Lack of tactility on foot

[iryna_lukach]

I would like to ask you for some help for my father. He was injured in a car accident 2 years and he has
problems with nerves. The femoral nerve has recovered only for 25 % (half a year ago it was 17 %).

That is why he has a lack of tactility on his foot.

I would like to ask you about some clinic who deals with such problems.

With best regards,
Iryna

[Shazia Alam, DO]

Peripheral nerve damage is based on the extent of damage to the nerve itself and its neighboring cells. Nerves grow about one inch each month on average, so injured nerves can take up to two or more years to heal.  Your father’s nerve injury will slowly repair by itself, but keep in mind that the foot will likely repair last (proximal areas will heal before distal), but there are some procedures that can promote regeneration.  These include electrical stimulation, physical therapy, or in some cases surgical procedures.    

An electrical stimulator may be used to stimulate the muscle served by an injured nerve while the nerve regrows. Specific movements or exercises will keep affected muscles and joints active, prevent stiffness, and help to restore function and feeling.A surgeon can remove the damaged section and reconnect the healthy nerve ends, or reconnect the nerve by implanting a piece of nerve from another part of the body (nerve graft).  
It is important to have your father take safety precautions since he cannot feel the floor:  Installing adequate lighting (including night lights), Testing water temperature before bathing, and wearing protective shoes (no open toes).  

There is not one specific place that I can recommend, however I would recommend continuing to monitor progress of nerve repair.  If you and your father would still like more information, perhaps speaking to a neurologist who specializes in neuromuscular disease would be a good option.  

Hope this information was helpful.  

[Shazia Alam, DO]

Iryna,

Any large university program/teaching hospital will have a neuromuscular center.  Depending on which city you are looking at...

I have experience with my workplace, but this is not meant to be a biased answer as I am sure you would have great medical care at other places also.  
Cleveland Clinic has a neuromuscular department and has an international center for international patients, which can sometimes make thing easier.

But, as I said, if you choose which location is convenient for you, there is usually a large hospital with specialists in this field.  

[iryna_lukach]

Dear Dr. Shazia Alam,

thank you very much for your kind and cery informative answer.
The problem is that we are living in Ukraine and my father would like to be treated in the USA. Tha is why I would ask you to advise some Neurology Center which deals with the problem of such desease.

I am very grateful for your previous answer and if it is not much trouble for you could you make some recomendation according some Neurology Center.

With best regards,
Iryna