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Updated: May 9, 2025
Involvement of Nerves in Scar Tissue. Pressure or traction may be exerted upon a nerve by contracting scar tissue, or a process of neuritis or perineuritis may be induced. When terminal filaments are involved in a scar, it is best to dissect out the scar, and along with it the ends of the nerves pressed upon.
In the sciatica that results from neuritis and perineuritis, there is marked tenderness on pressure due to the involvement of the nerve filaments in the sheath of the nerve, and there may be patches of cutaneous anæsthesia, loss of tendon reflexes, localised wasting of muscles, and vaso-motor and trophic changes. The presence of the reaction of degeneration confirms the diagnosis of neuritis.
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