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Neurology  (Expert Forum)
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This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury

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by laneyb, May 25, 2001 12:00AM
Hi,

Thank you in advance for any help you can offer and also for your time. The beginning of this questions begins with a topic that could have been told in cardiology but now I believe it is a neurology question/problem.

I am a 39 yr old female with constant pain in left hip, buttocks and leg.

About a month ago, it was discovered that my Iliac artery on my left side had a blockage. Surgery to open it was suggested. During that surgery a stent was placed in the artery to hold it open. Ever since the stent was placed, I have severe pain. It begins at the spot the incision was made, then travels across my hip and down the back of my leg. It ends at the ankle. Sitting and walking are the two things that are most uncomfortable. The leg feels tierd and week constantly. The pain is sometimes sharp and stabbing as well as tingly and "electric". Also there can be pain on the front side of my thigh. I had no pain from the knee up prior to the stent placement. I recently saw a team of cardiologists and had tons of tests. They have ruled out that the pain is vascular. So my questions are: Could the surgeon have damaged a nerve while placing the stent? Could the stent be "pressing" on a nerve? What do you think it could be? I do have an appointment to see a neurologist but not for several weeks. How can I get some relief from this pain until then? It effects my entire life. I can not be the mom or the wife I want to be or was able to be prior to the surgery I had. Anything you can tell me would be very helpful. Again, Thank you! Sincerely, Laney

by CCF-Neuro-M.D.-RPS, May 25, 2001 12:00AM
Dear laney:



I am sorry that your having pain.  The pain sounds like it is neuropathic in origin.  I can't tell you for sure becauxe I can't examine you, but your description has the overtones of neuropathic pain.  Much depends on how they put the stent in place, how long the surgery, how they placed your leg during surgery, etc.  There are no quick fixes to the problem, both the pain and if nerve damage was done, the healing of damage.  One could initially use conventional type morphine drugs for initial pain management and try to wean up a dose of something like neurontin until you see the neurologist.  The neurologist will likely do an EMG and see if  the conduction studies and needle studies point to anything specific.



Sincerely,



CCF Neuro MD
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