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Conditions and Diseases > Orthopedics Forum > THR for neuroma and pain management
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Q: THR for neuroma and pain management
asked by: DoctorQuestion on February 3rd, 2007
In November I had a extended THR, it took three hours, and I was on my left side for the whole three hours. For pain relief I had an epidural, which was put in place before the General Anaesthetic was administered. When the needle was going in I felt a 'kick' to my sciatic nerve in my left leg.

When i awoke from the anaesthetic, I had some pain in my left foot. Few days later on standing and moving around I had pain/tingling, in my calf and foot..this eventually settled in my calf, but now I have constant numbness and pain in my left foot, spreading from the toes, on top and underneath, down the sides and down the middle of my sole.

I have previously had and have had removed a Mortons Neuroma (MN) from the same foot. Is this pain nerve pain A) from lying on my side for three hours, B) from the needle going in and nicked the Sciatic nerve, or C) could it be another MN growing? It is certainly much more painful than the first Neuroma I had. How long till I'm free of pain?


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Dr. Nikola Gjuzelov , MD
replied on February 12th, 2007
Orthopedics, Hip & Knee Injuries Answer A2303
An Electro-myo-graphy (EMG) can be performed to see if the pain, tingling and numbness are due to nerve damage, or not. The sciatic nerve could be damaged during the epidural anesthesia, but that has to be proven. An X-ray of the lumbar vertebral column also has to be done to identify possible disease that might cause the same symptoms (spondylosis for example).
It doesn’t seem likely that the pain is due to lying on one side for more than 3 hours because the operation was performed more than 2 months ago.
Morton’s neurinoma is removed together with the local nerve during the procedure, so a relapse at the same location is impossible. Another occurrence of Morton’s neurinoma near the first locatio, however, is possible. The duration of pain depends upon the reason for the pain. So first, you can diagnose the reason and then you can consider the treatment.



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