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Who am I? I can barely recognize myself because the rheumatoid arthritis has severely deformed my hands, my feet and my legs. The first 50 years of my life from 1841 to 1891 must have been in another body because this one cannot even hold up my favorite pipe or roll my favorite cigarettes. This decrepit shell has really failed me now that one side is nearly completely paralyzed. The doctors say I had a stroke , but I don't know if that is right because my neck hurts me something fierce. Luckily, I am ambidextrous so that I can continue my work at creating beauty.
Although I have been offered the latest chemicals like antipyrine , I prefer not to use treatments that could interfere with my creativity. My goal is to just keep moving. So, I have taken up juggling daily to keep my arms and hands limber. I also enjoy playing billiards because I have to get into so many different poses just for a chance to beat my wife. With each bend in the knee or twist of the arm, I believe I can ma...
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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