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Fusion surgery, foot drop-post operative - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Hello, My wife had back fusion surgery in 04. She has had drop foot (right) ever since. Her right leg below the knee is cold to the touch, she has the sensation of touch, however. Is there a treatment for her condition? She has seen many doctors and they give little attention to this problem. Also, in time, will this conditions worsen? AAAAAAA
Doctor :   Hi
Doctor :   I am
Doctor :   Pls. give me few moments to go through your qquery.
User :   ok
Doctor :   Did she have a KRT Surgery.
User :   what is that?
Doctor :   Can you describe the surgery that she underwent ? TKR IS Total Knee Replacement
Doctor :   Or was it a fusion of two vertebrae ?
User :   No knee replacement. She had spinal fusion level 4,5. Nerve damage during surgery. Still cannot move ankle or toes right foot. Leg below knee constantly cold.
Doctor :   I am very sorry to hear that, but the most common side effect of spinal surgery is foot drop.
Doctor :   The best treatment for that is
Doctor :   Physio and electrical stimulation
Doctor :   as the nerve is intacct.
Doctor :   as there is some amount of sensation as per your patient history which indiactes nerve intactness.
Doctor :   So I would prescribe at least 3 times of physio a day as it stimulates the other muscles to get active and the nerves to reinnervate .
Doctor :   I would also like to know the age of the patient ?
Doctor :   I would also like to know the age of the patient ?
Doctor :   Are you there ?
User :   She is 57. We have a stimulator but have not used as we thought the sensation of touch was independant of the motor nerve. So, you may be saying foot drop may not improve but the coldness may improve with stim
Doctor :   May I also know the gradation of the foot drop ?
Doctor :   0,1,2,3 ?
User :   do not know. but her foot hangs straight down.
Doctor :   Even the foot drop may increase over a period of time- may be one year or longer.
Doctor :   Please get it graded by a proper neurologist
Doctor :   And she requires a customised splint designed by an Orthotist- a splint designer.
Doctor :   I require more time to answer you better.
User :   we'll try that, she has several but does not like or wear them.
Doctor :   the deep peroneal nerve and fibular nerve can be activated.
Doctor :   As it is the major nerve contibuting to motor action to anterior part of the foot.
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
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