neuropathy
  • Sural Nerve
  • Trauma

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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