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Foot drop - can it fix itself when the nerve is compressed?

From: mamacaz - on 08/06/2010 10:43am

Does anyone have experience of foot drop caused by sciatic nerve compression righting itself without surgery? I have been recommended a laminectomy to avoid further nerve damage (L5 compression), but am wondering if this is too extreme a measure. Don't want to do damage by delay, tho...

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on 08/16/2010 12:08pm

The laminectomy is a nothing surgery. I had it and when they got in there they found a 1.5 inch cyst that hemorrhaged and became necrotic around nerves. I stayed 1 day in hospital and only needed vicodin for that day and then I was fine.

I waited too long to have more surgery and I may have permanent nerve damage. So I would definitely suggest you have the laminectomy. You will feel instantly better and the only pain you will feel after is incisional for a day or two.

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on 08/17/2010 8:06am

Hi there.

I have had foot drop for the last 6 weeks and was told yesterday that if i start doing the exercises that I did in therepy after back surgery, it will start to go away. I was actually told after surgery that if I picked 4 or 5 of the exercises and did them for "the rest of my life" that I shouldn't have any more problems with my back. I had fusion L5 and 6 and S1, with titanium pins and rods in April of '09. Dr told me that I should get up the day after surgery and walk, and I did. Nurses couldn't believe that I walked the halls 5 or 6 times a day in the hospital.
When I got home, with my walker, I walked up and down my driveway for a day or two, the gradually added the sidewalk, the neighbors driveway, then the other neighbrs driveway and sidewalk. Within 5 days, I was walking further than I could in the last 3 years without pain. I went to PT and did the exercises at home, pretty faithfully. People could not believe how quickly I recovered. I know that it was because I followed Dr.'s orders.
When you have pain for so long and can't move around the way you are supposed to your muscles start to atrophy. After surgery, you need to build up these back muscles to help support your spine. If you do not, nerves can become compressed again and cause continal pain. Disn't mean to be this long but after reading so many depressing posts from people still in pain, i wanted to share my story.

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on 08/17/2010 11:53am

Hi BriteDiamonds,

You are a model patient bar none! You would put a lot of medical personnel out of business if all patients were like you.

You did great!!

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on 08/17/2010 6:51pm

I was wondering about your(britediamonds)about the atrophy in your muscles. Did you any have muscle pain before your surgery? Or no pain? I went to the neuro(after 4 yrs. or so)of worsening pain..and the dr. told me basically I need to stretch more. I have horrid muscular pain all over, and now numbness and tingling in hands and feet. Obvious carpal tunnel, and my L foot is the most painful of all, and I think it must be dragging..since I seem to trip frequently.
I have a lumbar area that has hurt for years, so I do not doubt I have some compressed nerves, but did it make your muscles sore? I feel like I have done a major workout 2 days prior....EVERYDAY! I get out of bed and limp to get the day started. My back does hurt..and my little stretches do not work..I guess the MRI is next. I was hoping for that to be ordered on the first visit..not wait another 6 weeks! Ultram helps..but not a cure. Also..I have no insurance! So if I need surgery...well...that's just another issue! My mom has MS..so I was wondering about that as a diagnosis.
Thanks for all your input!!
Sheila

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on 08/17/2010 8:25pm

I suffered with drop foot for almost 7 years before two back surgeries the last being 7 weeks ago today. The first surgery was a failure due to hardware that wasn't installed properly and I waited for 25 months before going under the knife again. This time, the doc took out all the old hardware, shaved the bone spurs, installed new hardware and rerouted the lumbar and sciatic nerves. The results have been very impressive. The foot drop is pretty much a thing of the past and although the only therapy that I can do right now is walking, I can feel the leg getting stronger as each day passes. The pain is almost a thing of the past with the back and I feel wonderful. Am very thankful that the doc knew what he was doing and SO FAR SO GOOD. Keep the faith and hopefully, things will work out for you too.

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on 10/02/2010 11:24am

: Post operative root level L5 radiculopathy and foot drop
After two weeks of severe back and leg pain and weakness in April 2009 I had lumbar laminectomy to remove a disk fragment impingement of L5.

!!! After surgery I have foot drop, numbness and weakness in my leg. I experience burning pain and 'radio wave' sensation in my back and leg. These symptoms are gradually increasing in severity and frequency over time, since the surgery.

MEG test performed on 5/19/2010 showed: no response and reduced amplitude in peroneal motor nerve, and prolonged distal onset latency and reduced amplitude in tibial motor nerve consistent with severe chronic left L5 lumbar AP root level lesion.
My treatment postoperatively has been focused on managing the symptoms with gabapentine, anti-inflammatory and pain medication. I am wearing an ankle-foot arthosis very uncomfortable,radio- waves gradually distributing, (started from left calf after surgery) to my body up to waist,, and begin waves in my right leg in gentle radio waves, Dr neurologist said I will have of rest my life...

QUESTIONS:
1 There are possible some treatment in my problem or stop,or reduce of my pain, numbness, and electro-waves in my body or somebody have/had this experiences after surgery
2 What kind specialist can understand and explain this symptoms that horribly destroy me...?
I am waiting suggestion or sharing with experiences harhun@gmail,com

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on 10/02/2010 11:41am

Do not repeat my mistake! After FBSS no one will not help you, you will stay alone with pain......
Please read my experiences
,
Can you please give me any advice!!!

.....After two weeks of severe back and leg pain I went to ER and had lumber laminectomy to remove a disk fragment impingement of L5 on April 2009.
Right after surgery I had foot drop + numbness, weakness in my leg and pain. On the 3-rd days after surg. I start to fill gentle radio waves in my calf , this symptom are gradually increasing with
burning pain radio waves sensation in leg and back. I constantly saw rehab dr, he said take a time, take a time.( surgeon said this is not his parts of problem,it is rehab) Passed more then one year my condition got worse radiowaves spread out to up my body left size and start from galf of the right my leg with pain and burning sensation

......MEG test on 5/2010 showed : no response and reduced amplitude in peroneal motor nerve, and prolonged distal onset latency and reduced amplitude in tibial motor nerve consistent with severe chronic left L5 lumber AP root level lesion'
My treatment focused on managing the symptoms with gabapentin, atiinflamatory and pain med.
......Question:
Does someone, anyone know any new treatment for this problem, what kind specialist I need to see ? Somebody have experience please share ? email me harhun@gmail.com
Thank you for reading.

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on 10/02/2010 11:41am

Do not repeat my mistake! After FBSS no one will not help you, you will stay alone with pain......
Please read my experiences
,
Can you please give me any advice!!!

.....After two weeks of severe back and leg pain I went to ER and had lumber laminectomy to remove a disk fragment impingement of L5 on April 2009.
Right after surgery I had foot drop + numbness, weakness in my leg and pain. On the 3-rd days after surg. I start to fill gentle radio waves in my calf , this symptom are gradually increasing with
burning pain radio waves sensation in leg and back. I constantly saw rehab dr, he said take a time, take a time.( surgeon said this is not his parts of problem,it is rehab) Passed more then one year my condition got worse radiowaves spread out to up my body left size and start from galf of the right my leg with pain and burning sensation

......MEG test on 5/2010 showed : no response and reduced amplitude in peroneal motor nerve, and prolonged distal onset latency and reduced amplitude in tibial motor nerve consistent with severe chronic left L5 lumber AP root level lesion'
My treatment focused on managing the symptoms with gabapentin, atiinflamatory and pain med.
......Question:
Does someone, anyone know any new treatment for this problem, what kind specialist I need to see ? Somebody have experience please share ? email me harhun@gmail.com
Thank you for reading.

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on 10/07/2010 12:01pm

I'm sorry you are having such problems Aliusia. I had right drop foot prior to surgery (lamy and a/p l4-l5 fusion) which my neurosurgeon was sure would be fixed by surgery. It is actually worse and I do have some of your similar issues. I do not have the answers for you but what I have done is had MRI and CT scans to ensure fusion is not a problem. I then found a wonderful pain doctor through my radiologist who is brilliant.
I am doing PT and wear lidoderm patches on posterior scar down to S1 as I now have SI joint syndrome. I think it is a result of sitting rather than lying down when I was recovering from fusion surgery. So I am doing pilates work with the band. I am very flexible from years of pilates and yoga, but my hips are too 'loosy goosey" as my PT would say. From what you describe I think you would benefit from the band pilates exercies that I do to strengthen the oblique muscles and the back.
If you don't have a PT, you can find these exercises on line.
here is a link to get you started:
http://pilates.about.com/od/buyingequipmentetc/qt/Videos-Online.htm
You will want the mat and fitness band exercises. For example, you will lie on your side with hips perpendicular to mat but evenly straight up and down with legs slightly bent. Pull your stomach muscles in and up, wrap the band around right foot pull taught so there is tension. Now lift leg 10'xs you should feel this in oblique muscles. do 3 sets ea leg. then in same poistion holding band taut, push your leg out being carful not to snap your knee joint and then pull leg in. 10xs ea leg 3 sets. Make sure your stomach muscles are pulled in and up b/c your goal is to strengthen your core muscles.

I can't promise it will solve your problem but it won't harm you and will strengthen those muscles that seem to need it. Let me know how you do.

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