A patient with low back pain or sciatica and an absent ankle reflex is often seen by orthopaedic and spinal sur- geons. An absent ankle reflex has been described as a definite neurological sign, possibly indicating nerve-root compression (Maurice-Williams 1987; Frymoyer 1991; Donaghy 1993; Dickson and Butt 1995).
What causes absent ankle reflexes?
[19] Peripheral neuropathies are the most common cause of absent or diminished reflexes. [2] Physiologic derangements caused by diabetes mellitus, hypothyroidism, uremia, vitamin or electrolyte deficiencies, and toxins such as lead or arsenic can commonly present with hyporeflexia.
What does absence of reflexes indicate?
When reflex responses are absent this could be a clue that the spinal cord, nerve root, peripheral nerve, or muscle has been damaged. When reflex response is abnormal, it may be due to the disruption of the sensory (feeling) or motor (movement) nerves or both.
What does absent Achilles reflex mean?
Your doctor will use a rubber hammer to tap firmly on the Achilles tendon, which connects the muscle at the back of your calf to your heel bone. In a normal test, your foot will move as though you were going to point your toes. A decreased or absent reflex may mean that there is compression in the S1 region.
What will happen if we don’t have reflex action?
Most reflexes don’t have to travel up to your brain to be processed, which is why they take place so quickly. A reflex action often involves a very simple nervous pathway called a reflex arc. If the reaction is exaggerated or absent, it may indicate a damage to the central nervous system.
What types of diseases might a patient have if they are non responsive for these reflexes?
These include:
Infectious maternal diseases (Aids, Rebella, Syphilis, etc.)Chronic maternal conditions (Hypo or Hyperthyroidism, Diabetes, etc.)
What do reflex tests show?
Reflex tests are performed as part of a neurological exam, either a mini-exam done to quickly confirm integrity of the spinal cord or a more complete exam performed to diagnose the presence and location of spinal cord injury or neuromuscular disease. Deep tendon reflexes are responses to muscle stretch.
Why is the ankle jerk reflex important?
The ankle jerk reflex, also known as the Achilles reflex, occurs when the Achilles tendon is tapped while the foot is dorsiflexed. It is a type of stretch reflex that tests the function of the gastrocnemius muscle and the nerve that supplies it.
What causes no knee jerk reflex?
[1] Many additional causes of peripheral neuropathy can yield an absent or diminished patellar tendon reflex, including diabetes, alcohol use disorder, amyloidosis, vitamin deficiencies, toxins, and remote cancer.
What can cause decreased reflexes?
What causes hyporeflexia?
Amyotrophic lateral sclerosis (ALS) More commonly known as Lou Gehrig’s disease, ALS is a progressive neurological disease that destroys brain and spinal cord cells. Guillain-Barré syndrome (GBS) Chronic inflammatory demyelinating polyneuropathy (CIDP) Hypothyroidism.
What diseases affect reflexes?
Spinal cord injuries are most likely to cause these unusual reflexes, but other disorders that can result in abnormal reflexes include brain tumors, brain trauma, stroke, meningitis, or spinal cord injuries. Reflexes may also be affected by serious conditions including: Parkinson’s disease. Alzheimer’s disease.
What are depressed reflexes?
A study has been made of the depression that occurs when a monosynaptic reflex pathway is subjected to repetitive stimulation. Reflex depression has a dual origin. High frequency or early depression is postsynaptic in origin and results from subnormality in the motoneurons.
Why is reflex action necessary?
Reflex actions
A reflex action is an automatic (involuntary) and rapid response to a stimulus, which minimises any damage to the body from potentially harmful conditions, such as touching something hot. Reflex actions are therefore essential to the survival of many organisms.
Why is reflex testing important?
Reflex testing contributes to accurate bedside diagnosis in many cases of neuromuscular disease, providing localising diagnostic information that cannot be obtained by any other method (including clinical neurophysiological and neuroradiological investigations).
Why are reflexes so important?
It is important that reflexes occur without the need for thinking about them because there are things that happen to your body and forces acting in your body when you move that need to be responded to very quickly. Reflexes allow your body to react in ways that help you to be safe, to stand upright, and to be active.
