I recently had surgery on my ankle for a fractured fibula and torn ligament. Prior to surgery, my surgeon told me that he would have another doctor (pain doctor) administer a nerve block once I was under general anesthesia. The pain doctor met with me prior to the operation and advised that the nerve block would last anywhere from 15-24 hours. Unfortunately, the nerve block did not work correctly at all and I was in immense pain for a few hours post-op until I was given strong pain meds. I questioned my surgeon (because the pain doctor left after administering the nerve block) who said the nerve block must have worn off by the time the surgery ended (a couple hours tops), but from what I've researched it's not possible. Plus, I began to notice that the middle of my thigh was completely numb in the middle of the night. This numbness lasted approximately 24 hours.
My question is: Where should the pain doctor have administered the nerve block. I woke up with a bandaid in the area of my groin and was told this is where the nerve block was given (under ultrasound). However, I've read that for an ankle procedure, the block should have been given just above the knee to be effective. Does anyone have any knowledge on this subject?
I will be having PTT surgery(calcaneal osteotomy, lateral lengthening, gastroc recession, tendon transfer) next week and am wondering about your experience with the nerve blocks, in my case a popliteal nerve block. The research from my OS's office shows 13% have residual nerve pain following the block. Most of the posts here show that patients are very happy they had a nerve block for their surgery. Has anyone had residual pain from one?View 14 Replies
I have my op coming up in two weeks on 17 September and my surgeon tells me that the would prefer me to have epidural and nerve block instead of a general as it will lessen the chance of DVT post-op.
i have always had a general for other ops and the thought of being awake during all that sawing, drilling and screwing going on is not comfortable, to say the least. Some of the people I know who have had it done this way say that the sedative they give puts you off the planet and you don't know much about it. I'll probably go with the idea anyway, just a bit cautious I suppose.
anybody else had this experience? Was it ok?
I'm a 38 year old with ankle and foot problems all my life. I was born with flat feet and I was always spraining my ankles. I acquired PTTD/Flat Foot on my left about a year ago and finally was diagnosed by an orthopedic foot and ankle expert. He recommended surgery and after a second opinion I decided I might as well get this taken care of so that I can go back to a normal life of walking through the streets of Europe.
I had my surgery about 2.5 weeks ago and I wanted to lend advice to those about to take on this crazy surgery. Firstly, the morning of surgery when the anesthesiologist was performing the nerve block it hurt like hell and made me even more panicked about the surgery. The relaxing medication they gave me did nothing to settle my nerves. I woke up from surgery a few hours later and I could feel all sorts of shocking pains coming from my foot. I asked if I should be feeling all the pain and they said that the nerve block failed. The anesthesiologist was busy for another hour and so I writhed in pain (crying hysterically) for the hour and vomited multiple times due to the extra anesthetic they gave me due to the failed nerve block.
Once the new anesthesiologist came she figured out that my nerve split into two and the other guy had not seen this split. After she was finished it was completely numb and I was worn out. I was sent home. Over the next day I vomited profusely, found out that I cannot breath when I take Oxycontin, I lost balance and fell on my foot and I was taking anything I could get my hands on for constipation. I finally found the foul tasting milk of magnesia and I can now go to the bathroom every few days.
My pain was managed by a morphine twice a day while in the splint, but now that I am in the cast my heel is killing me especially at night and the dr gave me hydrocodone which didn't touch the pain last night. Is it normal to have more pain at this point?
When will I be fairly pain free and when will I be able to leave the house? I live in Santa Barbara and i have an ocean view so I should not be complaining but i am feeling pretty horrid and ready to get out. When I think about leaving I worry about falling again and having my throbbing leg down.
Am I alone in all of this? Many experiences I have been reading say that after 5 days everything was hunky dory.
I had double bunion surgery 7 months ago. With my right foot the pain is making it vert hard for me to get my foot flat onto the ground. I have had xrays and a scan and that show everything seems to have healed ok however due to the pain I am walking on sides of my feet this is causing other issues with alignment etc... So I am off to have a nerve block put into my back to help with this and hopefully get me walking. Sometimes talking to the surgeon is difficult as he does not really know what is going on. Has anyone had a nerve block put into their back for the same sort of reason and if so how was it done and did it help?View 9 Replies
I've finally joined up to ask for some advice after lurking for the past year (injured my spine weightlifting in February 2013).
I have a prolapsed disc, confirmed by MRI, which is causing constant pain in my entire left leg. I appear to be a lot luckier than many on here, in that I can walk but running is out of the question most days as it sends huge pain down my leg when I 'bounce' while in motion.
My surgeon seems to think surgery isn't a great idea in my case as he's seen many people get worse or show no improvement. Can anyone share their recent experiences with me that might help in me deciding what my next actions are. I've been doing physio and so far it's only served to move the pain into my lower back - however the leg pain remains the same.
I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
Can a nerve root block eliminate musculoskeletal pain?View 1 Replies
It's day 5 I'm home and in a fair bit of discomfort! Main problem is at night and knowing what sleeping position to get into? I want to lie on my side but not sure this is ok ( about the only question I didn't ask physiotherapist ) also finding I'm very tearful today and extremely tired is this normal?View 23 Replies
I have been dealing with pain in my feet for several years which has gotten progressively worse. The past 6 months or so have been so bad that 3 months ago my doctor prescribed Gabapentin which helped significantly for a brief few weeks, but I am at the highest levels now and there is a new pain in my right ankle that will just not go away. I am weaning off of the Gabapentin so that I can try Lyrica. I am being scheduled for a nerve conduction test to try and determine what is wrong exactly. I am not diabetic. I believe it is from too many years of standing/walking on concrete (I'm a caterer/chef) without proper foot support. My doctor seems to support this opinion, she does not seem to have any answers. Just had blood work done, I am in excellent health otherwise! Am so worried that I'll be unable to continue working. Pain is relentless. Cannot live on pain pills, just do not want to go down that road! Anyone out there have experience with this sort of problem? How about Lyrica?View 2 Replies
when you got an erection for the first few day how did it feel? was it you penis that was painful or your foreskin a bit tightening that hurt.
when you pee during those first few days how was it? did you feel you could only pee out of a little hole little than more than you usually could.
I've gone nearly 2 days without a smoke but i'm literally feel like i'm losing it . Crying alot . Feel more anxious. I just want a smoke so bad. I think i'm just going to buy a packet.View 9 Replies
I have just commenced on the exercise bike at post op 11 weeks and had nerve Odin across the top of my knee
Has anybody else experienced this please ?
My right knee & on the right side in the soft part feels numb & if I get it against anything or kneel on the floor on my knee it feels like I put my knee on something sharp or it can feel like I put it on a nails & it can really hurt, I can rub my knee I can touch my knee firmly, even smack it & it does not bother it, it only shows these symptoms when I get against something or kneel down on it, its weird but its me so it would be.lol.. I thought maybe a form of neuritis but I don't know, I did nothing to my knee to cause this...Sometimes if I get against something in a certain way I feel the sensation of something rolling inside I want to say like a vein maybe.. If I run my fingers over the spot it feels numb..View 3 Replies
Surgery was 13DEC. Today is the 15th day post op for a right ankle arthroscopic debridement, microfracture, and lateral ligament Brostrom procedure.
Last night due my "support" person taking a "personal day" I took it upon my self to take out the trash. I had my first post op this past Monday and the stitches were removed. I'm suppose to be NWB for 6 weeks post op and as of Monday wearing my aircast 24/7 except for showering.
I'm now wondering if I screwed the microfracture up. There is no increase in pain or swelling.
Small background- My husband is my support person but he has decided that he wants a divorce and a social life. Since my surgery he has found it necessary to stay the night at a hotel for at least 4 nights and be gone all day. His response is that he isn't here to babysit me or sit with me 24/7. We have a 6 year old home on winter break as well. We are in Minnesota with no family close and of course it's the middle of winter.
About a year ago I got some (maybe 20) red bumps/spots on my back. Some are raised and some are flat against the skin. They don't itch. The doc gave me some steroid cream which faded them but didn't remove them entirely ( a few went away).
The problem is now I have more spots, behind my knee (3 or so), ankle (2) and on my penis (10 or so). Same thing, red spots that don't itch or cause any discomfort. They seem to appear suddenly, it's not a gradual thing. I would think they were insect bites but they don't itch, but that's what they kinda look like. They also don't heal naturally.
I've attached a pic from last year of my back. These ones have faded now but you get the idea of what they look like. I still have that cream, should i use it again or do you think i need to see a GP? I've seen two about my back and neither of them really seemed concerned to be honest, but they weren't dermatologists.
After a L5-S1 in October, I am left with residual left foot and partial leg nerve pain. In addition to numbness, my leg aches. My MRI looks clean, but neurosurgeon referred me to neurologist for possible nerve root injections. He also suspects the it may be radial sympathetic nerve issue. If nothing else, he's willing to take hardware out to see if that helps. I keep falling with my left foot so "numb," so I am frustrated. Is the device that scrambles pain. (can't think of it now) good for nerve pain? (Pain extends to my left lower back.) Has anyone had nerve blocks for nerve pain? I wouldn't have had surgery if I had known my mobility would have been compromised so much.View 4 Replies
Lisa here...Before my S1-L5 fusion, I had some foot pain caused by waiting two weeks to have a laminectomy/discectomy in my L 4 and 5 discs after a herniation (5 years ago). After my fusion - about 7 weeks ago - I have had terrible burning pain, sensations that feel like I am being bitten on a toe or have tape in between my toes. At night the pain is worse. Walking intensifies the pain and weakens my ankle and leg. I can't wear any of my shoes. Does anyone have any experience with this? I've called my neurosurgeon and he wants an x-ray. Suggestions? Comments?View 9 Replies
I had foot surgery 8 weeks ago - quite a major reconstruction that took a few hours.
when the plaster was removed at 6 weeks I was told that I had nerve damage causing partial foot drop and a lot of numbness and pain. I have just had nerve conduction studies and have started on Gabapentin and physio..
They said either the tourniquet or nerve block has caused it. I can't believe that this can happen, surely they know about these nerves and how to prevent problems.
Has anyone else experienced this and what has the recovery been like. I'm just wondering what my life is going to be like from now on.