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Author Topic: femoral nerve damage  (Read 21429 times)

Offline christinejersey

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Re: femoral nerve damage
« Reply #15 on: March 03, 2011, 04:39:31 AM »
Hi...how is the femoral nerve damage? Did you recover?  What did you do?
I am 35 yrs old and b/c of congenital hip dysplasia, I had a Total Hip Replacement January 18, 2011....it's now a month and a half later and I have pins and needles and numbness along my inner thigh down to my inner ankle.  My knee buckles when I walk sometimes, but not always.  I am working on getting a knee brace.  The doctors said my femoral nerve was damaged either by lengthening, protractor, or spinal anesthesia.  I am about to start the rounds with Neurologist and get an EMG as well.
Please try to contact me to let me know how you made out!  Thanks!  my email address is my username here at gmail.
:-)  I hope to hear you are doing great now! 
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turkeylegs

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Re: femoral nerve damage
« Reply #16 on: March 25, 2011, 07:39:26 PM »
Hi,
I'm not sure yet what is wrong with me...but after doing online searches, I am beginning to feel I may have sustained femoral nerve damage, this is assuming the femoral nerve extended far enough down my thigh that it was cut during my TKR?

My family doc thus far can only suspect I have 'nerve damage' in the form of a pinched nerve.

My 2 TKR's were performed back-to-back 3 years ago...about 1 year ago (2 yrs. after surgeries which seemed to have been perfect and painfree)...I began feeling as though I had sustained a 'groin injury' or pulled muscle in my upper, inner thigh region, and across my lower abdomine.

I had a barrage of exploratory tests...2 types of MRI's, normal Xrays, 2 types of ultra-sounds, blood work, visited my orthopedic surgeon who decided I had no arthritis in the hip 'yet', and a short visit with a neurosurgeon who didn't seem to have a clue what to do to help me...he wanted to hit my TKR with his surgical steel hammer to check my reflexes...I refused to allow it...so he sent me home saying he couldn't check my nveves w/o beginning there!. 

Now I have worse problems...I'm taking 2 tylenol 3's to numb the pain in my groin area whenever I try to move my leg...in any position.  After checking my anatomy online, the pain is definitely coming from lateral femoral nerve, luinal ligament and femoral nerve locations inclusive.  What do I do now?  I also read that it's possible to have the nerve frozen (by using a type of scope under anesthesia)...and that would permanently stop any pain associated with a damaged femoral nerve...I'm worried that I would lose all control and motion of my leg if I freeze that nerve?  Help?
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Offline Decruz

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Re: femoral nerve damage
« Reply #17 on: August 09, 2011, 12:16:07 AM »
Hi Montymum,
I don't know a thing about hips but during my very deep and long term research about knee arthrofibrosis (my problem) I discovered a name of one of the most worldwide respected hip surgeon (I'm pretty sure is the very best, just check on the net).
His name is Dr.Marc Philippon (http://thesteadmanclinic.com/dr-marc-philippon.asp) and I discovered his fame as he works in the same facility in United States of a knee surgeon skilled in knee AF (I evaluated billions of time all the knee AF experts listed here http://www.kneeguru.co.uk/KNEEnotes/node/427).

IMHO is the best possible consultation, even travelling to see him in person if after a 1st examination of your exams/problems (staying both in your countries) he'd advise a visit - no matter how long is the trip if is worthed for your hip, your health and eventually your quality of life.
Bye - best wishes
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Decruz

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Offline saundersms

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Re: femoral nerve damage
« Reply #18 on: August 18, 2011, 12:31:08 AM »
My niece that was diagnosed at 6 y.o. with Ewings Sarcoma had her femoral nerve cut during surgery to remove the tumor.  After surgery, they started using electrical stimulation on it every day.  5 years later, her femoral nerve has rejuvenated and she barely has a slight limp.  Her progress has been so incredible the doctors have videotaped her and done a case study on her progress with the femoral nerve.  Keep your hopes up - she is a proven case!  Good Luck!
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Offline barb1013

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Re: femoral nerve damage
« Reply #19 on: September 06, 2011, 03:07:31 AM »
I have had a tough year--femoral nerve damage following thr.  I want anyone to know that there is hope though--i am almost completely healed--probably 100% of my strength back and maybe 85% of the feeling--some stiffness still, some numbness, but better all the time.  I went through alot and would be happy to share if someone is going thru the same--since I had problems finding anyone who understood this supposedly rare complication.  good luck to you if you have it, but keep at it..it can get better.
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Offline nuttymomof6

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Re: femoral nerve damage
« Reply #20 on: October 01, 2011, 01:22:49 PM »
I ripped my ACL in half and tore my inner meniscus on June 28th doing yard work. I finally had an allograft surgery along with the torn meniscus and some arthritis cut out on August 12th with my PT starting on the 16th of August. Before surgery I had pain but it was only in the knee area. I could still do straight leg lifts before surgery as well. After surgery when I went in to my first PT appointment I could no longer do straight leg lifts and was having horrible pain in my outer thigh when I tryed to sleep. This pain will wake me up out of a dead sleep screaming in agony and is the worst burning, numb, pins and needles, fiery pain I have ever felt. I have mentioned this pain several times to my PT as well as my surgeon who both blow it off as "being normal" and tell me that my upper leg muscles have atrophied from not using them and the pain could be from trying to get them to work again. I can't see how 4 days after surgery that my muscles atrophied and stopped working. To me that does not seem like enough time for such a thing to happen. PT has not been going well and although I try my hardest I can only get to 60 degrees in ROM. Went to see my surgeon three days ago and he has now scheduled me for another surgery to go in and cut out the scar tissue and to manually bend my knee. With my first surgery I should mention that I did not have the nerve/pain block shot. I declined it, however, this time around he said I don't have a choice and I will be getting that shot before surgery.
I again mentioned to him about the horrible pains I am having in my thigh at night , which now are happening more and more and leaving me in pain even during the day, and he said that it is probably the muscles hurting from them firing up. I know what a muscle ache feels like and I don't believe this is the cause of my pain and the more I read on here and the internet I am possibly suspecting the femoral nerve damage. Would love to hear anyones thoughts on this. I am so sick of being in pain from such a stupid accident and I just want my life back. This is the most depressing thing ever having to have someone lift my leg for me and not getting any sleep because of the pain. Added note:  My surgeon put me on flexiril for this pain when I first told him about it and I take one before I go to bed at night and at first it seemed to help some nights but now isn't touching the pain. I am also on Percocets since the surgery.
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Offline missmyknee

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Re: femoral nerve damage
« Reply #21 on: October 01, 2011, 05:59:35 PM »
From your description, it does sound like nerve pain. Nerve pain can be a burning pain, pins and needle, needle sticks, throbbing,or sensitivity to touch. I've had nerve pain since 2007. Since you are getting no where with your OS on this, you need to see a neurologist to evaluate your nerve pain. You might have encountered some type of damage to the nerve and that is why the pain and maybe the lack of muscle contraction. Have they used a TENS unit to get a quad contraction on you. This provides a small electrical current to contract the quad with you and builds muscle memory. Is your OS doing a scope to remove your scar tissue or an open surgery ? This is called a lysis of adhesions or LOA along with a manipulation under anesthesia or MUA. Another Dr to see if you hit dead ends would be a peripheral nerve surgeon. They know the nerves in the extremities a lot more than OSs.

You might ask to try neurontin (generic=gabapentin) this is helpful for nerve pain. It is a drug used for epilepsy but also helps with neuropathic pain. A pain management Dr is good for the management of nerve pain. Often times it takes several combinations of meds to manage nerve pain. I am on several for my nerve pain.

Read thru this next link. It provides a lot of info on arthrofibrosis ( excessive scar tissue) which is what you have. It as a tutorial from Dr Noyes, a noted expert on arthrofibrosis/ AF. It also has info on rehab after scar tissue removal. In the great threads section, there is a thread by Jakum and his rehab .

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=57623.0

This should help you out.

Pam
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4Fx Clsd red
IMrod fib plate
derotate osteotmy tibfib
AF
IPCS patbaja
DeLeeOsteotmy,LOA,LR Zplasty,bongrf,chondrplty
chondrplty,LOA,fatpad remvd
TKR
openLOA,neurectmy,ITB Zplasty,fabela
PLC recon,revison,LOA,synovec
MCL,revison LOA
openLOA,prox Zplasty
openLOA, 6 neuromas excised,synov
3 Fusions

Offline WAD

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Re: femoral nerve damage
« Reply #22 on: October 17, 2011, 03:35:53 AM »
I have had 3 knee surgeries within 1 year. The first two were arthroscopic. The last one was a full incision with tourniquet. Now my entire VMO is numb to the touch, half way up my quad on the outer side is numb to the touch, and most of my knee cap is numb to the touch. Luckily I do have full muscle control, but it is difficult to tell when the muscles are fatigued other than I start to limp.
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Offline Hurtin2001

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Re: femoral nerve damage
« Reply #23 on: October 02, 2012, 07:15:54 PM »
I had a Femoral Nerve Injury in 2001 (still after all these years of getting shuffled between doctors, I am waiting for a diagnosis).  It came after (pardon me that this is not knee surgery related) a pelvic floor reconstruction and hysterectomy.  I do remember waking up in surgical recovery in so much pain that they knocked me back out.  Once I woke up (for good), I could not feel my right leg from the hip down. Once the doctor came in the next day to check on me, I told him that I couldn't feel my leg.  He looked down in shame and then proceeded to tell me that it could be my back.  2 weeks later, he used a hammer to check my knee reflex and there was none.  He did refer me to a neurology but they had no answer. (I really think they did, they just didn't want to say because they knew that it would implicate the surgeon - who happened to be a supposed really good surgeon).  After all these years I still can't straighten my leg, I walk with a bit of a limp, can't pivot on it, can't wear shoes with heels, and have lost girth in my right thigh by about 1.75 inches.  Recently, while receiving Physical Therapy for the dwindling right thigh muscle, I got Bursitis in my right hip and have had steroid shots for the pain and have stopped PT.  I think it highly unfair that several neurologists saw me but did nothing to come up with an answer when those answers are so readily available on the internet, if only they would just look.  I have spent years in pain, restless nights, depression, not able to do many activities, I live in SD and there is so much to do here, but I just can not.  Right now, I feel as though I am always sitting on a hot poker.  The pain runs down the inside of my leg from my female parts to my right knee.  Now I have arthritis in that knee (I call it "crunching").  Thanks to my doctors who have been very adept at pushing things under the medical rug, I am no better.  My nerve has not recovered.  Good luck with any of you thinking that you will be back to normal.  I speak from over 10 years of living with this.  However, I wish all of you better luck than I in getting doctors who will listen and most of all help.
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Offline JO JO

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Re: femoral nerve damage
« Reply #24 on: October 22, 2012, 08:30:33 AM »
I am only new but I think I have femoral nerve damage no one can tell me but from what I read I here this is what I have Unable to walk far burning sensation and the pain is unreal Have had 2 knee replacements in the one
knee partial first then full and several ops later but still the pain pain pain I really do not want to go the drug way surely there is something that will help nerves heal????????????????????????????????????????????????????
I am so tired of it all now I just cannot walk I need help but where the hell do I get it? No one here in Aussie land seems to help or want to help
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Offline JO JO

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Re: femoral nerve damage
« Reply #25 on: October 22, 2012, 08:35:47 AM »
Quote from: baconbits on April 09, 2006, 03:44:09 PM
Just curious and fishing for answers here.  I am looking for anyone who has had femoral nerve damage after surgery.  I had a TKR 16 months ago, has buckled ever since, struggling with every step.  I have had alot of opinions, nothing 100% conclusive.  One doc last week started talking about femoral nerve damage and now I'm going through the paces of MRI's and EMG's.  Has anyone had this problem?  Please let me know maybe it could shed some light on the subject for me.
Thanks,
Cindy

Keep looking I have the same problem and still searching after 6 years  they can send men to the moon but cannot help us unreal eh??
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Offline missmyknee

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Re: femoral nerve damage
« Reply #26 on: October 22, 2012, 06:33:31 PM »
Hi JoJo

You might look for a plastic surgeon who specializes in peripheral nerve surgery, or a neurosurgeon who does peripheral nerve surgery. There also is a highly respected OS in Australia named Dr Mervyn Cross. You might try him too. He might be able to refer you if he can't help. Here is his website:

http://www.kneeclinic.com.au/merv-cross.htm

Here is a link to peripheral nerve surgeon, Dr Lee Dellon, who wrote a book on nerve pain called, Pain Solutions. He has now made it so a person can download each chapter, free. Here is the link. You will find the info in it, an excellent source, on nerve pain.

http://www.dellon.com/pain-solutions.html

Here is a website that lists various resources for nerve pain. On the right side under format , click on the PDF.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1963682/

Pam
« Last Edit: October 22, 2012, 07:39:38 PM by missmyknee »
Logged
4Fx Clsd red
IMrod fib plate
derotate osteotmy tibfib
AF
IPCS patbaja
DeLeeOsteotmy,LOA,LR Zplasty,bongrf,chondrplty
chondrplty,LOA,fatpad remvd
TKR
openLOA,neurectmy,ITB Zplasty,fabela
PLC recon,revison,LOA,synovec
MCL,revison LOA
openLOA,prox Zplasty
openLOA, 6 neuromas excised,synov
3 Fusions

Offline fritzikay

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Re: femoral nerve damage
« Reply #27 on: December 31, 2012, 04:14:17 PM »
I, too have had femoral nerve damage after Total Knee Replacement. I knew something was wrong as soon as I went to physical therapy. I couldn't do leg lifts with my  left knee!! I had bilateral knee surgery and my right leg did everything as it was supposed to, but my left quads wouldn't activate! I was at my surgeon's office every month and he just kept telling me to keep doing my therapy. I continually requested more therapy and at 6 weeks had a manipulation of my left knee to remove scar tissue. My physical therapist didn't recommend this, but I couldn't bend my knee but about 80 degrees. This was not enough to go up and down stairs or go back to hiking, which was my reason for having knee replacement
I have been to 3 different therapy locations thinking they would have the magic formula to get my quad activated. The second location did neuro muscular stimulation 3 different times and that still would not get my quads working. After another 6 weeks there, I started having major back pain from doing walking lunges. Went to another surgeon who does backs as well as knees and he thought maybe I had a torn tendon since I had extensor lag. Went back to my original knee surgeon and he said no I don't have a torn tendon, I just need to work harder on my quads.
I then went to water physical therapy where they also did neuro muscular stimulation to get my quads to activate. This still didn't work , but they had me doing balance exercises in the pool. I had to balance in the water on a kick board and also walk back and forth and side to side in the pool. I continued this type of therapy for 3 months and my balance got a little better, but my quads had begun to atrophy.
I finally convinced my surgeon to do more studies and after a bone scan that showed inflammation of my left knee, he agreed something must be wrong. I then had an ultrasound that showed nothing and nerve studies that showed the branch of my femoral nerve that went to my quads wasn't working. My surgeon then dismissed me and said it wasn't anything he did during surgery and sent me to a neurologist. The neurologist has no sent me for more physical therapy!!!!
What are my options!!!! I am very mad at my original surgeon, because he kept dismissing me and saying I just needed to work harder on my left quad and everything would be all right!!!
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