THR for neuroma and pain management Posted: 02-03-07 12:20pm
In November I had a extended THR, it took
three hours, and I was on my left side for
the whole three hours. For pain relief I
had an epidural, which was put in place
before the General Anaesthetic was
administered. When the needle was going in
I felt a 'kick' to my sciatic nerve in my
left leg.
When i awoke from the anaesthetic, I had
some pain in my left foot. Few days later
on standing and moving around I had
pain/tingling, in my calf and foot..this
eventually settled in my calf, but now I
have constant numbness and pain in my left
foot, spreading from the toes, on top and
underneath, down the sides and down the
middle of my sole.
I have previously had and have had removed
a Mortons Neuroma (MN) from the same foot.
Is this pain nerve pain A) from lying on
my side for three hours, B) from the
needle going in and nicked the Sciatic
nerve, or C) could it be another MN
growing? It is certainly much more painful
than the first Neuroma I had. How long
till I'm free of pain?
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Doctor Answer
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Orthopedics, Hip & Knee Injuries Answer A2303 Posted: 02-12-07 04:19am
An Electro-myo-graphy (EMG) can be
performed to see if the pain, tingling and
numbness are due to nerve damage, or not.
The sciatic nerve could be damaged during
the epidural anesthesia, but that has to
be proven. An X-ray of the lumbar
vertebral column also has to be done to
identify possible disease that might cause
the same symptoms (spondylosis for
example).
It doesn’t seem likely that the pain is
due to lying on one side for more than 3
hours because the operation was performed
more than 2 months ago.
Morton’s neurinoma is removed together
with the local nerve during the procedure,
so a relapse at the same location is
impossible. Another occurrence of
Morton’s neurinoma near the first
locatio, however, is possible. The
duration of pain depends upon the reason
for the pain. So first, you can diagnose
the reason and then you can consider the
treatment.
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