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re: OT Doctors Please Help Update: Page 4

Posted on 2/10/17 at 8:04 am to
Posted by Ric Flair
Charlotte
Member since Oct 2005
13649 posts
Posted on 2/10/17 at 8:04 am to
Are you diabetic? Could be mononeuritis multiplex, but I would expect some pain with that diagnosis.

I would see neurology again, and repeat the nerve conduction study, comparing any abnormalities to the nerves in the asymptomatic leg, along with a needle EMG. A lot of times, it takes several weeks for any abnormalities to show up on NCV/EMG testing. This should help differentiate a peripheral neuropathy from a radiculopathy.

You don't want to get back surgery for "bulging disks" if it is just a compression of the peroneal nerve at the fibular head that can be decompressed.
Posted by LZ83
La
Member since Sep 2016
17406 posts
Posted on 2/10/17 at 8:31 am to
I understand you have no pain. The steroid injections will shrink the bulging discs, therefore, alleviating the numbness.
Posted by Lokistale
Member since Aug 2013
1193 posts
Posted on 2/10/17 at 8:36 am to
quote:

You have many orthopedic surgeons who are trained in spinal surgery just like a NS.


Not to crap on all orthopods, but in general, most of their procedures do not require the finesse and delicacy that neurosurgeons are trained for.

If you ever seen a knee or hip replacement surgery... these procedures are brutal... sawing, hammering, twisting, pulling, tearing.... I've seen car-mechanics more gentle to their cars...
Posted by Lokistale
Member since Aug 2013
1193 posts
Posted on 2/10/17 at 8:48 am to
quote:

If i would need surgery I'm going with the specialist who spent 7+ years doing actual neurosurgery


Actually, 9+ years just for neurosurgery and 2-4 more for for spinal specialization... Learning to operate in a space that is about the diameter of a dime...
Posted by SirSaintly
Uptown, New Orleans
Member since Feb 2013
3131 posts
Posted on 2/10/17 at 12:22 pm to
I have an appointment at a multi-specialty spine clinic, so orthos who specialize in spine, as well as neurologists will be available to me. If surgery is needed, it will be a neurosurgeon.

Having said that, I began doing piriformis stretches on the right leg and that definitely alleviates the numbness for a while. I was able to sleep through the night last night. I'm leaning towards first neurologist was right with foot drop diagnosis with compressed peroneal nerve below knee.

I think the piriformis muscle became aggravated or something when I saw the chiro for the first and only time and he did 2 adjustments on either side of my hip and then 15mins of some electrical impulse massage thing. Maybe I'm wrong, but the only symptom I had before going to Chiro was foot drop... The numbness came after seeing him.

I'm going to continue on my tapered predisone Rx and hope the foot drop resolves itself. I'll continue doing piriformis stretches and see if that goes away completely and like I said, I'm still going to see a spine specialist with access to neurologist if needed. No more chiropractor for me ever again

Thanks to the OT for some sound advice
Posted by Ric Flair
Charlotte
Member since Oct 2005
13649 posts
Posted on 2/10/17 at 12:25 pm to
Your altered gait pattern from the initial foot drop could've aggravated something as well.
Posted by lsufan31
MS
Member since Mar 2013
2176 posts
Posted on 2/10/17 at 12:26 pm to
I just had to have surgery on c6&c7. I wouldn't advise seeing a chiropractor for this. Those disks are not just "bulging", that is a protrusion in to the spinal canal, and in light of what could happen if one slips or ruptures, you really should see a neurosurgeon.
Posted by Lithium
Member since Dec 2004
61863 posts
Posted on 2/10/17 at 12:36 pm to
Tabes Dorsalis?
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