Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

162 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Numbness in knee after C-section. Taking Clexane, wearing TEd stockings

I had a c section 8 weeks ago due to placenta praevia and very risky complications. This was done by spinal epidural and i was kept awake. A week later i noticed a numbness in my right knee which didn t hurt but felt very strange. This past week the numbness has changed into feeling very tight and it is painful to walk on it particularly going up and down stairs. I do have a history of knee pin but it has always been put down to hypermobility . This tighness is like someone has wrapped a bandage around it far too tightly and it doesn t go away when sitting or standing. I was on clexane for 6 weeks following surgery and wore the TEd stockings for 2 weeks. Thanks for your helps
Mon, 30 Dec 2013
Report Abuse
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Procedures ,  
Pain Medicine & Palliative Care Specialist 's  Response
Hi,
This is unlikely to be related to your surgery or spinal/epidural as the symptoms came on a week after the procedure. The tightness may indicate you have an effusion which is fluid around the knee joint.
I suggest you see an orthopedic specialist and you may need an MRI to assist diagnosis.
Regards,
Dr K A Pottinger,
MBChB FRCA
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

When I had my son 17 months ago, 6 weeks after the c-section I got EXTREME abdominal pains in the middle right area. On day two of the pain and being able to function I went to the walk in clinic in our area. My stomach so so sensitive I could not stand for anything to touch it. The doctor said that i had a stomach infection, gave me a pain injection and sent me on my way. He stated that I would be feeling better by the time I arrived home 45 mins. away. It did not help, 2 days later the pain subsided. Randomly the pain comes and goes. It will take me to my knees and last minutes sometimes hours and maybe even a day or so. Sept last year I was on vacation and went to the bathroom with no urge for a bowel movement and when I went to wipe the toilet tissues was full of bright red new blood. I immediately assumed that I had begun my cycle till closer inspection led me to see that the toilet bowl was red and it was coming from the rectum, still not pain in that area. This happened twice in a matter of a few months and then hasn t until tonight. Let me add that for theh last 2 days I have noticed stops in my underwear and when I wipe. The pain has still been vary random and very painful tonight was one of those horrible pains and when I went to urinate, again the toilet bowl was full, the toilet paper was cover and even my underclothes were saturated with blood. I am a 24 White Fem. Married. I have not let my husband in on anything. Does this sound like a simple stomach infection or should I seek futher care?

doctor1 MD

8months ago I had an Emergency caesarean, although I had specifically said I did not want any needles in my spine and if i were to end up having a caesarean just to knock me out. anyhow three spinals were tried all three failing the highest positioned one hit a nerve that shot to my knee. after the surgery I could not feel my left leg properly nor lift it. I could stand on it but any other movement was minimal. I also noticed that I could only feel my bladder full when my caesarean wound started hurting more and i would also experience a pain on the right hand side of my neck but never my bladder. my second night post surgery I experience severe pain in my lower right hand side of my abdomen and I couldn t move either of my legs bloods were done and infection was very high so stronger anti biotics were prescribed. next morning i got the feeling in my left leg back but both legs were swollen and i still had little movement in my right leg. 6weeks every doctor said and everything will be back to normal. An MRI was performed to check my spinal cord 12 days after the caesarean for any damage because my leg still wouldn t move properly and no abnormalities were found. Three weeks after delivery I stood up at home and the membrane sack fell out, they had not been removed in surgery! suddenly I felt my right leg kind of bubble inside as if there was blood flow going back through it and I could lift it! it moved properly although I was unsteady and it did still give way like it had been doing for the past three weeks I did not have to physically pick it up to get up stairs which was a blessing. but still because I had no balance or real stability I was reffered to a neurologist, who sent me to a different hospital for electromyography test ( i think that s the right word), which also came back no damage. So as far as the hospital is concerned there s nothing wrong with my leg. although I need a walking stick to walk with when i do not have the baby in the pram and I still fall over and my balance is impaired on average I stumble about 9 times a day and fall actually to the floor twice a week. I still have pain in my stomach from the second night in hospital 8months on. I weakly regained some feeling to my bladder 4months after delivery, although no incontinence occurred nobody ever enquired as to why I couldn t feel my bladder and why I could only tell if i needed to go was when my neck hurt, because after my wound healed it obviously didn t hurt any more for me to know that way also when my bladder was particularily full my leg seemed to drag behind me and was heavier. The underneath inside my foot feels numb and I cannot move my toes properly it seems like a delayed reaction snd sometimes they do not move at all when I want them too I do sometimes get a feeling of that im almost getting cramp in my calf muscle jsut a small circle behind and underneath my knee but it never kicks it. and I still get a shooting pain down my thigh to my knee when the spinal needle touched a nerve. Is there any other kind of test I should ask for or some kind of rehabilitation for me? as I am slowly losing faith that I will regain my leg as every medical proffesion I have seen so far dont really see it to be a big issue

doctor1 MD

Hi I guess I am here because I am in a lot of pain and was wondering if anyone could help me. I have an appointment in 3 weeks to see a neurologist but have been waiting years to get here after seeing a lot of different doctors. 3 years ago after the birth of my daughter (c section with spinal block) I started getting a numbness and tingling throughout my legs. Its always at its worst while I am lying down and trying to sleep. It would last days sometimes weeks and then disappear. and randomly from time to time re-appear. I had a few different blood test (I was living in England at the time) and was told it was nothing and it would go away on its own and was probably a result of the spinal block. fast forward 3 years and I give birth to my second child again by C section and spinal block. Straight after surgery I lose feeling in my legs and bottom, the numbness and tingling lasted for 2+ weeks and it was my surgeon who referred me to see the neurologist for further testing. I also had blood tests done at this point which indicated I was severely b12 deficient and there were other things in my blood work that indicated this may be caused by some form of autoimmune disease as my iron levels were fairly normal. I had a low platelet count also my foliate levels were low there were are few other indicators I have a copy somewhere and will add those once I find them. For the last 3 or so weeks the numbness and tingling is back but this time I also have pain that its like a dull ache in my legs with random shooting pains throughout my legs and feet and a mild lower back pain. My bowel movements have been more frequent and a feeling of urgency of using the bathroom when I do feel the urge to go. Again this pain is worse while lying down or resting but I still feel it throughout the day and its getting worse and I see no sign of it going any-time soon. I am finding it hard to sleep. I am unable to take any strong pain medication as I am breastfeeding my son. I am taking ferograd c (sp) which has helped a little with my energy levels but I just feel tired all the time even after a good nights sleep. I realise with the type of pain and symptoms I have can be a whole list of things. I am hoping I finally get some anwsers after my appointment in 3 weeks. I am now Living in Australia and I am a 28 yo female.

Recent questions on  Enoxaparin sodium

doctor1 MD

I have a client on Lovenox subq for a blood clot in her leg, now after 6 weeks of taking the Lovenox she is experiencing blood deposits when she urinates, without pain, and the amt. Is increasing after two days of spotting, what action would you take at this point?

doctor1 MD

my 26 year old son had a seizure episode yesterday, was taken to the emergency room. A CAT scan revealed blood clots in his lungs. he is being given lovenox blood thinner injections every 12 hours....what questions should I be asking the doctor this morning

doctor1 MD

I have an unexplained large bruise on my inner thigh. It has spread to about three inches across since it started as a hard lump about 3 days ago. In color and shape it looks very much like the bruises I got at the sites of the heparin and Lovenox injections I had to take while pregnant. I took those due to miscarriage pattern and the presence of Lupus anticoagulant and MTHFR in my bloodwork. It is purple- black the center lump seems to be smaller but still present and the general bruise does not seem to be improving. It does have some green around the edges as though the periphery is fading. Oh, the center has a distinct red dot-- like a pimple. The new symptom is that my leg is atad sore and seems a little bit like it might be falling asleep. Should I race to the ER or can i wait to show a doc in the morning, I am traveling with my baby and at ahotel in a strange city tonight!

doctor1 MD

My name is Ram Krishan Sachdeva (M -65 yrs). On 29th June I visited a Cardiologist with persistent(past 2 days) left leg calf pain (Cramp like). After Clinical investigations and Venous Doppler test it was diagonised as: Unprovoked DVT (Deep Vein Thrombosis) and I was put on Inj. Clexane 0.4 mg for 5 days extended by another 2 days, and Warfarine-3mg/day which was increased to 5mg from 1st July,2011 with regular monitoring of INR till target achieved. INR which was initially 1.25 increased to 2.52 on 5th July. After ECHO/ECG etc tests I was advised to continue Warfarine-5mg and to repeat INR after one month. On 21st (July)morning I started having abdomen pain and subsequently Nausea/ burping & vomitting. I was hospitalised in the evening- Ultrasound showed blockage of Intestine?(Chest X-ray and CTC Scan was also done). Next morning ( 22nd July) since problem was persisting I shifted to a Speciality Hospital in New Delhi(India). Laparoscopy Operation of Intestine had to be postponed for 3 days as the Blood was too thin(INR 5.4 and PTT 54). Laparoscopic Check showed blood/blood Clots all over Intestine which were flushed out. Twice endoscopy/Enteroscopy was carried out. Color Dopler test carried out on 28th July showed no DVT/no clots The Diogonosis was: •     Intramural jejunal hematoma(Warfarin induced) with Intestine obstruction, •      FUC of doubtful deep vein thrombosis, I am Hypertension and on regular use of Telma-H for past many years T.K.R(Bilateral-both knees) was done two years back. High resolution Duplex scanning of the Veins of left lower limb along with detailed color flow Angio and road mapping was done on 20th august which shows: •     Residual Thrombus seen in the Prox.seg. of Lt. Post. Tib Vein •     Diameter stenosis:Lt. Post Tib v.-prox.seg.-70% •     Venous Blood is high viscous. •     Valsalva sign-positive on the left side •     Augmentation reaction +ve with bi-directional flow at the Lt. Sapheno-Fem & Lt. Sapheno-Popi.junctions suggestive of Venous Valve insufficiency. •     Lt. Long Saph. v. and Lt. Short Saph.v. are Dilated and Varicosed along with branch varicosity •     Dia. Of superficial veins: 1.     Lt. long Sph.v-SF junction-13mm 2.     Lt. long Sph.v-mid. Thigh- 6-5 mms 3.     Lt. long Sph.v-mid calf.- 5-4 mms 4.     Lt. short Sph.v- 4-5 mms •     An incompetent perforator(dia-4mm) seen in Lt. lower mid calf region medially •     Odeama of soft tissue and hyperpigmentation of the lower legs I have been advised Actrom 1mg/2mg alternate days and to do PTT after 10 days of use of medicine, Compression Stockings during day time and elevation of legs. Now I seek your opinion/advice. Warfarine was stopped on 21st july itself.

doctor1 MD

Dear Sir/Madam, My wife is in 26 weeks pregnant, Today doctor prescribed ENOXAPARIN Sodium Injection I.P (20mg/0.2ml) for 30 days. Our doctor has recommended this after CBC, We had a previous ectopic and Miscarriage in the Past. Would you please...

doctor1 MD

Dear Sir/Madam, My wife is in 26 weeks pregnant, Today doctor prescribed ENOXAPARIN Sodium Injection I.P (20mg/0.2ml) for 30 days. Our doctor has recommended this after CBC, We had a previous ectopic and Miscarriage in the Past. Would you please...

doctor1 MD

Can Lovenox/ Enoxaparin Sodium lead to kidney stones?