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Neurology (Expert Forum)
Peronal nerve damage?
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Peronal nerve damage?
by pam rn, Dec 02, 2003 12:00AM
I am a healthy (except for Raynaud's Phenomenon) 37 year old female. Two weeks ago I had breast reduction surgery and did very well post operatively, but I've noticed since my surgery that I have a phantom sensation in my right foot, especially the dorsal surface of the second toe. I have no loss of sensation or movement, just this odd sense of being touched which sometimes tingles, too. I'm wondering if I could have some peronal nerve damage, maybe from leg straps in the OR or from TEDs and SCDs after the surgery. If so, will it resolve, and is there anything I can do or take to help? Thanks
Doctor's Answer
by CCF-Neuro-M.D.-CS, Dec 07, 2003 12:00AM
You are describing sensory changes within the region of the deep peroneal nerve. Typically if you have these sensory changes from a compression with straps or a device you would also have symptoms over the outer surface of the foot. Other possibilities include a small disc protrusion at the L5 disc level. You have not described any motor changes which is good.
What I would recommend is seeing your primary doctor first and let him/her determine if there is a focal abnormality. Then perhaps a consultation to a neurologist can be arranged. Certainly if you develop motor symptoms you should see a neurologist. Then based on your examination the proper tests could be performed, which may include an MRI of the lumbar spine, and an EMG (muscle and nerve test). Good luck.
What I would recommend is seeing your primary doctor first and let him/her determine if there is a focal abnormality. Then perhaps a consultation to a neurologist can be arranged. Certainly if you develop motor symptoms you should see a neurologist. Then based on your examination the proper tests could be performed, which may include an MRI of the lumbar spine, and an EMG (muscle and nerve test). Good luck.
Such nerve damage is possible after surgery done in the lithotomy position, which probably does not describe breast reduction surgery. But if you were unconscious and immobile for several hours, there would be a good chance for a nerve injury due to prolonged pressure. Heavy drinkers who sleep deeply and seldom roll over can suffer from nerve damage to the arms, too.
Just my 2¢.
Beth