Sural nerve exercises. Good for common ankle sprains and Achilles tendonitis*While performing any nerve glide, you want to drive the intensity of the "stretch" sensation to a 4/10. To execute the sural nerve glider, lie on your back with your knee bent at 90º. Exercises to alleviate Sural Nerve pain include the Sural Nerve Glider and gentle stretching of the calf, hamstring, and gluteal muscles. Below, we take a closer look at why your sural nerve can become damaged, and how it is treated. As you slide your foot, look up simultaneously. The most common description of the pain is a burning feeling on the outside of the foot and ankle. These small bursts of therapeutic activity shower the brain with sensory input. Nov 6, 2025 · The sural nerve is a cutaneous nerve of the lower limb, formed by contributions from the tibial and common fibular nerves. [9] The tendon is the thickest tendon in the human body. The Sural Nerve can detect foot position, temperature, pain, vibration and touch as a sensory nerve. In short, your Sural mononeuropathy is a condition characterized by damage or dysfunction specifically affecting the sural nerve, a critical sensory nerve in the lower leg. 4K subscribers The sural nerve has a reasonably complex anatomical arrangement and in the literature many variations of the nerve exist. Nerve gliding exercises encourage the nerves to glide normally as you move your joints. Exercises To Relieve Sural Nerve Pain can be an essential part of managing discomfort associated with conditions affecting the lower leg and foot. A desensitization program is designed to provide consistent stimulus to the affected area for short periods of time, frequently throughout the day. Most people fully recover with rest and time. By training and optimizing its Sural neuritis, also referred to as sural neuralgia, develops when an area of the sural nerve becomes entrapped, irritated or damaged. The common fibular (peroneal) nerve gives articular branches to the knee and superior tibiofibular joint. The sural nerve is a key component of the lower leg's sensory system, influencing balance and proprioception (your body's sense of position and movement). Purpose: To create a systematic overview of the available reconstructive techniques, facial nerve grading scales, physical evaluation, the reversibility of paralysis, non-reconstructive procedures and medical therapy, physical therapy, the Nerve Gliding Exercise - Sural Members first Team Youphoric Health & Performance 17. Jan 18, 2022 · Your sural nerve is below your skin’s surface in the back of your lower leg (calf). Dec 17, 2024 · Find out about the sural nerve, including its function, location, health problems, and more. Bend your knee while pulling your toes up towards your shin. In simple terms, there are two sural nerves – the medial sural cutaneous nerve and lateral sural cutaneous nerve – and these eventually join via the peroneal communicating nerve to make the sural nerve (see figure 1) (2-9). Peroneal nerve injuries affect the nerve that runs down the front of both legs, extending to your feet. Interlink your fingers behind your affected leg and rest your head back on a pillow. Introduction Sural nerve entrapment may occurs at various locations along its course of sural nerve in the lower leg, which may leads to pain in the calf as well as the lateral ankle and foot. Many people with these injuries develop a foot drop. Its primary role is to relay information about external stimuli, such as pain, temperature, and vibration, back to the central nervous system. Learn how to relieve nerve pain by understanding the essentials of how to mobilize your nerves, also known as neurodynamics! Learn peroneal nerve exercises to improve mobility, reduce pain, and prevent future complications. Therefore, nerve gliding exercises are often used after surgery or as part of a rehabilitation programme from an injury. No this isn’t a weird dance move. 7 times body weight when running. Calf Sural Nerve Slider in sitting Start sitting with hands at your side for support. [10]. Conclusion The present systematic review suggests that 8 to 12 weeks of physical exercise improves nerve conduction velocity of the motor tibial, peroneal nerve, and sensory sural nerve in diabetes with or without peripheral neuropathy. The sural nerve (L4-S1) is generally considered a pure cutaneous nerve of the posterolateral leg to the lateral ankle. Definition and Overview The sural nerve is key for sending sensory info from the outer leg, ankle, and foot. It supplies the skin over the posterolateral leg and foot. The sural nerve originates from a combination of either the sural communicating branch and medial sural cutaneous nerve, or the lateral sural cutaneous nerve. Sural Nerve Glide - how to fix achilles and ankle issues KRUSE ELITE 18. Learn about treatment options for a speedier recovery. The nerve can be palpated behind the head of the fibula and as it winds around the neck of the fibula. This nerve sends feelings from the lower leg and foot to the brain. It can get trapped in different ways. The sural nerve accompanies the small saphenous vein as it descends in the posterior leg, traveling inferolateral to it as it crosses the lateral border of the Achilles tendon. Sural neuritis, also known as sural neuralgia, is a painful disorder caused by irritation or damage to the sural nerve. The sural nerve travels inferiorly along the lateral aspect of the Achilles tendon, posterior to the lateral malleolus and along the lateral foot. The brain responds to this demand by acclimating to the sensation, thereby gradually decreasing the body’s pain response to the particular stimuli. The sural nerve, which runs along the back of the calf and into the foot, can become compressed or irritated due to various reasons, leading to pain, tingling, or numbness. Start to slide your foot out, straightening your leg. Learn more about nerve flossing and how nerve flossing exercises can help relieve nerve pain and improve mobility. Sural Nerve, Knee Tensioner exercise video (high definition). increase in pain at any time. Nerve flossing aims to restore normal neurodynamics and may help to resolve the associated symptoms. Jan 22, 2023 · In simple terms, there are two sural nerves – the medial sural cutaneous nerve or lateral sural cutaneous nerve – and these eventually join via the peroneal communicating nerve to make the sural nerve. This review discusses the various nerve entrapment syndromes in the lower limb that may result in exercise-related leg pain in the sporting context. These exercises promote blood flow, reduce tightness, and help restore normal function in the upper limb. Supine Sural Nerve Glider HOW: Begin laying on your back with knees bent and both hands supporting the back of one thigh of the leg you intend to stretch. See how a physical therapist might use them for your condition. These exercises release the Peroneal (aka Fibular) Nerve from common points of entrapment along the entire path of the nerve, including through the Piriformis muscle. Straighten your knee as you point your toes down. The most common cause of sural nerve damage is as a result of trauma to the leg, but it can also develop after a surgery if scar tissue ends up enveloping part of the nerve. For this reason, it is often used for nerve biopsy, as well as the donor nerve for nerve grafts. Exercises to relieve sural nerve pain can be an essential part of managing discomfort associated with conditions affecting the lower leg and foot. [8] It can receive a load stress 3. Sural nerve entrapment The sural nerve, a primarily sensory nerve, can become compressed at various points along its pathway, resulting in discomfort in the calf, lateral ankle, and foot. 9 times body weight during walking and 7. The movements are only taken to the point where you begin to feel something. The anatomy, clinical presentation, investigation, medical management and surgical treatment are discussed at length for each of the syndromes. Sural Nerve, Ankle Tensioner exercise video (high definition). A nerve may not glide well if it is injured or inflamed, as it can get entrapped in the surrounding soft tissue. It should be included in the differential diagnosis for patients presenting with foot drop, the pain of the lower extremity, or numbness of the lower extremity. A branch of the tibial and common fibular nerves, the sural nerve is a sensory nerve in the lower leg. This article is useful for anyone that wants to understand nerve flossing gliding exercises to help relieve pain or to accompany any therapy sessions. Nerves are dynamic structures that need the ability to glide and stretch. 7K subscribers Subscribe Nerve flossing and gliding exercises in physical therapy mobilize the nerves. The exercise should be performed painlessly. Jun 17, 2023 · The Sural nerve is a primary sensory nerve which means it is the type of nerve that supplies sensation to the skin. Neuropraxia is a mild injury to a peripheral nerve or nerves, typically from trauma like a fall, hit or car accident. The sural nerve (L4-S1) is generally considered a pure cutaneous nerve of the posterolateral leg to the lateral ankle. Do not bend the leg or hip. What is Sural Nerve Entrapment Syndrome? Sural nerve entrapment syndrome is when the sural nerve gets compressed or irritated. Sometimes the surgeon can use another working nerve to make an injured nerve work, known as nerve transfer. Learn about the sural nerve's origin, course, branches, and its sensory supply to the leg and foot. However, a study posted in PubMed states, “ The sural nerve is a cutaneous nerve of the lower limb that innervates the posterolateral aspect of the lower leg, ankle, and foot. “ Recognise the symptoms of nerve damage after an ankle sprain: burning pain and more. The Straight Leg Raise (SLR) test is commonly used to identify disc pathology or nerve root irritation, as it mechanically stresses lumbosacral nerve roots. SURAL NERVE ENTRAPMENT | Nerve glide exercises for pain, numbness and tingling in the leg and foot Movement & Function • 53K views • 2 years ago These exercises release the Tibial Nerve from common points of entrapment along the entire path of the nerve, including the tarsal tunnel. This is Upper Limb Nerve Flossing Nerve flossing, or neural gliding, is a gentle technique to mobilise your nerves, improving movement and reducing tension caused by nerve irritation or compression. It’s part of your peripheral nervous system, which helps your brain communicate with the rest of your body. (1) Edema and fibrosis can impair this normal nerve movement and often translate into neurogenic complaints. Sural nerve problems can be a little tricky to diagnose because they aren't something that show up well on standard imaging exams. Sciatic nerve mobilisation in supine - dorsi flexion and inversion (sural) ('Neurodynamics' Sciatic nerve (sural), supine - lifting toes, foot inverted) Lie on your back with both legs bent and feet flat on the floor. Daily performance Your sural nerve runs down the back of your leg, behind the outside edge of your ankle and down the outside of your foot. This condition is frequently observed in runners and individuals with a history of recurrent ankle sprains [3]. Peroneal neuropathy is the most common compressive neuropathy of the lower extremity. Considering this pattern, it is plausible that it contributes to maintaining postural stability. Treatment nonoperative discontinue foot orthosis Sural nerve Can occur anywhere along the course of the nerve Most vulnerable 12-15mm distal to the tip of the fibula as the foot rests in equinus position Treatment SURAL NERVE ENTRAPMENT | Nerve glide exercises for pain, numbness and tingling in the leg and foot Decompression of Peroneal and Sural Nerves After Ankle Sprai To repair a damaged nerve, a surgeon removes a small part of the sural nerve in the leg and implants this nerve at the site of the repair. Dec 13, 2025 · The sural nerve is a cutaneous nerve dedicated entirely to sensation, having no motor control over muscles. Exercises to relieve sural nerve pain Frequently, if we suspect sural nerve pain, we recommend simple treatments such as ankle and foot joint mobilisation, soft tissue therapy to the tender areas and appropriate footwear to reduce pressure on the nerve. As the sural nerve is purely sensory function dysfunction results in only a relatively trivial deficit. The sural nerve represents one of the most clinically significant sensory nerves in the lower extremity, serving as both a crucial component of peripheral sensation and a valuable resource for nerve grafting procedures. Nerve tension tests can help identify altered neurodynamics. The nerve provides cutaneous innervation to the lateral lower third of the leg and the dorsolateral as-pect of the foot before terminating on the lateral aspect of the ifth toe. The lateral cutaneous nerve of the calf supplies the posterolateral side of the proximal two-thirds of the leg. odas13, fo5eh, iyiw, x7vcvd, jgfu, odpslv, vmqx, kalz, s7bpc, omjp,