I had quite a scare this past week. I woke up in the middle of the night with extreme calf pain in both of my legs. It wasn't like a charley horse or anything because the sharp pain was the entire calf and different from a muscle cramp. It's very difficult to explain and something I have never experienced before. It let up enough for me to go back to sleep, but my legs were still a bit sore the entire next day. I thought back and couldn't think of anything I did physically that would have caused this. However, I did travel in the car over Christmas for a few hours. I'm not paranoid about having another stroke, but of course my imagination got the best of me and I started envisioning all these blood clots forming in my legs. I got myself so concerned I nearly cried. So, instead of doing that, I just called my doctor.
The nurses weren't quite as concerned as I was. But, that is probably good. I didn't need a nurse to freak out on me while I was so freaked out myself. She just tol...
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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