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I have a 15 year old she fell through a glass door. The doctors at first stated that there was no nerve cut, 4 days in the hospital they changed there story. We knew about the artery. However she ended up cutting her sciatic nerve, hambstring muscle, legiament. She has no feeling in the back of her thigh, knee, calf, ankle, and foot. We had a sceond surgery to put the sciatic nerve back together with a graph from the lower leg. Thats when we found out about the hambstring muscle also being severed. Will my daughter ever get feeling back and is she going to be in pain the rest of her life like the rest of the people with sciatic nerve damage that I have been reading?


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replied July 27th, 2010
Muscular and Nerve Disorders Answer A14690
Thank you for your question on ehealthforum.com

Trauma to peripheral nerves is relatively common. It can be due to a blunt trauma or penetrating injury which is the cause in your daughter's case. They can also happen after fractures and dislocations. Peripheral nerve injuries can cause severe damage and symptoms. Based on severity of injury the nerve injuries are classified into 3 grades. Most nerve injuries are associated with pain as a result of injury and also due to decreased threshold to pain. When nerves are transected, recovery through spontaneous axonal regeneration is unlikely.

Treatment in transected nerves is usually surgical and young people do well. Benefit of surgery is always weighed before attempting the surgery as there are potential risks of surgery, loss of productivity and cost of surgery. Hence, all these cases require a thorough history, physical examination, routine electrodiagnostic tests. Imaging studies like CT, MRI are also needed.

Analgesics for pain are used in early stages. Sharp injuries with clear transection cases respond well to surgical treatment. If a severed nerve requires suturing, it is usually preferred to be repaired within a month. Sometimes, if the severed ends can not be joined, a nerve graft can also be attempted.

Following nerve injury, various pain syndromes develop, associated with parasthesias (numbness or altered sensations). The severity of symptoms depends on grade of nerve injury. Painful syndromes may need analgesics, supportive therapy for a long period depending on severity of symptoms. But, it can not be conclusively decided without the details of your details of your daughter's injury. Thank you.



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