Harwindar Kumar, Syed Muhammad Anwar Shah, Jamita Kor, Sadaf Qazi, Jasvindar Kumar.
Common Peroneal Neuropathy in Harvesting Farmers.
Pak J Neurological Sci Jan ;16(1):6-9.

OBJECTIVES: To evaluate farmers with acute foot drop and determine the level and type of nerve injury. METHOD: In Pakistan harvesting season occurs from April to May and again from October to December. Thirteen farmers with a history of foot drop were studied in neurophysiology laboratory of Lady Reading Hospital (LRH) during the period from March 2019 to December 2019. All the patients had nerve conduction study (NCS) while in some of the patients, electromyography (EMG) was also done to determine the duration of injury and to rule out other differential diagnoses. RESULTS: Except two farmers case 2 and case 6 who had significant amplitude drop at all the three sites, remaining had conduction block at the site of nerve entrapment favoring demyelinating type of neuropathy. CONCLUSION: Prolonged squatting, the position used during harvesting the crops, can cause common peroneal nerve palsy in farmers during harvesting season. Except 2 patients who had decreased amplitude common peroneal motor nerve at all the 3 site when compared to the contralateral limb, all the remaining had conduction block at the entrapment site indicating a demyelinating process.

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