Bilateral PN Following Hip Replacement
 

I am new here but have researched the forum looking for a situation similar to mine. Hopefully you can give me some insight.

I am a 61 year old male in good physical condition. In August 2010 I had a left hip replacement and that has gone fine.

However 10 days post surgery portions of the bottom of both of my feel felt slightly numb. That condition/feeling has persisted since then. I had a nerve conduction test which confirmed PN in my feet. The feeling of numbness moves around from day to day, sometimes balls of the feet, bottom of toes, different toes. But it is always perfectly bilateral. Occasionally I get some burning after a day on my feet.

It is a disappointment since the hip feels great.

My neurologist said that the sudden onslaught soon after surgery indicates some sort of healing/immune response. I see from my research that it is possible to get RSA suddenly after surgery, but I do not have RSA symptoms, the feet have good color, etc.

I cannot, however, find the same type of post-surgery sudden onslaught of PN. My hip surgeon does not think it is related to the surgery because it is perfectly bilateral.

Blood, circulatory etc is fine.

With the collective experience of this group, can you identify what this is, whether you have heard of sudden post surgery bilateral PN, and what I can do to get rid of it.

Thanks so much!

Hello and Welcome!
 

Hello Zman and WELCOME to NeuroTalk!

I see that you have found your way to our PN forum.

You will find a wonderful group of people there who share a wealth of information.

Please feel free to roam around and join in anywhere!

I look forward to seeing you around the board.
:)
Abbie

Welcome to Neurotalk--
 

--though I'm sorry for what is bringing you here.

There is an entity known as "post-surgical neuropathy" which is apparently related to "critical illness neuropathy". It is not well understood, though theories advanced include compression due to the constant reclining position, possible nutritional deficiencies becoming exacerbated, and inflammatory mechanisms:

http://www.ncbi.nlm.nih.gov/pubmed/20846945

http://neuromuscular.wustl.edu/nothe....htm#critillpn

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862031/

Bilateral PN Following Hip Replacement
 

Glenntaj.

Thank you very much. That seems to hit it on the head. I had hip arthroplasty am and one of the very few who had a resulting "neuropathy remote from the procedural site which were bilateral". Since it was ten days post-op I bet it was the inflammation as compared to the positional aspect of the relatively short (1.5 hr) operation. I was on my feet in 24 hours and out of the hospital in 48 hours with an uneventful recovery except for the PN beginning on the tenth day.

There is no way I could have found the research and I thank you so much.

What do you think I can do about it?

Thanks again.

Hello Zman!
 

Welcome to NT!

You've surely found a wonderful place full of great support and understanding.
There are alot of folks at the PN forum who will be of great help.

It's great to have you here!

Caring
Rae
:grouphug:

Nice to meet you!!
 

Zman,

Happy to see you have come to be with us. As you can see we have a great number and caring fellow members here, just let us know how we can assist, you will see we are a supportive and relaxing place. Our shoulders are here for support in many ways.

Again welcome, looking forward to seeing you around. Happy Holidays to you and your family. My thoughts and prayers are with you.

Darlene :hug: