Search Our Scientific Publications & Authors

Ann Phys Rehabil Med 2019 Apr 19. Epub 2019 Apr 19.

Physical Medicine and Rehabilitation, Nîmes University Hospital, Le Grau du Roi, France.

Background: Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by preprogrammed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses.

Objective: We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals' performance post-stroke.

Methods: Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Read More

J Healthc Eng 2019 14;2019:4164790. Epub 2019 Mar 14.

College of Mechanical Engineering and Applied Electronics Technology, Beijing University of Technology, Beijing, China.

The ankle rehabilitation robot is essential equipment for patients with foot drop and talipes valgus to make up deficiencies of the manual rehabilitation training and reduce the workload of rehabilitation physicians. A parallel ankle rehabilitation robot (PARR) was developed which had three rotational degrees of freedom around a virtual stationary center for the ankle joint. The center of the ankle should be coincided with the virtual stationary center during the rehabilitation process. Read More

J Surg Case Rep 2019 Apr 12;2019(4):rjz082. Epub 2019 Apr 12.

Neurosurgery, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.

We present an unusual presentation of holocord syrinx. A 4-year-old boy presenting a 2-week history of right sided foot drop. An MRI revealed a holocord secondary to a chiari one malformation. Read More

J Child Orthop 2019 Apr;13(2):180-189

Medical Faculty, Department of Interdisciplinary Health Science, University of Oslo, Oslo, Norway.

Purpose: Children with spastic unilateral cerebral palsy (SUCP) frequently undergo lower limb surgery to improve gait. Postoperatively, ankle-foot orthoses (AFOs) are used to maintain the surgical corrections and provide adequate mechanical support. Our aim was to evaluate changes in gait and impacts of AFOs one-year postoperatively. Read More

PLoS One 2019 17;14(4):e0214991. Epub 2019 Apr 17.

Christian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.

Drop foot is a frequent abnormality in gait after central nervous system lesions. Different treatment strategies are available to functionally restore dorsal extension during swing phase in gait. Orthoses as well as surface and implantable devices for electrical stimulation of the peroneal nerve may be used in patients who do not regain good dorsal extension. Read More

Clin Rehabil 2019 Apr 11:269215519842254. Epub 2019 Apr 11.

1 Douglas Grant Rehabilitation Centre, Ayrshire Central Hospital, NHS Ayrshire & Arran, Irvine, UK.

Objective: To compare the clinical- and cost-effectiveness of ankle-foot orthoses (AFOs) and functional electrical stimulation (FES) over 12 months in people with Multiple Sclerosis with foot drop.

Design: Multicentre, powered, non-blinded, randomized trial.

Setting: Seven Multiple Sclerosis outpatient centres across Scotland. Read More

Gait Posture 2019 May 18;70:361-369. Epub 2019 Mar 18.

Centre of Human & Aerospace Physiological Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Background Excessive pronation has been implicated in patellofemoral pain (PFP) aetiology and foot orthoses are commonly prescribed for PFP patients. Pronation can be assessed using foot posture tests, however, the utility of such tests depends on their association with foot and lower-limb kinematics. Research questions Do PFP participants compared with healthy participants (1) have a more pronated foot measured with static foot tests and a kinematic multi-segmental foot model and (2) is there an association between static foot posture and foot and lower limb kinematics during walking? Methods A case-control study including 22 participants (n = 11 PFP, 5 females per group, aged 24 ± 3 (mean ± SD) years) was conducted. Read More

World Neurosurg 2019 Apr 4. Epub 2019 Apr 4.

Klinik und Poliklinik für Neurochirurgie der Goethe-Universität, Schleusenweg 2-16, 60528 Frankfurt am Main. Electronic address:

Objective: Neurogenic drop foot is a common result of acquired damage of the central nervous system and can cause severe restriction of mobility. ActiGait is an implantable functional electrical stimulation device, which restores ankle dorsiflexion by active peroneal nerve stimulation. The aim of our study was to evaluate its effect on foot contact pattern during normal walk. Read More

Assist Technol 2019 Apr 4:1-8. Epub 2019 Apr 4.

a Physical Medicine and Rehabilitation , Hadassah Mount Scopus University Hospital , Jerusalem , Israel.

Background: The conventional treatment for foot drop includes an ankle-foot orthosis (AFO) or functional electrical stimulation (FES).

Goal: To compare gait parameters in patients following a subacute post stroke with foot drop treated with AFO or FES.

Method: Twenty one subacute patients with stroke with foot drop were fitted with FES (N = 10) or AFO (N = 11). Read More

Reumatismo 2019 Apr 1;71(1):31-36. Epub 2019 Apr 1.

Children's Medical Center, Pediatrics Center of Excellence, Tehran; Growth and Development research Center, Tehran University of Medical Sciences.

We discuss the case of a 27-month-old girl afflicted with fibromuscular dysplasia. She presented with hemiatrophy of left upper and lower limbs, nail dystrophy, ulcers on the tips of her toes, cold and painful limbs, foot drop, and hypertension. The initial appearance started at 2 months of age and other diagnoses such as complex regional pain syndrome, reflex sympathetic syndrome, vasculitis and coagulation disorders had been considered. Read More

Pain Physician 2019 03;22(2):E97-E103

Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI.

Background: Foot drop that results from compression of the exiting L5 nerve as a result of far lateral disc herniation (FLDH) at L5-S1 poses a significant surgical challenge to the minimally-invasive spine surgeon given the narrow corridor for an extraforaminal approach because of the high iliac crest.

Objectives: Here we describe our experience with transforaminal endoscopic decompression for the treatment of foot drop secondary to FLDH at L5-S1.

Study Design: Retrospective case review. Read More

Hip Int 2019 Mar 26:1120700019835454. Epub 2019 Mar 26.

Arthroplasty Outcomes Unit, Primary Joint Unit, Musgrave Park Hospital, Stockman's Lane, Belfast, UK.

Introduction:: Foot drop is a potentially debilitating complication following injury to the sciatic nerve during primary total hip arthroplasty (THA). The aim of this study was to determine the incidence, risk factors and outcome of this complication within one large surgical practice.

Methods:: We analysed the records of 10,624 primary THAs carried out between January 1993 and November 2017 using a posterior approach. Read More

Noro Psikiyatr Ars 2019 Mar 20;56(1):75-78. Epub 2018 Apr 20.

Department of Chest Surgery, Memorial Hospital, İstanbul, Turkey.

The drop foot cases that are associated with developing neuropathies as a result of acute compartment syndrome or femoral artery ischemia after having cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO) have been reported rarely in literature. In this case report, female patients who are 21 years old and developed drop foot depending on ECMO during the process of lung transplantation will be presented as both to be one of the rare neurological complications connected to ECMO and its possible causes will be analyzed. Read More

Semin Plast Surg 2019 Feb 8;33(1):54-58. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Read More

J Sport Rehabil 2019 Mar 12:1-16. Epub 2019 Mar 12.

1 Zonguldak Bulent Ecevit University Faculty of Health Science Department of Physiotherapy and Rehabilitation, Esenkoy, Kozlu, 67600 Zonguldak, Turkey.

Context:: Pes planus is a prevalent chronic condition which causes foot pain, disability and impaired plantar load distribution. Short-foot exercises are often recommended to strengthen intrinsic foot muscles and to prevent excessive decrease of medial longitudinal arch height.

Objective:: The aim of this study was to investigate the effects of short-foot exercises on navicular drop, foot posture, pain, disability and plantar pressures in pes planus. Read More

Folia Morphol (Warsz) 2019 Mar 5. Epub 2019 Mar 5.

Department of Histology and Embryology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.

Traumatic brain injury leads to neuronal damage and neurological dysfunction. The aim of our study was to investigate the antioxidative effect of Honokiol on traumatic brain injury in rats with biochemical, histopathological and immunohistochemical methods. Sprague-Dawley rats were subjected to traumatic brain injury with a weight-drop device using 300g/1m weight/height impact. Read More

World Neurosurg 2019 Feb 26. Epub 2019 Feb 26.

Laboratory of Research in Neurosciences-Faculty of Medicine, Saint Joseph University, Beirut, Lebanon; Department of Neurosurgery, Hotel-Dieu de France Hospital, Beirut, Lebanon; Department of Neurology and Neurosurgery-Centre Hospitalier du Nord Hospital, Zgharta, Lebanon. Electronic address:

Objective: Compression of the common fibular nerve at the level of the fibular neck is considered to be the most frequent lower limb entrapment syndrome, which can be either idiopathic or secondary. Decompressive surgery is indicated only after failure of conservative treatment and/or severe neurologic deficit. The effectiveness of microsurgical decompression has been established only for secondary entrapment syndrome. Read More

Int Urogynecol J 2019 Feb 27. Epub 2019 Feb 27.

Department of Obstetrics and Gynaecology, Makerere University, Kampala, Uganda.

Introduction And Hypothesis: Genitourinary fistulas (usually arising following prolonged obstructed labor) are particularly devastating for women in low-income counties. Surgical repair is often difficult and delayed. While much attention has been devoted to technical surgical issues, the challenges of returning to normal personal, family, and community life after surgical treatment have received less scrutiny from researchers. Read More

Int J Spine Surg 2019 Jan 22;13(1):53-67. Epub 2019 Feb 22.

Center for Advanced Spine Care of Southern Arizona, Tucson, Arizona.

Objective: The objective of this study is to analyze incidence, estimate cost savings, and evaluate best management practices of complications resulting from outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis performed in an ambulatory surgery center.

Background: Endoscopic spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis. Read More

J Foot Ankle Res 2019 7;12:11. Epub 2019 Feb 7.

1The University of Sydney, Sydney, New South Wales Australia.

Background: Ankle-foot orthoses (AFO) are prescribed to manage difficulty walking due to foot drop, bony foot deformities and poor balance. Traditional AFOs are handmade using thermoplastic vacuum forming which provides limited design options, is labour-intensive and associated with long wait times. 3D printing has the potential to transform AFO production and health service delivery. Read More

Breast J 2019 Mar 17;25(2):226-231. Epub 2019 Feb 17.

Radiation Oncology Research Center (RORC), Department of Radiation Oncology, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

Neuropathy is a dose limiting side effect of taxanes which may impact the quality of life and treatment outcomes. This randomized placebo-controlled double-blinded clinical trial was carried out to assess the efficacy of gabapentin in preventing chemotherapy induced neuropathy. Women with breast cancer were randomized into two groups of paclitaxel chemotherapy with gabapentin 300 mg/three times a day orally or placebo for 2 weeks started at day 1 of each paclitaxel cycle. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):78-81

Department of Orthopedics, Rabin Medical Center, Hasharon Hospital, Petah-Tikva, Israel.

Introduction: Common causes for foot drop are peroneal mono-neuropathy or sciatic neuropathy and lumbar root compression. Central nervous system pathologies leading to isolated drop foot are rare etiologies with unknown incidence.

Case Report: Our patient had a brain tumor manifested as acute onset foot drop accompanied by low back pain, leading us to look for a lumbar pathology. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):3-6

Department of Pediatric Orthopedics, Children's Hospital Altona, Bleickenallee 38, 22763 Hamburg, Germany.

Introduction: Tibialis anterior tendon (TAT) rupture and cuboid-navicular coalition (CNC) are rare, to the best of our knowledge, only 238 cases of TAT rupture and 34 cases of CNC are described in the past century.

Case Report: A 47-year-old man came with a sudden onset of foot pain including drop foot to our department. We diagnosed a TAT rupture, which was fixed through suture. Read More

J Foot Ankle Res 2019 4;12:10. Epub 2019 Feb 4.

2Western Australian Academy of Performing Arts, Edith Cowan University, Perth, Australia.

Introduction: Recent three-dimensional (3D) kinematic research has revealed foot abduction is the strongest predictor of standing functional and forced turnout postures. However, it is still unknown how the internal foot joints enable a large degree of foot abduction in turnout. The primary purpose of this study was to use a dance specific multi-segment foot model to determine the lower leg and foot contributions to turnout that female university-level ballets use to accentuate their turnout. Read More

Paediatr Int Child Health 2019 Feb 11:1-3. Epub 2019 Feb 11.

a 4th Department of Pediatrics, School of Medicine, Faculty of Health Sciences , Aristotle University of Thessaloniki, Papageorgiou General Hospital , Thessaloniki , Greece.

Neuropathy, a complication of type 1 diabetes (T1D), is a heterogeneous group, and chronic polyneuropathy is the most common form in adults. Αn 8-year-old girl admitted with severe diabetic ketoacidosis was diagnosed with T1D. She was managed with intravenous fluids and insulin and was subsequently commenced on multiple daily subcutaneous injections of insulin. Read More

J Neurosurg Spine 2019 Feb 8:1-8. Epub 2019 Feb 8.

OBJECTIVEA common cause of peroneal neuropathy is compression near the fibular head. Studies demonstrate excellent outcomes after decompression but include few cases (range 15-60 patients). Consequently, attempts to define predictors of good outcomes are limited. Read More

Neurol Res 2019 Apr 7;41(4):364-368. Epub 2019 Feb 7.

a Food Security Research Center , Isfahan University of Medical Sciences , Isfahan , Iran.

Objectives: In diabetic polyneuropathy (DPN) patients, the effect of folic acid and homocysteine has been related to components of nerve conduction velocity (NCV). The objective of this study was to determine the effect of folic acid supplementation on NCV in DPN patients.

Methods: Patients were randomized to receive either 1 mg of folic acid (n = 40) or placebo (n = 40) for 16 weeks. Read More

Brain 2019 Mar;142(3):526-541

Department of Neuroscience, University of Copenhagen, Copenhagen, Denmark.

Voluntary toe walking in adults is characterized by feedforward control of ankle muscles in order to ensure optimal stability of the ankle joint at ground impact. Toe walking is frequently observed in children with cerebral palsy, but the mechanisms involved have not been clarified. Here, we investigated maturation of voluntary toe walking in typically-developing children and typically-developed adults and compared it to involuntary toe walking in children with cerebral palsy. Read More

Med Clin North Am 2019 Mar 3;103(2):371-382. Epub 2018 Dec 3.

Department of Neurology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Entrapment neuropathies in the lower limbs are a common neurologic problem and may present in any medical setting. Accurate identification and management of these nerve palsies can prevent pain, sensory loss, incoordination, and muscle weakness that may significantly affect a patient's functional mobility. In this article, the authors focus on the cause, signs and symptoms, diagnosis, and treatment of select entrapment neuropathies of the lower extremity, including palsies of the common peroneal, lateral femoral cutaneous, femoral, and posterior tibial nerves. Read More

Vis Neurosci 2019 Jan;36:E002

Goldschleger Eye Institute,Sheba Medical Center,Tel HaShomer,Israel.

Preserving of vision is the main goal in vision research. The presented research evaluates the preservation of visual function in Royal College of Surgeon (RCS) rats using a depth perception test. Rats were placed on a stage with one side containing an illusory steep drop ("cliff") and another side with a minimal drop ("table"). Read More

Neuromuscul Disord 2019 Feb 20;29(2):97-107. Epub 2018 Dec 20.

The Folkhälsan Research Center, Helsinki, Finland and Medicum, University of Helsinki, Helsinki, Finland; Neuromuscular Research Center, Tampere University and University Hospital, Tampere, Finland; Department of Neurology, Vaasa Central Hospital, Vaasa, Finland.

We report the first family with a dominantly inherited mutation of the nebulin gene (NEB). This ∼100 kb in-frame deletion encompasses NEB exons 14-89, causing distal nemaline/cap myopathy in a three-generation family. It is the largest deletion characterized in NEB hitherto. Read More

Eur J Med Res 2019 Jan 19;24(1). Epub 2019 Jan 19.

Department for General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Germany.

Background: Multi-drug-resistant bacteria (e.g. Carbapenem-resistant Acinetobacter baumannii, extended-spectrum betalactamase or carbapenemase-producing enterobacteriaceae) are emerging in early-onset infections. Read More

AJNR Am J Neuroradiol 2019 Feb 17;40(2):359-365. Epub 2019 Jan 17.

From the Operative Unit Radiodiagnostica e Neuroradiologia (S.G.,A.B., E.R., E.L., A.I., A.R., C.C.), Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica e Ematologia.

Background And Purpose: Dynamic susceptibility contrast MR perfusion imaging has limited results in children due to difficulties in reproducing technical standards derived from adults. This prospective, multicenter study aimed to determine DSC feasibility and quality in children using custom administration of a standard dose of gadolinium.

Materials And Methods: Eighty-three consecutive children with brain tumors underwent DSC perfusion with a standard dose of gadobutrol administered by an automated power injector. Read More

Diabetes Metab Syndr Obes 2019 27;12:85-96. Epub 2018 Dec 27.

Research Department, Baqai Institute of Diabetology and Endocrinology, Baqai Medical University Karachi, Karachi, Pakistan.

According to the recently published National Diabetes Survey of Pakistan (NDSP 2016-2017), the prevalence of diabetes is 26.3%. Hence, Pakistan has around 27. Read More

Indian J Pediatr 2019 Apr 12;86(4):329-334. Epub 2019 Jan 12.

Pediatric Neurology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Objectives: To compare the clinical profile and short-term outcome of children with axonal and demyelinating subtypes of childhood Guillain Barré syndrome (GBS).

Methods: This is a prospective observational study conducted in a tertiary care teaching hospital in North India. Consecutive children with Guillain Barré syndrome were recruited to compare the clinical profile and short term outcome among the subtypes. Read More

J Neurophysiol 2019 Mar 9;121(3):853-866. Epub 2019 Jan 9.

Department of Physical Therapy, School of Health Technology and Management, Stony Brook University , Stony Brook, New York.

Foot drop is very common among people with chronic incomplete spinal cord injury (SCI) and likely stems from SCI that disturbs the corticospinal activation of the ankle dorsiflexor tibialis anterior (TA). Thus, if one can recover or increase the corticospinal excitability reduced by SCI, motor function recovery may be facilitated. Here, we hypothesized that in people suffering from weak dorsiflexion due to chronic incomplete SCI, increasing the TA motor-evoked potential (MEP) through operant up-conditioning can improve dorsiflexion during locomotion, while in people without any injuries, it would have little impact on already normal locomotion. Read More

J Spinal Cord Med 2019 Jan 9:1-4. Epub 2019 Jan 9.

d Department of Orthopedic Surgery , Wan Fang Hospital, Taipei Medical University , Taipei , Taiwan.

Context: Approximately 25% of all primary spinal cord tumors are meningiomas, and 80% of these tumors occur in the thoracic region. Few meningiomas of the lumbar spine have been presented. Extracranial metastasis of meningioma occurs extremely rare, only in about 0. Read More

Disabil Rehabil 2019 Jan 8:1-8. Epub 2019 Jan 8.

a School of Health Sciences, Faculty of Environmental and Life Sciences , University of Southampton , Highfield , Southampton , UK.

Purpose: Foot problems and suboptimal footwear are risk factors for falls among the elderly. Footwear choice may, therefore, be important for people with balance impairment following stroke, but little is known about their experience. This study explored foot problems experienced following stroke, factors influencing footwear choices and views of footwear in use. Read More

Biomed Eng Lett 2018 Aug 29;8(3):301-308. Epub 2018 May 29.

4Department of Physical Therapy, Kyungnam University, 7 Kyungnamdaehak-ro, Masanhappo-gu, Changwon, Gyeongsangnam-do 51767 Republic of Korea.

Stroke survivors with gait disturbances may use ankle foot orthoses (AFOs). However, most AFOs come in one-piece styles, which make it difficult for spasticity-affected stroke survivors to don. AFOs are also limited since they do not properly prevent ankle joint for foot drop by itself. Read More

Biomed Eng Lett 2018 Aug 17;8(3):283-290. Epub 2018 May 17.

3St John of God Subiaco Hospital, Perth, Australia.

Gait analysis is relevant to a broad range of clinical applications in areas of orthopedics, neurosurgery, rehabilitation and the sports medicine. There are various methods available for capturing and analyzing the gait cycle. Most of gait analysis methods are computationally expensive and difficult to implement outside the laboratory environment. Read More

Orthop Traumatol Surg Res 2019 Feb 24;105(1):153-158. Epub 2018 Dec 24.

Université Lille-Nord-de-France, Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France; Laboratoire d'anatomie, faculté de médecine Henri-Warembourg, université de Lille 2, 59045 Lille cedex, France.

Background: Tibialis posterior transfer (TPT) is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. TPT has been extensively studied in patients with peripheral neurological causes of foot drop. In contrast, data are scarce on central foot drop, in which TPT is often blamed for causing flattening of the arches. Read More

J Neurosurg 2018 Dec 21:1-7. Epub 2018 Dec 21.

Departments of2Neurosurgery and.

The authors present the cases of 3 patients with severe injuries affecting the peroneal nerve combined with loss of tibialis posterior function (inversion) despite preservation of other tibial nerve function. Loss of tibialis posterior function is problematic, since transfer of the tibialis posterior tendon is arguably the best reconstructive option for foot drop, when available. Analysis of preoperative imaging studies correlated with operative findings and showed that the injuries, while predominantly to the common peroneal nerve, also affected the lateral portion of the tibial nerve/division near the sciatic nerve bifurcation. Read More

World Neurosurg 2019 Mar 20;123:212-215. Epub 2018 Dec 20.

Neurosurgery Unit, Department of Neurosciences, University of Turin, Turin, Italy.

Background: Intraneural Ewing sarcoma (ES) was first described in 1918 by Stout in a tumor of the ulnar nerve. These tumors are in the category of ES family of tumors, together with ES of bone, extraosseous ES, and primitive neuroectodermal tumor. ES typically occurs in the second decade of life; only 20% of cases affect elder people. Read More

J Manipulative Physiol Ther 2018 Oct 17;41(8):672-679. Epub 2018 Dec 17.

Physical Therapy Department, Murcia University, Murcia, Spain.

Objective: The purpose of this study was to evaluate the correlation among the navicular drop test, the arch angle, the Staheli index and the Chippaux-Smirak index. The reliability and the correlation among the footprint parameters were also estimated.

Methods: A cross-sectional study (n = 86; 59. Read More

Am J Ther 2018 Dec 17. Epub 2018 Dec 17.

East Carolina University Brody School of Medicine, Greenville, NC.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Physiotherapy Outpatient Department, University Hospitals of Derby & Burton NHS Foundation Trust, Derby, UK.

Leg pain and weakness can often be seen in a musculoskeletal physiotherapy outpatient setting. While the differential diagnoses for neuropathic pain and weakness is often spine related, this unusual cause for polyradiculopathy is less commonly seen. Shingles is not something routinely seen in a physiotherapy department but is usually associated with skin eruptions and pain but less so with motor loss. Read More