Overview
Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.
Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
Description
Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.
Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper extremity, after carpal tunnel syndrome
Eligibility
Inclusion Criteria:
- Age 20-50 years.
- Both sexes.
- Post healed elbow burn.
- Diagnosed with cubital tunnel syndrome.
- Willing and able to provide informed consent.
Exclusion Criteria:
- Patients with brachial plexopathy.
- C8-T1 radiculopathy, polyneuropathy.
- Previous elbow fractures or operation.
- Systemic diseases such as diabetes mellitus, malignancy, and active infection.
- Patients with any contraindications to high intensity laser therapy or shock wave therapy.