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Suggest treatment for peripheral neuropathy

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Posted on Sat, 7 May 2016
Question: Hi i am scheduled for quadricept surgery and have a peripheral neuropathy in my feet and ankles. Will this have an effect on anything and should it be revealed to orthopedic surgeon?
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Answered by Dr. Muhammad Sareer Khalil (3 hours later)
Brief Answer:
Type of quadriceps surgery is not specified

Detailed Answer:
Hello and welcome

I appreciate your concern

Type of quardiceps surgery is not mentioned. you may specify it ti comment accordingly. Most commonly it can be tendon repair surgery. Quardiceps muscle has four parts which unite to form tendon which attaches to patella then the patellar tendon attaches to tibia. Tear may be complete or partial, small tears makes it difficult to walk , managment is consevative and large tears are disabling and require surgery.
Causes of these tear are injury and tendon weakness which include tendinitis many chronic conditions like chronic renal failure hyperparathyroidism gout diabetes SLE rhematoid arthritis , also fluoroquinilones are assosiated with quardiceps tendon tear.
While during the surgery all the near by structures are exposed and handled so every information related to it must be provided to the surgen.

wishing you best of health

Thanks

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Muhammad Sareer Khalil (1 hour later)
Hi this is a complete or partial tear of quadricep requiring surgery which is scheduled. The reason I didn't want to mention this slight neuropathy in my feet to the surgeon is because I am deathly afraid that he would cancel the surgery for a condition that is managed does not effect mobility, etc. I guess all you can really do for me is render an opinion as to a neuropathies effect on the end success/result of the surgery. I know this is irregular but any input is helpful
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Answered by Dr. Muhammad Sareer Khalil (17 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello again.

Peripheral neuropathy is damage to the nerves of peripheral nervous system which can be due to disease of nerve or as part of sytemic illness. There are four patterns polyneuropathy mononeuropathy mononeuritis multiplex autonomic neuropathy.
Neuropathy may be assosiated with varying combination of weakness, autonomic changes and sensory changes. Loss of muscle bulk fasciculation a particular fine twitching of muscle may be seen
There are may other types of neuropathies like diabetic and femoral, femoral neuropathy can occur secondary to direct trauma compression fracture stretch injury or ischemia
it causes weakness of quardiceps in adavce cases wasting of quardiceps occurs
So neuropathy is pathology in its own and tear is pathology in its own self complete tear should be repaired when muscle is good in function and the surgery will improve the quality of life of a person what important is during the surgey surgeon should know whats he dealing with whats his limitations. Sugeon will be extra careful near the nerves as not to cause any other damage once he knows it

Hope it will help
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2912 Questions

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Suggest treatment for peripheral neuropathy

Brief Answer: Type of quadriceps surgery is not specified Detailed Answer: Hello and welcome I appreciate your concern Type of quardiceps surgery is not mentioned. you may specify it ti comment accordingly. Most commonly it can be tendon repair surgery. Quardiceps muscle has four parts which unite to form tendon which attaches to patella then the patellar tendon attaches to tibia. Tear may be complete or partial, small tears makes it difficult to walk , managment is consevative and large tears are disabling and require surgery. Causes of these tear are injury and tendon weakness which include tendinitis many chronic conditions like chronic renal failure hyperparathyroidism gout diabetes SLE rhematoid arthritis , also fluoroquinilones are assosiated with quardiceps tendon tear. While during the surgery all the near by structures are exposed and handled so every information related to it must be provided to the surgen. wishing you best of health Thanks Dr M.S Khalil