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Old 05-18-2011, 04:38 PM   #1
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Sural Nerve issues after Peroneal Tendon Surgery

In November I had both peroneal tendons repaired, the ligament shortened, etc. I'm still having quite a bit of pain and my doctor has suggested the possibility of removing the nerve. I'm wondering if anyone has had this done and what it was like, what was recovery like, etc. I have had a few injections since the surgery and I feel great right after...until the numbness wears off. If I have the nerve removed will it feel like it does when it is numb? If so, I can totally live like that! Any help is much appreciated! I am so sick of all this pain I could scream!

 
Old 05-18-2011, 07:50 PM   #2
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Re: Sural Nerve issues after Peroneal Tendon Surgery

Last year I had a right foot fusion with a lateral foot incision. Post-op I had a lot of trouble with sural nerve pain as you describe. I was unable to wear shoes or have any pressure on the outside of my foot. On April 8th I had other foot procedures done for torn tendons and the surgeon found my sural nerve to be encapsulated within the scar tissue of the previous incision. I have read that the nerve can be involved with the scar tissue as the incision heals and that it is a common occurrence. I can't really tell you how I feel as I am not yet to a point where I know whether the problem is solved and since I had a number of other procedures done to my foot my recovery would not be the same as your recovery. What I was told though was that the procedure is relatively simple and the recovery is quick. If the procedure is to cut the nerve a small incision is made over the nerve and the nerve itself is either cut or removed. I was going to have this procedure done but I tore tendons so I had them take care of the nerve during my tendon surgery. Currently I am 6 weeks post tendon surgery and the incision on the outside of my foot is still pretty tender. I wish you luck!!

 
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Old 06-22-2011, 11:33 AM   #3
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Re: Sural Nerve issues after Peroneal Tendon Surgery

Well, I am now having tendon surgery and the nerve removed. Recent MRI shows more tearing, lots of scar tissue (nerve probably impinged), tendinopathy, synovitis, etc. I am waiting the OK from insurance to schedule the surgery. Some of it we won't know what needs to be done until he gets in there and can see it. I am NOT looking forward to it. I do think, however that removing the nerve is a good idea. I cannot wear shoes that touch that part of my foot or it sends me through the ceiling. We'll see...

I had my original tendon surgery in November. WAs in a cast, NWB for 8 weeks. It's tough. Hope you are feeling better.

 
Old 06-22-2011, 01:51 PM   #4
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Re: Sural Nerve issues after Peroneal Tendon Surgery

I am doing better as far as the rehab on getting my walking legs back. I still am experiencing the sural nerve pain on the outside of my foot. I don't think this surgery changed anything, in fact, it is worse than before surgery. I am forcing myself to wear a shoe for longer and longer periods daily. Sometimes it is unbearable and I need a break. My PT person has me rubbing the area with different textures to try to desensitize the area. So far, no change. When I am rubbing the area it seems to get better, but the next morning, it is back to that annoying pain. I have read that it can take up to a year to go away. It may be something that I am going to have to live with for the time being. I see my doc in the morning, and I will ask him at that time what, if any, are my treatment options at this point. I know they can inject steroids into the area to decrease the sensation, but since I just had tendon surgery...I do not think he will even consider an injection this soon.

I wish you luck in your surgery and recovery. I definitely can identify with the pain you are experiencing. I hope your outcome is better than mine...
Armstead

 
Old 06-24-2011, 06:52 PM   #5
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Re: Sural Nerve issues after Peroneal Tendon Surgery

I saw my doc this week and it seems as though I am stuck with this nerve pain for a while. The doc said it can take up to a year for the sensation to change. He will not remove the nerve. The nerve was encapsulated in scar tissue from my first surgery and he cleaned it up during this most recent surgery. Currently, it hurts more than it did before the surgery so in my opinion he really just stirred it up... I am working on de-sensitizing the area but so far it has been futile. Last year the de-sensitization was somewhat effective but I don't remember how long PT did it before I felt an improvement. I guess my answer is patience, which I have very little of at this point...
Good Luck with your surgery!!
Armstead

 
Old 07-08-2011, 06:34 PM   #6
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Re: Sural Nerve issues after Peroneal Tendon Surgery

I am having surgery on the 27th of July. He will remove the sural nerve and also do some other repairs while he is in there. Seems my tendons are torn again, plus there is a lot of scar tissue. We won't know exactly what all he will do til he gets in there. MRI showed a lot of stuff that could need repair.

 
Old 07-09-2011, 10:47 AM   #7
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Re: Sural Nerve issues after Peroneal Tendon Surgery

I wish you good fortune with your up coming surgery. I have had good fortune as well. As I said before I have been massaging the area to de-sensitize and was getting no where. About 2 weeks ago when I went to massage the area I felt no nerve pain. I was very surprised and hopeful at the same time. The next day it was back so I thought it was maybe in my head. Since that time I have had more and more episodes of no sural pain. Currently, it seems to have gone away. I still have an open incision so the lateral aspect of my foot is still sore, but no burning, tingling, unrelenting nerve pain. My surgeon released the nerve but there was no telling whether the nerve would become entrapped again. My surgeon doesn't remove nerves as he says some sensation is better than none. This was not a real popular decision with me as I really wanted to be pain free. I have not ever had such an injury to a nerve before that has recovered to know if it gets better gradually or not. I am pleasantly surprised and grateful at the same time. I don't know if it is gone completely or whether it will rear its ugly head again. For the moment, I am relieved!!
Good Luck!!
Armstead

 
Old 07-27-2011, 12:53 PM   #8
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Re: Sural Nerve issues after Peroneal Tendon Surgery

Quote:
Originally Posted by ASC1018 View Post
I am having surgery on the 27th of July. He will remove the sural nerve and also do some other repairs while he is in there. Seems my tendons are torn again, plus there is a lot of scar tissue. We won't know exactly what all he will do til he gets in there. MRI showed a lot of stuff that could need repair.
I am thinking about you today and hope your surgery went well. When you are feeling better, please let us know how it is going.

I continue to have intermittent sural pain issues but they are becoming less frequent as the periods between the pain episodes have become longer and longer...

Hope your pain is resolved with the surgery
Armstead

 
Old 08-01-2011, 08:20 PM   #9
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Re: Sural Nerve issues after Peroneal Tendon Surgery

My surgery went well. They excised the sural nerve, removed a vein, removed a lot of scar tissue and cleaned up the peroneal tendons. I do not have all the details, will get the scoop when I see the doctor for the first time tomorrow morning. I can say that the pain this time is nothing compared to what I suffered after the first surgery in November. I guess that's probably due to the nerve being gone...no nerve, no pain. I am anxious to see the doctor tomorrow for my post-op appointment!! I'll post what I find out.

Glad to hear you are feeling some relief. Constant pain is not fun!

 
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