Tingling and numbness in foot after total hip replacement
Posted , 21 users are following.
Hi, I had a thp 5 weeks ago. Immediately as I was recovering from after surgery I noticed numbness and a pins and needles feeling in my foot. It has not gone away abd I mentioned it agsin to my surgeon during a follow-up yesterday. I called him a few days after the surgery as well, at which time he said it was "not normal" he also told me there was no nerve damage during surgery (he brought that up). Yesterday, he immediately said it has nothing to do with the surgery and it must be a "pinched nerve in your back or something". That was the end of that discussion. Well, I was not born yesterday, abd his not even considering that it may be nerve damage from surgery was a bit unnerving to me. I do not have foot drop, as I can bear weight and am only tingly and numb at ball of foot and toes. I can feel things, and also pressure, and temperature. But it doesn't seem fully, and there is always tingling along with a heaviness. Sometimes, tinges of oain on foot and ankle.. Has anyone experienced this? Thank you in advance for any input!
2 likes, 27 replies
kelly1205 dee_36000
Posted
RichardKen dee_36000
Posted
Dear Dee
I'm very sorry that you are having nerve problems. it does strike me as a bit strange that your surgeon can be so certain that he did not cause any nerve damage during the surgery.
I wonder what approach you had?
Cheers Richard
Rocketman_SG6UK dee_36000
Posted
Sounds like typical nerve problems - before my THR I used to get a severe shoulder pain that was diagnosed by my physio as a pinched nerve in the neck. All sorted with a couple of trips to an osteopath.
The surgeon may well have a 'get out' clause if you signed a 'permission to operate' form, there was a section in mine absolving him from any problems resulting from nerve damage . You would need to check that form carefully to spot it as you were rolled into the operating theatre though.
Best wishes
Graham
ellen60516 Rocketman_SG6UK
Posted
I'm thinking you may want to get a second opinion, if that is possible.My Dr. put me on Gabapentin for nerve pain.Unfortunately, it made me throw up every time I took it. I know people who are on it with good luck. Guess I was one of the unlucky. I hope you can get some relief.
Rocketman_SG6UK ellen60516
Posted
Do you mean the legality of the 'get out' clause in the authorisation? My solicitor has confirmed that there is a clause in it, but luckily I did not suffer any nerve problems.
My shoulder pain was cured by the osteopath many years ago and is easily controlled by freeing up my neck with her exercises - I have to use a special pillow under my neck for sleeping too.
Graham
steven07363 dee_36000
Posted
I have the same symptoms. I am 13 weeks out. I have an appointment with my surgeon in early January.
Steve
michael27916 dee_36000
Posted
I also had hip replacement 5 weeks ago and I have the same thing since the surgery, but only after I sit in a chair for 30 minutes or more.
Our surgeons must have studied at the same Med School as mine also said it’s unnrelated and I should see my primary.
His attitude was dismissive and condescending.
It’ll be interesting to see what my primary has to say. Good luck to you...
irene26058 dee_36000
Posted
djthope dee_36000
Posted
I had my first anterior approach THR in 2014. No issues at all. I had my second anterior approach THR in 2016. This time, I had your exact symptoms ...... two years later, and I still have them. The orthopedic surgeon says the hips are fine. All he cares about is the joint. He doesn't seem to have any concerns about the numbness and pins and needles in my foot. "It should go away", I was told. Guess what? It hasn't. And like you, I have strength in my foot, no foot drop, but it feels like a have a pair of socks balled up in my shoes. And the health professionals like to correct me when I say my foot feels numb. The fact that I can feel sensations when they stick me means that I have feeling so numb is not the correct terminology so I am told. Call it neuropathy, parethesia, whatever. All I know is that my foot has the same feeling that your hands and feet get when you have been out in 5 degree temperatures for too long ... NUMB. My personal explanation: if you had the anterior approach, they flip your leg over the side of the side of the tablet in a very awkward position..... don't tell me that a nerve can't be damaged in the process. I just don't understand why the nerve hasn't regenerated after 2 years. I didn't have this issue before the surgery, but I had it right after the second surgery.
connie53617 dee_36000
Posted
Hi.
I'm 8 wks post op from a lthp..im doing great walking and moving..but I have pins and needles around my incision. There is hear..and it's like rashy around it..I seen my orthopedic Dr..he said he wasn't worried but they did blood work for precaution..the blood work came back fine..they told me to keep and eye on it..if it gets a purple color or fever to call them..
Has anyone else experience this rashy, pins and needles , heat around incision..I read some similar experiences but no one seemed to have the red rash..
RichardKen connie53617
Posted
Sorry to hear of your problems. I'm going to guess that you had the anterior. approach. Can you confirm please. Richard
djthope RichardKen
Posted
Both of my hips were replaced doing the anterior approach. I had them done on a Monday morning and went home before lunch the following day. If I had a third hip that needed replacing, lol, I would do another anterior approach. My major issue is how the surgeons are kind of done with you after the surgery has been deemed successful, even when there is sequelae subsequent to their surgery, and they basically pass you off to the next specialty, whether it be physical therapy, neurology or pain management. It would be nice for them to just acknowledge that what you are experiencing is real and most likely a result of the surgery. Maybe an explanation of how it occurred would also be informative. Not everyone is computer savvy or medically inclined. Frustrating.
2young dee_36000
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dee - I'm curious if your numbness and tingling has improved?
david65148 dee_36000
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I too have these same symptoms, it feels as if my foot is swollen(and it is, but not as much as it feels like) the toes are very sore and I have the pins and needles like it is asleep. it has been this way since my first operation. I have had a 7 month ordeal with this THR. after the original operation it took almost a week to come out of the anesthesia and then after spending 3 weeks in a rehab center I developed MRSA and STAPH infection and they had to go in and replace the original appliance with a spacer and I was on IV antibiotics for almost 3 months and then they went back in and placed a new appliance. Throughout this entire process my foot was "numb". My Ortho is only concerned with the Hip Joint and says everything is ok now and that the problem with the foot will go away in a year or so. I don't believe him and feel that there is some nerve damage,but don't know where to go to find out. The foot problem is severely limiting my ability to walk normally again without a cane. If anyone has any suggestions I would be very happy to hear them.
connie53617 david65148
Posted
I'm so sorry you had such an ordeal...I hope things get better for you..wish I can give you advice..I can only offer prayer or positive thoughts coming your way.
monkeypearl david65148
Posted
Hiya very much the same with me, I'm about 6 months THR and have these symptoms in my right foot,. my lower back is really bad at mo,, I have doctors appointment next week, fingers crossed they are going to send me for x-ray on my back. I've been to physical therapy and at moment doesn't help, keep us in touch with your outcome..😁
Pete
djthope monkeypearl
Posted
I believe that my neurologist, used the term RADICULOPATHY, in my chart. So having a pinched nerve is no surprise. But tell me what needs to be done to get rid of it!
From an abstract in the American Journal of Medicine :
Additionally, malposition of the acetabular component can cause psoas tendon impingement, which may mimic L1-L4 radiculopathy.20 Patients who undergo arthroplasty via the posterior approach are at risk of sciatic nerve injury via traction from errant intraoperative retraction. Conversely, those who undergo surgery via the direct anterior approach risk injury to the femoral nerve, causing quadriceps weakness or the lateral femoral cutaneous nerve resulting in paresthesias in the anterolateral thigh.21 One study reviewed 34,335 hip arthroplasties and found a 1% prevalence of nerve injury.22