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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Peripheral Neuropathy And Sural Nerve Damage

Hello Doctor, On January 15, 2014 I had spinal stenosis surgery to open up space in the L3, L4 and L5 vertebrae. The surgeon found torn tissue wrapped around my spine and it was leaking fluid. I had been having headaches. I have been having muscle spasms in both legs and pain. There has been numbness in my feet and burning sensation. This has been going on for three months. The surgeon had a Nerve Conduction Study done and the results are Peripheral Neuropathy and Sural Nerve damage. He told me no physical therapy which I don t understand why not. I m going to ask him. What do you recommend? Thank you! I m hoping to make an appointment with a neurosurgeon or Neurologist.
Tue, 27 Jan 2015
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Neurologist, Surgical,  's  Response
Hello. I have been through your question and understand your concern.

It is a bit unusual to report these problems after a spinal stenosis surgery. Anyway, at this point you have peripheral neuropathy which is mainly seen in diabetes and probably you had it before surgery. Another cause is intoxication generally by drugs. In this case gabapentine and amitryptilline would help a lot on nerve repair and relief from numbness. While sural nerve damage can cause burning sensation but other than that it is not very concerning because it is a sensory nerve and does not causes weakness or major problems. As for the burning sensation gabapentin and amitryptilline are recommended.

Hope this helps.
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Suggest Treatment For Peripheral Neuropathy And Sural Nerve Damage

Hello. I have been through your question and understand your concern. It is a bit unusual to report these problems after a spinal stenosis surgery. Anyway, at this point you have peripheral neuropathy which is mainly seen in diabetes and probably you had it before surgery. Another cause is intoxication generally by drugs. In this case gabapentine and amitryptilline would help a lot on nerve repair and relief from numbness. While sural nerve damage can cause burning sensation but other than that it is not very concerning because it is a sensory nerve and does not causes weakness or major problems. As for the burning sensation gabapentin and amitryptilline are recommended. Hope this helps.