“Sciatica” is an old world term that refers to leg pain felt down the back of the thigh into the calf and foot. What about thigh pain? What about buttock pain? Unfortunately, “sciatica” has been wrongly applied to all types and locations of leg pain. In 1948, the use of the word “sciatica” was declared “unhelpful” by a leading orthopedic specialist because it is limited to a certain location and really does not address the origin of the pain. Over the years, many older medical terms like sciatica have become archaic as the newer research technologies give doctors clearer definitions and a better understanding of the human body. Leg pain that comes from the low back is most accurately categorized as referred pain or neurogenic pain. These terms apply to all locations and address the origin of the pain. With these newer terms, the antiquated word, “sciatica”, has no place in the modern world. Sally has been waking up with right ...
Alternative Names Neuropathy - tibial nerve Symptoms Sensation changes on the bottom of the foot
Numbness , tingling, or other abnormal sensations
Pain Weakness of the knee or foot, difficulty with walking Signs and tests Neuromuscular examination of the legs shows tibial nerve dysfunction. There may be weakness or inability to push the foot downward (plantar flexion). Severe cases may cause wasting of the foot muscles and foot deformity. Tests that reveal tibial nerve dysfunction may include: EMG (a recording of electrical activity in muscles) Nerve conduction tests (recording of electrical activity along the nerve) Nerve biopsy Tests are done based on the suspected cause of the dysfunction suggested by the patient's history, symptoms, and pattern of symptom development. They may include various blood tests, x-rays, scans, or other tests.
More and more studies show that controlling patients' pain and getting them moving after a total knee replacement (TKR) gives the best results. Doctors are looking for ways to do this. Managing patient's pain in the first 24 hours after surgery seems to be an important key. Better pain control is gained by giving the patient general anesthesia along with a local nerve block at the time of surgery. One of the nerves often blocked is the femoral nerve, which forms from nerve roots in the low back and runs down the front of the thigh. Blocks are also done to the sciatic nerve. The sciatic nerve is a major nerve that goes down the back of the thigh to the lower leg and foot. This study compared a femoral nerve block alone to a "double block" of the femoral nerve and the sciatic nerve. Pain levels and amount of opiate used were measured every four hours for the first 24 hours. The authors found that patients receiving the double blocks used less pain medication after TKR than those getting ju...
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