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Author Topic: Saphenous Neuroma  (Read 32143 times)

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Offline moonpetals

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Saphenous Neuroma
« on: February 18, 2008, 03:58:49 AM »
Hi all I posted this on another section of the board but It was suggested that I post here. On the 22nd of the this Month I will be having a Saphenous Neuroma removed. I was wondering if anyone else has had this done and if so what is the recovery like. My Os who is Usually wonderful about explaining things wasn't so great this time as he was a hour behind in seeing patients. He also mention something about cutting into muscle in my calf because he feared Muscle herniation(sp?) But would go through the same 2 inch incision. So I am really confused. So even if it is just the Neuroma removal you have had I would love to hear from you!
        Thanks so much,
          Jenny
Lateral release-both knees
Arthroscopy-3 Times
Fulkersons TTT- Both Legs
medial reefing
PFJR (L knee) June 2006
PFJR (R knee) June 2007
Saphenous Neuroma removal Feb 22 2008
Scope LR,IT band,menicus repair Mar 18 2009
Scope,scar tissue removal menicus repair June 17 2009
Upcoming TKR Nov 10 2009

Offline missmyknee

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Re: Saphenous Neuroma
« Reply #1 on: February 18, 2008, 11:27:10 PM »
Moonpetals


I am having neuroma excision on April 2nd. It is on the infraptellar branch of the saphenous nerve. I think he might be removing 2 neuromas, one closer to the medial side along the joint line and one below the patella. I had 2 nerve blocks done on the nerves to diagnose the neuromas. I also went thru 3 cortisone shots, neurontin, lyrica, ultra sound , TENS and anti-inflammatories. My nerve pain showed up as burning, needle like jabs, topical skin sensitivity, sharp throbbing , very erratic. These developed right after surgery I had done last Oct.  I previously had a neuroma on the infrapatellar branch removed near the MCL, in 2006, but I had several other procedures done at the same time, so I had my previous TKR incision opened.

A forum member who goes by Allstardiva has had neuroma excision, in addition to ACL recon, done too. We both use Dr Noyes.

I don't know quite what to expect with just the excision only, since my last neuroma excision involved other procedures. I'll find out more when I have my pre-op appointment.

Good Luck on your surgery  ;D

Pam
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 moonpetals

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Re: Saphenous Neuroma
« Reply #2 on: February 19, 2008, 02:20:25 PM »
Thanks so much Pam for your reply. I did find the post you were speaking of :) In all honestsy I really am not nervous about this surgery  actually looking forward to it as this thing really hurts! I do not know if your is like mine but mine is not a constant pain but once it decides to flare up it is on! LOL! I also recieved 2 corti shots(OUCH!!!!!!!) which did help for a very short time. My Main concern is if i am gonna be on crutches at all. I also am on the starting end of arthritis spreading into my elbows and fingers. Somedays I swear my body thinks I am 100 and i am only 36! I do know that this surgery is outpatient and that is about it. Again thanks for your reply!
Jenny
Lateral release-both knees
Arthroscopy-3 Times
Fulkersons TTT- Both Legs
medial reefing
PFJR (L knee) June 2006
PFJR (R knee) June 2007
Saphenous Neuroma removal Feb 22 2008
Scope LR,IT band,menicus repair Mar 18 2009
Scope,scar tissue removal menicus repair June 17 2009
Upcoming TKR Nov 10 2009

Offline missmyknee

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Re: Saphenous Neuroma
« Reply #3 on: February 19, 2008, 03:59:29 PM »
Hi Jenny

Yes, mine behaves the same way. It constantly hurts and does all the symptoms I listed above, but then it flares up and all those symptoms become magnified 100 times and becomes hypersensitive. It is extremely painful at that point. I had told my OS that if I was a wild animal , I would have chewed my leg off during those times and I have also said if someone were to stab my knee with a knife, it would provide welcome relief from the nerve pain. Pain meds don't touch it. The only time I had any relief was when he did the 2 nerve blocks in the knee. I enjoyed 7 hours of total numbness, then it came back worse.

Pam
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 JoniF

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Re: Saphenous Neuroma
« Reply #4 on: February 19, 2008, 05:59:17 PM »
Hi Ladies,

Sorry to just jump in.  But I had some questions regarding this topic.  I have Saphenous nerve damage from my surgery in 2006 that just never seemed to go away.  Does it ever regenerate?  If so, how long?  Also, how do you know if you have a neuroma and what is it?  I am in chronic pain from mid thigh down to my toes.  My foot becomes numb and ice cold.  I was put on Lyrica, but I am unable to tolerate it.  Would you recommend going to a pain mgmt. doc for this?

Joni
1989 Lateral Release, debridement, and arthroscopic surgery - lk
1996 TTT, Elmslie-trillat procedure, lateral release and debridement - lk
1997 Debridement and hardware removal - lk
2006 Lateral Release, 2 meniscus tears repaired, & acl repair - lk
2008 Sev Patella Effusion - rt knee

Offline missmyknee

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Re: Saphenous Neuroma
« Reply #5 on: February 19, 2008, 10:21:35 PM »
Neuromas form when the nerve endings that have been damaged or actually cut in half,  attempt to grow back together, but cannot do so because scar tissue or something else is in their way. This results in massive oversprouting of the nerve fibers in random directions as they try to (unsuccessfully) navigate their way around the road block so to speak. These excess nerve endings eventually ball up along with nearby scar tissue like spaghetti in a cement block, and a neuroma is formed.

Mine were diagnosed thru the symptoms I was reporting, my physical exam, and nerve blocks done with local anesthetic. Mine are caused from scar tissue production. I have arthrofibrosis , so now scar tissue has grown and is compressing my nerve. This started right after surgery I had in Oct. My problem area is very isolated, from below the patella and across the the medial side. I have no involvement down the leg and foot.

My OS diagnosed it. In the beginning CRSP was mentioned but I definitely did not have any other signs plus I had a hx of neuromas . He removed a previous neuroma on me in 06. If your OS doesn't know , you can go to a PM doc or a Neurologist to see what kind of nerve problem you have.

Here is some other info

http://www.jaaos.org/cgi/content/abstract/10/2/130

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1296949

http://books.google.com/books?id=MxMfcAvPitQC&printsec=frontcover&dq=neuroma+excision+of+the+infrapatellar+nerve&lr=#PRA2-PA366,M1

Pam
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 JoniF

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Re: Saphenous Neuroma
« Reply #6 on: February 19, 2008, 11:46:25 PM »
Hi Pam,

Thanks for your response.  I will definately check out the links you provided.  I had an EMG test about 2 months after an ACL repair and was diagnosed with Saphenous nerve damage.   I have not gotten any relief from any medications, so I was thinking about trying pain management.  I was curious to see if anyone had a good result when taking this route.

Thanks again,
Joni
1989 Lateral Release, debridement, and arthroscopic surgery - lk
1996 TTT, Elmslie-trillat procedure, lateral release and debridement - lk
1997 Debridement and hardware removal - lk
2006 Lateral Release, 2 meniscus tears repaired, & acl repair - lk
2008 Sev Patella Effusion - rt knee

Offline chaos

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Re: Saphenous Neuroma
« Reply #7 on: February 20, 2008, 01:05:11 AM »
good luck jenni  i hope it is smooth sailing and an easy recovery for you. 
beauty always comes from within.  the outside doesn't matter.

Offline moonpetals

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Re: Saphenous Neuroma
« Reply #8 on: February 20, 2008, 04:35:15 AM »
Thanks everyone! I have a pre-op appt tomorrow morning. I will let you know how it all goes.
Oh and Joni I have the same thing going on with my thigh down to my toes been cold and having that numb tingling feeling that is why he is talking about cutting into the muscles but I am still confused by it all so i am hoping to have some of my questions answered tomorrow.
Take care all,
 Jenny
Lateral release-both knees
Arthroscopy-3 Times
Fulkersons TTT- Both Legs
medial reefing
PFJR (L knee) June 2006
PFJR (R knee) June 2007
Saphenous Neuroma removal Feb 22 2008
Scope LR,IT band,menicus repair Mar 18 2009
Scope,scar tissue removal menicus repair June 17 2009
Upcoming TKR Nov 10 2009

Offline JoniF

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Re: Saphenous Neuroma
« Reply #9 on: February 20, 2008, 12:32:01 PM »
Hi Jenny,

Good luck today.  Hope everything goes great and you get the results your after.

Take care,
Joni
1989 Lateral Release, debridement, and arthroscopic surgery - lk
1996 TTT, Elmslie-trillat procedure, lateral release and debridement - lk
1997 Debridement and hardware removal - lk
2006 Lateral Release, 2 meniscus tears repaired, & acl repair - lk
2008 Sev Patella Effusion - rt knee

Offline moonpetals

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Re: Saphenous Neuroma
« Reply #10 on: February 20, 2008, 07:25:44 PM »
Hi all
I am back from my pre-op appt that i had at the outpatient surgery center. My surgery is scheduled for 7am on friday. I am his first patient of the day! WOOHOO!! Just will be able to get in there and get it over with and not miss my morning coffee to much ;) The Nurse there (who was great i might add) explained to me that I will be put under GA and that the surgery can take anywhere from 45 minutes to a hour and a half. He will be making a 2-3 inch incision and working from there. She wasn't quite what he would be doing with the muscles as she was a little confused by that too. So i guess i just will have to wait and see. She said I would probably be a crutches for a few days and be down for a few days but that also varies with each person. So Iam Hoping I am up in about in no time. I figure this is gonna be my 13th surgery and compared to most of then this should be a fairly easy and fast recovery.
Well that is about it for now. I will check back in later  ;D
Take care,
Jenny
Lateral release-both knees
Arthroscopy-3 Times
Fulkersons TTT- Both Legs
medial reefing
PFJR (L knee) June 2006
PFJR (R knee) June 2007
Saphenous Neuroma removal Feb 22 2008
Scope LR,IT band,menicus repair Mar 18 2009
Scope,scar tissue removal menicus repair June 17 2009
Upcoming TKR Nov 10 2009

Offline moonpetals

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Re: Saphenous Neuroma
« Reply #11 on: February 23, 2008, 05:10:46 AM »
Hi all
Well my surgery is complete. The only reason I am posting so late in the day is the Fuzzy feeling after surgery and now well believe it or not i cannot sleep. Surgery was smooth sailing.Hit  a small bump on the way to surgery my White blood cell count was very elevated. My OS finally agreed to do the surgery but i am now being watched very carefully. I have to return to his office on Monday for post-op visit ans since hie office is next door to hospital gonna have my WBC checked again. I had massive doses going through my IV started before my surgery and Hubby said they ran another bag when i was in recovery. Yes i am in Pain but very managable. I am on Crutches but only for a few days. He got the Neuroma and the nerve that was cut was tucked into a muscle. He told Hubby after my Surgery (while I was in recovery) that he is sending me in for a MRI of my back. Because of the numbness in my leg and foot, so we shall see what will become of that.I am hoping tomorrow I feel the same if not better pain wise tomorrow but for me the day after is always the roughest so we shall see.
Well just thought i would post a update. I will check in with you all later
Take care,
Jenny
Lateral release-both knees
Arthroscopy-3 Times
Fulkersons TTT- Both Legs
medial reefing
PFJR (L knee) June 2006
PFJR (R knee) June 2007
Saphenous Neuroma removal Feb 22 2008
Scope LR,IT band,menicus repair Mar 18 2009
Scope,scar tissue removal menicus repair June 17 2009
Upcoming TKR Nov 10 2009

Offline MaggieMoo

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Re: Saphenous Neuroma
« Reply #12 on: January 11, 2012, 03:18:44 AM »
Hey!
I have been experiencing saphenous nerve entrapment for a year now. I have all the "textbook" symptoms, yet it is very difficult to find someone who actually knows how to treat it. I have tried numerous medications, ultrasound, TENS, nerve blocks, stretches, rest, etc. but I still have spontaneous flare-ups. Has anyone tried ART (active release techniques)? I have a scheduled appointment in 3 weeks for ART nerve entrapment releases. The appointment is located in Colorado and I live in Florida, so I wanted to see if anyone actually got symptom relief before I spend my time and money. I have seen 11 different doctors for this diagnosis so I am weary of trying new things because I have gotten my hopes up many times.
- Also, has anyone had long-term symptoms relief from removal of the neuromas? If so, where were you treated? I have not found a doctor who actually knows my diagnosis as well as the surgical procedure for it.
I would appreciate any advice or guidance. I'm desperate to get this fixed!!

Offline captainruss

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Re: Saphenous Neuroma
« Reply #13 on: March 02, 2012, 02:35:39 AM »
Maggie,

What part of Florida?  How did the treatment go?  I just read your thread and was curious if you went thru with the procedure in colorado and if it went as exected?  Who was the doc?

russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline mtlady

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Re: Saphenous Neuroma
« Reply #14 on: April 16, 2012, 07:13:29 AM »
MaggieMoo,

I am also dealing with a saphenous nerve problem - in both legs.  It is so severe it has put me in a wheelchair for nine months now.  Sounds like I have tried everything you have tried with little success.  I have not tried active release, though, but have heard of someone having some success with it.  I am in the process of trying to get an appointment with a peripheral nerve surgeon that has experience dealing with this type of problem.  If you are interested in the possibility of surgery, I would gladly share what I know.  Let me know.

mtlady

Offline raul

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Re: Saphenous Neuroma
« Reply #15 on: April 16, 2012, 11:09:11 PM »
i am replying here hoping i will get some valuable information. i come from Romania, a country in Europe of wich i am sure most of you haven't even heard and we haven't got such good orthopaedic surgeons here. in february 2010 i have had an ACL reconstruction in my right knee, with semitendinosus and gracilis grafts, from the same leg. i was not allowed to bear weight on that leg for 5 weeks ( the poor prepared surgeons i was mentioning ) but i was doing passive flexions-extenioms in this interval. and plus, i was told not to do any tipe of quadriceps contraction during that period. after those five weeks i was told to to as a rehab knee extensions with up to 5 kg. i regained my flexion quite easily, reaching 180 degrees of flexion in about 3-4 months. my problem was my extension. i couldn't straighten the leg, i was at about 10 degrees with the leg bent. and the problem was that when i was trying to bend my knee, i felt a terrible pain under my knee, in the medial side, right where the incision hor harvesting the graft was made. i mannged to get normal extension in that right knee after about one year. but every leg extension causes a very big amount of pain in that area and it is like something is simply holding my knee back, not letting me to straighten it. the thing is that if i have someone manipulating my leg and get it from flexion to full extension, the pain doesn't appear at all. as soon as i involve my qud muscle, the pain from under my knee, on the medial side simply blocks me from doing natural movements. can i be what you are experiencing, my friends? i mean a saphenous nerve neuroma ?  mtlady, you said you would gladly answer our quoestions.. please, i need someone who has passed trough all these and could give me some advice! thank you all and sorry for the long post and probably my bad english!
   

Offline mtlady

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Re: Saphenous Neuroma
« Reply #16 on: April 18, 2012, 10:08:14 PM »
Hi Raul,

Your problem has some similarities to my saphenous nerve problem.  I also have extreme pain if I try to use my quadriceps muscles, so I am not able to straighten my legs unless it is passively.  This makes standing or walking very difficult for me, so I spend most of my time in a wheelchair.  If I do stand up I have to leave my legs bent.  If I take strong pain medication, I am able to straighten my legs a little easier.  From what I have read, this is typical for a person that has saphenous nerve entrapment.  The saphenous nerve can become entrapped if the normal connective tissue between thigh muscles starts to constrict or "choke" the nerve, causing pain.  Scar tissue from surgeries or injuries, an inflamed knee bursa, or a mass (tumor, cyst, etc) can also entrap the nerves.  I have even read that varicose veins can put pressure on these nerves if they are in close proximity.  Some people with saphenous nerve pain do not necessarily have entrapment, but their nerves have been damaged during knee surgery. 
Neuromas form when nerves have been cut.  The cut nerve tries to regenerate, but is unable to in a normal fashion, so it forms a mass of disorganized neuronal tissue at the cut end.  I know several people that have formed neuromas after having knee or leg surgery because the surgeon cut a nerve either accidentally or could not avoid cutting it.  Their orthopaedic surgeons removed the neuromas for them.  One of my friends has them removed every 8 years or so.  You may even be able to feel the mass under your skin - it's like a "pea" or "marble" -sized growth. 
In my opinion, it is possible that you have a saphenous nerve problem.  The pain is typically on the medial side of the knee, but it can radiate across the front of the knee, down the medial side of the calf to the ankle, or even up into the mid-thigh.  A good way to diagnose saphenous nerve pain is to have a doctor inject anesthesia near the nerve and see if it relieves your pain.  This is a "nerve block."  I have had two nerve blocks performed and it has relieved my pain temporarily.  An anesthesiologist, physiatrist, or other physician trained in these types of injections can do this.  Sometimes these injections can provide long-lasting relief.
I have not had any significant improvement with injections, pain medications, etc. so now I am hoping to get an appointment with a peripheral nerve surgeon.  I am considering going to Johns Hopkins in Baltimore or Massachusetts General Hospital in Boston.  I hope to have surgery to either relieve any entrapment or just completely remove the saphenous nerves.  Complete removal of the nerves would cause some numbness in the knee and lower leg, but will not affect muscle function, since they are only sensory nerves.  I have also corresponded to another user on this site that had surgery in the UK.
It took me months and several doctors to finally get a diagnosis.  Many doctors have never heard of saphenous nerve problems (saphenous nerve entrapment, saphenous neuritis, paresthetica gonalgia).  While I think that it is a possible diagnosis for you, it is only my opinion, and I am not a doctor.  Do you think you could ask your doctor about this?  I had to actually bring some articles about saphenous nerve problems to my doctor because he had never heard of them.

Hope this helps!

mtlady 
   

Offline cattech1

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Re: Saphenous Neuroma
« Reply #17 on: March 13, 2014, 06:08:43 AM »
For the past 11 mos. since bilateral knee replacements, I have been in pain daily taking norco to tolerate the burning , tingling, jab by, hypersensitivity in both knees. I also have severe tendonitis behind both knees that started a week into rehab? This has been a real life changer- had to cut back to part time at work losing benefits, inability to function very well, lots of depression and crying, not going out once the pain starts for the day. My ortho surgeon told me at 3 mos. post op to take Tylenol and get off the codeine as if that would handle the pain!?  He recommended I see a pain specialist, so after 2 pain specialists, another ortho surgeon, and 8 acupuncture treatments, I finally was referred to an amazing orthopedic surgeon who only does revisions and sees all of the botched surgeries.  Within 15 minutes of examining me, he knew what was causing all of my pain. 1) neuroma to the infrapatellar branch of the sapheinous nerve, two geniculate nerves set off and my ligaments in the knee had loosened after surgery allowing the top half and bottom half of my legs to slide side to side causing the tendonitis. His treatment plan for me was a referral to a plastic surgeon who last week dissected the neuroma and buried it in muscle and removed the geniculate nerves and buried the ends in muscle. A week post op and I am already flying high with no pain or any meds!! Can't keep the smile off my face! :) The fix for the tendonitis isn't so easy. Once the incisions heal, I'll be on anti-inflammatories to see if we can calm down the tendons. Otherwise, wait until the implants get loose from all of the side to side movement, instability of joints and then replace the implants with a hinged knee implant. 

Offline mtlady

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Re: Saphenous Neuroma
« Reply #18 on: June 27, 2014, 05:37:06 AM »
Hi cattech1,

I just read your post and I congratulate you on finally getting relief from the painful neuromas in your legs!  It makes all the difference when you find a doctor that is knowledgeable (and willing) enough to figure out what is causing your pain.  I saw so many doctors that didn't give me the time of day, but eventually, with the help of someone on this site, I was also able to find a surgeon to help me with the pain caused by my saphenous nerves.  I am wondering if we actually saw the same surgeon, because I also was operated on by a plastic surgeon that also is trained in peripheral nerve problems.  Anyways, I just wanted to see how you were doing and also ask if you are in the US?  I assume you are, but another person on this site, who is in Europe, is looking for a surgeon to help with their saphenous nerve problem.  Just wondering if your surgeon might be more accessible to them....

Thanks!

mtlady

Offline infrapatellar saphenous

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Re: Saphenous Neuroma
« Reply #19 on: October 19, 2016, 12:05:15 AM »
dear cattech1 and mtlady,

I am so happy to hear you found people who recognized and dealt with the issue. I believe I have the same issue - burning pain in area below and medial to patella after a fall 7 months ago. I feel it when I stand up. This issue is baffling to 99% of doctors apparently - pain management docs do not even seem aware that this nerve exists...

can you give me the names of the plastic surgeons you saw to remove your saphenous neuroma?

Thank you for giving me hope!

Best,

Saphenous Neuroma

Offline Automatik

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Re: Saphenous Neuroma
« Reply #20 on: November 13, 2016, 02:15:59 AM »
Wow, I feel so lucky to have stumbled across this thread. Thanks so much for sharing. I have been having bad anterior medial knee pain for a long time since initial soccer injury and it "flares" up when I hurt my knee. MRI is negative for meniscus and ligament tears.  Hopefully this is it because OS don't seem to know what's wrong with me, and will not do surgery. Even though my 2nd opinion OS won't be able to do much for me, I will definitely bring this condition to his attention.

A life with knee and leg numbness but still having muscle function sounds great compared to being in pain and not being able to use muscles properly, leading to imbalance, and more knee injuries. This surgery also seems like it would be a "walk in the park" compared to knee athroscopy, which could make this condition must worse if I do have it. Worth getting checked out for sure!

How do I know I have this, is the pain level constant, or is more pain felt with certain activities? Has anyone had this surgery done? If so, hows the pain now, is it gone? What's it like compared to before? Are you glad you had the surgery? Thanks so much in advanced for any insight or opinions!
« Last Edit: November 13, 2016, 02:41:15 AM by Automatik »

Offline Daniellezana

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Re: Saphenous Neuroma
« Reply #21 on: October 02, 2017, 05:09:29 PM »
Hello,

Does anyone have recommendations of consultants in the U.K.that you'd see to do a diagnostic cortisone injection of the infrapatellar branch of saphenous nerves and other nerves.

The skin over my left knee feels strange is sensitive to touch and I am frustrated that al the consultants I have seen have refused to test this.

Any recommendations would be amazing.

Thank you
Danielle

Offline Vickster

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Re: Saphenous Neuroma
« Reply #22 on: October 02, 2017, 06:04:26 PM »
Where in the UK are you?
You could ask your GP for a suggestion or look at the CVs of pain management or neurophysiology/neurology specialists at your local private hospitals. You
will of course need a referral from GP or consultant. I don't think an orthopaedic surgeon would do this, need a pain or nerve specialist. Maybe one of these specialists working at one of the specialist ortho hospitals (Stanmore, Birmingham, Oswestry) eg https://www.rnoh.nhs.uk/health-professionals/consultants/dr-roxaneh-zarnegar

Is the odd feeling the result of surgery? Has your Physio tried a course of desensitisation?
Have other causes such as CRPS been ruled out?

Have you tried a nerve type medication like gapapentin or pregabalin to see if that helps?
« Last Edit: October 02, 2017, 06:21:23 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up