Presumed peroneal nerve problem, mainly one foot, leg, buttock.Pain/ weakness evolving over 3 years!

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Does anyone suffer from anything similar? I feel so alone with this and have been suffering for over three years with various different diagnoses but no real understanding. Sheer determination has carried me through but has been, and still is mixed, with very low, hopeless times.

My symptoms

  • Alternate days I have pain and some weakness over my inner foot and ankle, particularly my toes around and between the first and second toes. Then on the next day I have a weak outer foot and ankle. It can be pins and needles but essentially feels like the muscles aren't working in this part of the foot.Until very recently this day was always accompanied by gnawing buttock pain which could really start to make me have an overactive bladder. See below - My Attempts to be Pro-active to see what may have reduced the back pain significantly.
  • So much weakness, pain or discomfort in my foot that I don't manage to walk for more than 10-20 minutes at a time. I used to be a hiker.
  • Pain eases with rest (when I go to bed) but returns as soon as I begin to get on my feet.
  • The other foot usually takes on a similar pain and weakness to the symptomatic one but not nearly even half as bad and this matches the nerve pattern for which ever of the 2 alternate days!

Professional diagnoses so far

  • Arthritis in the problem foot
  • L5 paracentral nerve protrusion which leans to problem side. Small focal protrusion at S1. Neither are operable but may cause chemical reaction. This MRI was about 9 months ago.
  • 5 years ago I had a kidney removed by keyhole incision due to a cancer diagnosis...which turned out to be NOT cancer.The scar tissue is on my tummy near my hip...and I wonder about the connection.

My Attempts to be Pro-active

  • I have been doing floor based Pilates aimed at core and back every day for about 30 minutes for several months now. It is tough and laborious but may be the reason my back pain has diminished.
  • I try to do something active each day now even if my pain gets worse(It helps me sleep) such as about 40 mins cycling, Aqua aerobics, a 30 minute swim (which exhausts my legs) but walking and standing are very limited.

I often feel hopeless as changes are very slow and I wonder if they are actually improvements or just changes. Has anyone got any suggestions please? I fear giving up because I may lose the strength I have and have the return of back pain.....but I am weary with trying and really quite down about my situation.

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  • Posted

    I read your letter and felt I must reply to offer you my support.

    My feet have been affected by slipped discs in the past, they feel as though they are in a vice, plus sometimes seem to be in warm oil. The only pain I have is nerve damages to one foots toes, due to an op that didn't work.

    There must be somebody who can help you, and have you tried acupuncture?

    As my feet have been affected by my discs, maybe your theory about scar tissue might not be far off the mark.

    Good Luck to you, I hope you get some answers soon.

  • Posted

    I want to say thank you for everyone who has replied and sent encouragement and kind words.

    To Derek - I googled those antibiotics. To my knowledge I have never had them. You must feel angry and mistreated (as I suppose I do with the loss of a kidney which would have served me well). May I say that you clearly seem very mentally upbeat at 85 and you should be proud of yourself for that.

    Thank you also to Kinnear for your further encouragement and Janey.

    I have found these communications really quite helpful and soothing. I have been living in a nightmare of painful, confusing and disabling symptoms which don't "let up" except, usually, during sleep. I have had disinterest, blankness and wrong diagnoses from many health professionals. My "little" update is as follows:

    Visit to GP this morning

    I don't go that often because I don't want them to think I am crazy and I frequently come out no better off. I had wanted support from them and an inquisitiveness to try to help me get to understand what is going on...to take in my medical history and be prepared to cover all possibles. I told her this at the end (diplomatically). She listened.

    Today I talked about how my tummy from hip crest to groin is becoming sore. Just right of my hip crest is the incision for my surgery where my kidney was removed by robotics and from where the surgeon, believing then I had cancer, had a good look around at all of my other organs to check for more of the same. I also reminded the GP of how my whole leg has felt unsupported for a least a year, as if it was dropping outwards making me feel like I need to yank it into an upright position. It has previously been presumed that my back was causing my leg weakness, a weakness which also manifests in my foot. I know that some of the new soreness is a result of new Pilates exercises for muscles in my side which I have built tentatively. Also, feeling the soreness on that side only, I have been using a soft, large Pilates ball to lean my tummy on to address scar tissue and have felt how extremely tight it is on that side.

    Anyway, the upshot of my discussion with the GP was that, she agreed, the scar tissue in my right pelvis may have been pulling my hip out of alignment and affecting my back too, along with the nerves to my leg and foot. I'm waiting now for an MCAS hip assessment (12 weeks!!) before any consultant or MRI is arranged....or maybe they will just suggest some physio at the end of that wait (which I can do myself anyway!). She said anything in my hip is unlikely to have anything to do with my foot. I think it may be indirectly linked via my back. This is hot, sore burning, pulling pain in my foot which follows through my leg. I'm wondering if paying for a private MRI on my hip might be the next, best way forward.

    Alternatively I may press on with the additional exercises for my side which are things like side planks to see if I can strengthen this. Despite my frequent hopeless feeling, I am essentially determined and I actually don't have much faith in the NHS where musculoskeletal things are concerned (and some other things too!!) Everything about my leg and foot has felt so wrong, so twisted, so imbalanced, so perculiarly variable for so long. Like clockwork, on one day my foot and leg feels outward leaning with varying degrees of back pain. On the next day it is more upright but weak on the outer side of my foot and sore, pulling and weak around my 1st and second toes. With evolving symptoms this alternate day thing has gone on for more than a year, maybe two(I don't like looking back too much). None of the Physios I have seen (some of them private) have been able to see what is wrong. I began by having just my foot looked at. That got me nowhere. If anything, I got worse.

    Things are changing in my nightmare. I wonder how much the scar tissue i am genly tring to stretch with the soft ball has to do with it. I have booked a scar tissue release session with my Physio for my side under my ribs.The reason I persist with Pilates and Physio exercises is because I recognise that about a year ago I found many of them set my back off or my foot. This scared me and put me off but I have continued very gradually and realise now that some of those things which made me feel worse at one time no longer do. My back pain is also less intense. Being able to get stronger gives me a little confidence.

    Now I've gone on too long. Thank you if you stuck with me. Nerves are so confusing. I actually think medical science is also largely confused about them but as Janey rightly said we never give up. Keep on picking oneself up out of the despair, weakness, pain and get back on with things whether that be life itself or therapy, exercise, medication if it works, and love.

  • Posted

    hi Elaine and fellow neuropathy patients.

    I'm new to this forum but not new to the problem. My problem goes back to March, 1990!!! Yup, almost 30 years. It started with with a lumbar strain that caused pain into my thigh and leg. The back and thigh pain resolved but the lower leg pain stayed. The diagnosis came down to shin splints. (I was walking 4-5 miles a day.) Over the next five years ortho treatment included injections, pt, TENS, pain pills, orthotics none of which gave consistent relief. Fast forward to 2007 when an ill-fitting shoe bruised ligaments and tendons in the top of the foot on the same side. This started my podiatric treatment which was pretty much more of the same with the addition of a boot and night splint when the pain worsens. About three years ago a new podiatrist admitted he didn't know what the problem was and decided we should treat the symptoms. His plan included PT with a therapist who used dry needling. Painful but got amazing results that lasted for months. In August I noticed the pain was creeping pass the normal everyday level. Last week I saw a different podiatrist fully expecting more of the same approach. After questions and exam he asked if I had ever seen a neurologist. He felt I had a nerve entrapment issue. Tuesday I saw a lower extremity peripheral nerve specialist. After his exam he confirmed a peroneal nerve entrapment that can be surgically resolved. It involves decompression similar to carpal tunnel. I was in tears!! I go back next week for an additional test and plan to schedule the surgery for as soon as possible. Just the chance that this pain can be over is enough for me! I'd like to hear from anyone who has had the procedure done. I know this post is long but 29 years of pain is a long time!

    • Posted

      May I ask, Gwen, are you in the UK? Your post is interesting for me. I have symptoms in my foot which are now beginning to cause a strong pulling sensation in part of my calf. I also have the back pain(usually and almost unbelievably on alternate days). On the day I get this my foot is usually less painful. My back of thigh area is only affected a bit, the joining up of the two areas. Although I think it surely most likely that the sore, strange pulling sensation in my foot which extends to the calf is something to do largely with my back, I don't know this for sure...but no-one else is any wiser to help me either. Does any of this sound familiar? Also, please post how you get on with decompression of the nerve. Thank you.

    • Posted

      I'm in the US, specifically Georgia. My foot pain is only across the top/instep area where that shoe was too tight. This happened several years after the back strain thing. The back was an acute strain that resolved after a few days of meds and bed rest but it left me with the leg pain. My leg pain is along side the right side of the shin bone; which helped them call it shin splints. I don't have any calf pain or issues with my back. In fact, one of my podiatrists had me go through an ortho workup including knee, hip, back and a bone scan of my leg; everything normal. Guess this didn't help you...

    • Posted

      Thanks anyway Gwen,

      I suppose you have thought about this...you don't have an osteophyte ( bony overgrowth) on the first cuneiform/ metatarsal joint do you...which is sometimes known to impinge the nerve? .....and the treatment is usually to shave a little bit of that bony joint away. It also is said to be irritated when shoes press on the top of it. I do actually have one of these but my shoes don't really affect it and the foot consultant doesn't think it is a cause of my problem(s)!

    • Posted

      No, I don't have any type of bone/joint issues. I think that's at least a part of reason why resolving it has been such a problem!

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