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Know When to Refer: The Three P's of Nerve Function Loss
When assessing nerve function loss, recognize the threshold for referral to a specialist is determined by three characteristics: profound, progressive, or poly root issues. Profound loss refers to muscle strength of less than 4 out of 5 on the oxer grading system, with significant implications such as inability to dorsiflex the ankle against resistance indicating potential foot drop. Any concerning findings should prompt consideration for further investigation by a doctor or surgeon.