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[TKR] Seven years post OP and nerve damage improved but not perfect

Discussion in 'Knee Replacement Recovery Area' started by Campervan, Dec 8, 2014.

  1. Campervan

    Campervan Sr Bonesmartie
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    Continuation of thread
    http://bonesmart.org/forum/threads/...and-still-recovering-from-nerve-damage.12959/

    Hi all, sorry I've started a new thread as my old one has been closed. Some of you that have been around for a while will know that I had femoral nerve damage from the nerve block. I found out today that the 5+ degrees of lag that I still have is likely permanent. I was told further recover after three years is highly unlikely.
     
    Last edited by a moderator: Dec 12, 2014
  2. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hi Margaret, @Campervan

    I am sorry to hear that - but it's lovely to hear from you again.

    How much does the lag affect your daily life? And how is your other knee behaving?

    I had my left TKR in September and I told my anaesthetist about your femoral nerve damage when he was discussing doing a nerve block for me. He was very particular to show me on the screen as he did it, and pointed out that his needle was beside the nerve, not in it. I didn't have any problems.
     
  3. speccybecky

    speccybecky Sr Bonesmartie

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    Hi Margaret, sorry to hear that, you have worked so hard to get rid of it. How does it affect you from day to day?
     
  4. Hitech

    Hitech member

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    What is meant by "lag" I have not heard of that before.
     
  5. referee54

    referee54 omega

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    I am terribly upset and sorry to read of this. I do not know of the term "lag"---would you please tell us more?
    Yes---I would be very interested in hearing from you.
     
  6. skigirl

    skigirl SUPER MODERATOR Moderator

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    I had a femoral block for an ACL---I could not walk on the leg for 3 days, I fell at least 10 times!!! It was horrible and I will never get another one. I had no pain at all after my second tkr---oxycodene (5/ 325) and oxycontin (for the first 10 days only) did the trick---I really wonder if those femoral blocks are necessary/
     
  7. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    Oh @Campervan I am so sorry to hear this. You have fought the good fight on this. How much of a problem is it for you on a day to day basis these days?
     
  8. skigirl

    skigirl SUPER MODERATOR Moderator

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    @referee54 "lag" is related to quad insufficiency===so, when you do a straight leg lift, the knee does not hold the knee straight, but allows some flexion in the knee. So a 5 degree lag refers to the knee having a 5 degree flex during what should be a straight leg lift.
     
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  9. referee54

    referee54 omega

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    @Kelly---thank you very much for the clarification!
     
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  10. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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    Margaret,
    Great to hear from you, sorry to hear your nerve damage is not expected to heal.
    Are you going to need a TKR on your other knee?

    I had a femoral block that did not work for my TKR and a saphenous nerve block for my revision, which worked. The saphenous nerve is sensory only, so if there is a problem it does not interfere with your motor control.

    I do have sensory damage from my accident 3 years ago, it is not going to come back. My motor control is not effected. I have gotten used to the sensory damage for the most part, sometimes is does feel funny.
     
  11. tashia

    tashia Sr Bonesmartie

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    I am sorry to hear this. I also have some damage on the legs that is not getting better either. I haven't said the it is perment yet but its not good. But with all the good, that I can walk again, it was so worth it. Again, I am sorry to hear this. Please keep me informed how you are doing. Tashia
     
  12. Jamie

    Jamie ADMINISTRATOR Administrator

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    It is good to hear from you, but this was certainly not the news I was hoping for. I'm so sorry that it appears you will have some permanent nerve loss from the surgery. I would like to know as well how it impacts what you are able to do and what you have found you can do to compensate.
     
  13. Campervan

    Campervan Sr Bonesmartie
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    Quad lag = extensor mechanism lag and I can't raise the leg straight. Post op it was 30degrees, now its 5 or a little more. I've had nerve conduction test and EMG which has evidenced the nerve damage, so 99% likely to have been caused by the fremoral nerve block.

    Here's the link to my original thread:
    http://bonesmart.org/forum/threads/...and-still-recovering-from-nerve-damage.12959/

    Many have asked how the permanent damage affects me, so here goes:

    - I'll never ski again
    - I can hike up the mountains
    - The leg won't totally straighten when walking so puts pressure on other joints and other parts of the knee - i keep locking up the fibula head
    - hamstrings go under tension so need occasional physio massage etc to release
    - the quad can't strenthen much more than it has so the knee will buckle but only occasionally, tends to buckle if I get slightly off balance where normally the quad would give extra control
    - the quad being weaker means the patella doesn't pull correctly
    - going up and down stairs, up and down hills there is pain/stiffness across the front of the knee but probably because of the patella not tracking but it does ease off the further I go

    Physio is going to work with me on an exercise programme for strength and stability to see if we can improve things.

    Do I regret the surgery - NO.
    Do I regret having the nerve block - YOU BET!
    Does it depress me - OCCASIONALLY

    I am definitely better off that I was pre op.

    Yes I do need the left done at some stage in the next year or so. NO absolutely no femoral block. Surgeon and I have already agreed this.
     
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  14. Celle

    Celle FORUM ADVISOR Forum Advisor

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    @Campervan
    That sounds like quite a nuisance! I'm sorry you won't be able to ski again. Living where you do, that must be hard! At least you can still hike in those lovely mountains.

    I'm glad you have a physio who is going to try and help.

    Have you thought of making a claim under ACC?
     
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  15. Campervan

    Campervan Sr Bonesmartie
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    Hi Celle, ACC claim is going through my mind and I may go and see my GP for her opinion. But I guess it comes down to whether I was told of the risks and I know I was told there was possibility but I can't remember if I was told the possibility of the permanency of it.
     
  16. Campervan

    Campervan Sr Bonesmartie
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    Almost another month gone by, passed the three year anniversary. I do think I've a little more improvement in the quad lag in the last month. I've started swimming again. Well, I've been once and managed 20 x 25 metre lengths wearing swimmers fins and then 10 water walking in deep water. I tried my exercycle, which I hadn't ridden for almost a year but my other knee doesn't like it as it is degenerating.
     
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  17. Celle

    Celle FORUM ADVISOR Forum Advisor

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    The right knee sounds as though it's doing well. :)

    I'm sorry the left is (literally) being a pain.
     
  18. Campervan

    Campervan Sr Bonesmartie
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    At 3 years I think I may have joined the ODIC! Either that or something is wrong with it all.

    The only thing different is that I've been swimming for the past month, twice a week, with swim fins. Now my knee hurts on the outside just above and below the kneecap, and sometimes inside just below the kneecap.

    Seeing my doctor next Monday.
     
  19. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hi Margaret,
    I hope your doctor can clarify what is wrong. It could just be that swim fins are a bit too much for your knee - I do hope so!
     
  20. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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    I suspect the swim fins are to blame, like Celle I sure hope so.
     

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