It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Knee & Hip Problems Message Board

Femoral Nerve Block complications following TKR


Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 02-19-2011, 01:18 PM   #1
arldon4344
Newbie
(female)
 
Join Date: Feb 2011
Location: Menomonie, WI USA
Posts: 6
arldon4344 HB User
Femoral Nerve Block complications following TKR

I have had both knees replaced. After the first surgery (June, 2009) I had lasting effects of the femoral nerve block which continue to this day. It includes burning, needles/pins, numbness in the knee and thigh area. This January, 2011, I had my other knee replaced. My surgeon and anesthesologist discussed another nerve block and advised me that what had happened in my other knee was so VERY RARE that I should be able to have another one without any problems. Well, I now have the same condition in my other leg. My neurologist calls it a nerve impingement and I am on gabepentin and lidoderm patches which provide minimum relief. Has ANYONE out there ever had this happen or know of any one who has had it? If so, I would really like to talk with them. I can't seem to get any answers as to how or why this happens to me.

 
Sponsors Lightbulb
   
Old 06-11-2011, 07:04 PM   #2
Littlesissylynn
Newbie
(female)
 
Join Date: Jun 2011
Location: Topeka, KS, USA
Posts: 2
Littlesissylynn HB User
Re: Femoral Nerve Block complications following TKR

I have just begun looking through this site but what you are describing is what I now have. I did not have the TKR but my knee was pinned due to an accident. I have been unable to find much information on the numbness. My doc is unsure why it happened but I believe I know and it is due to the block and an incident that happened while they were completing it. I would be glad to exchange information with you.

 
Old 06-12-2011, 08:52 AM   #3
arldon4344
Newbie
(female)
 
Join Date: Feb 2011
Location: Menomonie, WI USA
Posts: 6
arldon4344 HB User
Re: Femoral Nerve Block complications following TKR

Hi and glad you saw my post. The problem I have been having now for 6 months (and for nearly 2 years prior to that) was a direct cause of femoral nerve blocks administered immediately following the 2 knee replacements. It appears that you were in an accident and then had some type of surgery requiring a femoral nerve block. Am I correct? If so, I am sure that your doctor or surgeon told you that this is TOTALLY RARE. However, I am beginning to think that it is rare ... but not totally rare.
Actually, I have been spending a considerable amount of time visiting a neurologist and getting minimal help. On my own, I decided to visit our local pain clinic and got a referral from my neurologist. In fact, tomorrow I will begin a trial of something called a SCS (Spinal Core Stimulant). There is a lot of information on the internet about this if you want to look it up. I have lived with the numbness now for so long that it is starting to affect my walking and standing ability. Keep in touch with me and I will do the same to you. Maybe what I am having done may just be an option for you too.
Best wishes.

 
Old 06-12-2011, 09:52 AM   #4
Littlesissylynn
Newbie
(female)
 
Join Date: Jun 2011
Location: Topeka, KS, USA
Posts: 2
Littlesissylynn HB User
Re: Femoral Nerve Block complications following TKR

I fell on 1/27/11 and broke my kneecap. On 2/11/11 I had the surgery to pin and wire my kneecap back together. I did not know what the block procedure was until right before surgery when I was told I was going to be receiving one. Immediately After the surgery as I was waking up, I was in severe pain. It felt as though there was an electric bolt running from my thigh to my knee repeatedly 10-15 times. I was screaming and I heard them say they were going to give me morphine. The pain stopped and I did not think much more about it until the numbness and weakness continued.
Now I believe this side effect was due to them trying to give the block and failed.
They have now taken out the pins so I will start more therapy and hope this strengthens my leg/knee. I am not sure about the numbness and weather it will subside of not.
Christina

 
Old 06-12-2011, 10:48 AM   #5
arldon4344
Newbie
(female)
 
Join Date: Feb 2011
Location: Menomonie, WI USA
Posts: 6
arldon4344 HB User
Re: Femoral Nerve Block complications following TKR

So sorry to hear about your accident. I also thought that something went wrong with the nerve block, but it isn't easy to prove. Once I went to the pain clinic (which was at the same hospital where my nerve blocks were done) I was told by the doctor there (who also had a specialty in asestheiology) that I SHOULD NEVER HAVE BEEN EVEN OFFERED A SECOND FEMORAL NERVE BLOCK CONSIDERING WHAT HAPPENED WITH THE FIRST ONE.) In reading about your surgery, I can only guess that you may well have had the same reaction to this block that I did. Have you seen a neurologist yet? If so, have you had your nerves tested by that doctor to see if you had a nerve damage? If so and your problem continues, I would definitely have your doctor(s) refer you to a pain clinic. I would guess that there is one in your area - I live in a rural area of NW Wisconsin, and we have one here. As I said, I am having the Spinal Cord Stimulator trial done tomorrow and will be working with it for the next week or so. Then, if it works, they will permanently imbed it and I will be able to control the pain myself. If you would like, I will keep you informed on how this SCS works for me. In the meantime, good luck to you ... I really understand how misearable nerve related pain can be.

Best wishes, Arlys

 
Old 08-26-2012, 09:32 AM   #6
shethom
Newbie
(female)
 
Join Date: Aug 2012
Location: birmingham England
Posts: 1
shethom HB User
Re: Femoral Nerve Block complications following TKR

Quote:
Originally Posted by arldon4344 View Post
I have had both knees replaced. After the first surgery (June, 2009) I had lasting effects of the femoral nerve block which continue to this day. It includes burning, needles/pins, numbness in the knee and thigh area. This January, 2011, I had my other knee replaced. My surgeon and anesthesologist discussed another nerve block and advised me that what had happened in my other knee was so VERY RARE that I should be able to have another one without any problems. Well, I now have the same condition in my other leg. My neurologist calls it a nerve impingement and I am on gabepentin and lidoderm patches which provide minimum relief. Has ANYONE out there ever had this happen or know of any one who has had it? If so, I would really like to talk with them. I can't seem to get any answers as to how or why this happens to me.
I too have a very bad problem after a TKR.
I have an increased sensitivity in my leg I have very bad spasms and I feel like my tendon is being pulled up during the spasms tight making my leg tuck into my groin at night. I have to learn to walk again every single day I did have a tarsal tunnel surgery some 15 years prior and I don't know if that is the reason for my ankle swelling and being very very painfull to walk on.. what a shame you went through it not once but twice you poor thing.. It seems my consultant is scratching his head and does not know what to do with me. It could be femoral nerve block as nothing seems to kill the pain its only 10 weeks since my surgery and I am getting very scared about what the future may hold for me I too need the other knee done.

 
Old 08-27-2012, 01:09 PM   #7
arldon4344
Newbie
(female)
 
Join Date: Feb 2011
Location: Menomonie, WI USA
Posts: 6
arldon4344 HB User
Re: Femoral Nerve Block complications following TKR

Hi and sorry to hear about your knee pain. I can sympathize, although I do not have a great deal of pain anymore. As I mentioned to others who responded, I had SCS (spinal cord stimulator) system done and now control the times I have the electrical shocks going through my thigh/knee/leg area. It has helped a lot. However, I have been told that I will never recover the feeling in this area that is a direct result of the Femoral Nerve Block. I would compare this to going to the dentist, having a novacaine injection and it NEVER wears off. Good luck with your problem and be sure that your surgeon and anesthesia people know about what happened to you after the last replacement.
Good luck!

 
Old 07-19-2013, 10:51 AM   #8
jhinch62
Newbie
(female)
 
Join Date: Jul 2013
Location: Houston, Texas
Posts: 1
jhinch62 HB User
Unhappy Re: Femoral Nerve Block complications following TKR

I had TKR almost 4 years ago. I live with persistent charley horses, from the femoral nerve all the way to my toes. I am scheduled to have a nerve conduction test next month to see where the blockage is, if any. I could care less about the numbness around my knee, but living with muscle spasms and cramps is extremely annoying. It's my right leg so driving is interesting. I had to get out of the car last night just because the movement of getting in the vehicle puts my right foot into cramps. I've been up since 3 am today with cramps and spasms. I've tried magnesium and potassium supplements and see no difference. Please, someone tell me this won't be this way the rest of my life? My knee works now, but the entire leg will suffer because of it?
Hopeless in Houston.

 
Old 07-21-2013, 09:31 PM   #9
texasmary
Senior Member
(female)
 
Join Date: Sep 2004
Location: Northeast Texas
Posts: 233
texasmary HB Usertexasmary HB User
Re: Femoral Nerve Block complications following TKR

Glad to see this discussion. My good friend had the femoral nerve block before her TKR and she did so great! I asked my surgeon if I would have one before my TKR and he said NO... that there were too many cases of permanent nerve damage. I will have some other type of anesthetic injection to keep the pain away for the first 24-48 hours after surgery. I will try to remember to post on this discussion to tell how my surgery goes, but it is now several weeks away. I don't know exactly where the injection will be placed and what it will consist of. Does anyone else know?

 
Old 07-25-2013, 09:47 AM   #10
STACHE55
Junior Member
(male)
 
Join Date: Jan 2013
Location: ACTON, CALIFORNIA, U.S.A.
Posts: 32
STACHE55 HB UserSTACHE55 HB User
Re: Femoral Nerve Block complications following TKR

Had both knees done at the same time and had nerve block. Every situation is different. Due to me severe bowed legs my Dr. highly recommended the nerve block and explained the possible nerve damage but he also said The right side went fine while the left side has been somewhat of a problem. Currently 14 weeks post op and still feel the pins and needles. Have nerve pain and muscle spasm meds along with Oxycodone. The nerve and spasm meds really have helped since it calms the nerve down and allows the swelling / bruising of the nerve to heal. Started some weight training 2 weeks ago and ride a recumbent bike and elliptical machine every other day and I'm beginning to have the pins and needle pain less often. The meds come in handy about 1 hr before bedtime and sleep time is also improving. It's along road and at the beginning the pin and needle pains were a pain, but it's better than before. When I start to fell the pins and needles like right now, I rub the area which really helps. I truly believe that this process will take 12-18 months for a full recovery. Good luck to all

 
Old 12-27-2016, 02:35 PM   #11
workingcowhorse
Newbie
(female)
 
Join Date: Dec 2016
Location: Northlake, TX USA
Posts: 1
workingcowhorse HB User
Re: Femoral Nerve Block complications following TKR



I've had 12 knee surgeries: 4 on my left knee; 8 on my right knee, including 2 total replacements of my right knee. I had my 13th knee surgery 11/1716 total replacement of my left knee.

I've never had a femoral nerve block in the previous 12 surgeries but I think I have complications a bit different than those described here.

First, my entire left leg was brutally painful (remember I've already had 12 knee surgeries at this point so I know what pain is) from my hip to my foot. The pain on the inside surface of the left leg at the knee has been so brutal I could not even touch it.

I was sent home (alone) 36 hours after my surgery. The 2nd time I called 911to help me get up I went back to the hospital's ER where I was readmitted for an additional 5 days.

I continually told them that all of the muscles, tendons, and ligaments in my entire left leg were brutally painful and I had no idea why. All of this soft tissue was rock hard post op yet it was no pre-op, nor, had I ever experienced this in the previous 12 surgeries. No one had anything to offer.

On 11/23/16 I was transferred to a rehab facility that was very good and I somewhat improved. When I finally went home and had in-home physical therapy it was brutal again. I continued to complain about the extreme pain and tightness I'd never before felt. My in-home PT suggested that I take more pain meds to get through the PT. I refused as that would not change anything.

I then thought about all of this for nearly 36 hours and realized the word I needed to describe the tightness in my entire leg was - contracted.

My quads were contracted as were my tendons and ligaments. I asked myself, "What would I do if I had a horse with this problem". Immediate answer - use heat. So, for the next 12-24 hours I continually applied a hot pack warmed in the microwave, over my quads, on the back of my knee, and, all the way around my tibia. I don't feel I can apply anything but cold over the top of the knee as that's the surgical area and is still warm and swollen.

When my PT returned I showed her how much range of motion I had achieved. Prior to using the heat I could only get a forced 72-degree range of motion in my left knee and that was no sustainable. After using the heat, on my own effort, my range of motion increased to 83-degrees. Prior to this surgery I had a 120-degree range of motion in my left knee. My PT was stunned. I will soon be going into outpatient PT at a local hospital and will use the heat prior to each appointment.

Because I'd never had a "femoral nerve block" before, I suspect that the pain I still have and the contracting of all supportive tissue is somehow a result of this block. I've done considerable internet research the last few days and find only vague descriptions of known complications and they aren't described in common terminology that I'm able to comprehend.

As I'm only 6 weeks post-op on 12/28/16 I have no idea what the long term effects of this femoral nerve block will be. But I will tell you this, I am very angry.

Having said all this, I'm posting this now in the event that there are others who have had a similar experience and might share their experience, too.

This board can serve as examples of the complications patients are in fact having after a femoral nerve block.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Femoral Osteotomy, Periacetabular Osteotomy? BellaLove15 Knee & Hip Problems 15 05-18-2012 08:52 PM
Lateral Release (patella femoral release)- arthroscopic surgery Amyb76 Knee & Hip Problems 12 12-22-2010 10:11 PM
Patella Femoral Syndrome & VMO Kevsgreat Knee & Hip Problems 0 07-06-2009 02:28 AM
femoral nerve damage after hip op Allcarbon Knee & Hip Problems 2 06-12-2009 05:20 PM
"Greater trochanteric transfer" no femoral neck, weird ball/socket, lots of pain! meghan3216 Knee & Hip Problems 0 10-28-2008 05:20 PM
Chondromalacia Patella/Patella Femoral Pain Syndrome macs4life06 Knee & Hip Problems 6 07-30-2008 09:19 AM
Patello femoral pain pinkroxy Knee & Hip Problems 3 03-22-2008 05:41 AM
femoral acetabular impingement doctors mgraham289 Knee & Hip Problems 1 10-08-2007 05:45 PM
Patello Femoral Ligament tear Kim913 Knee & Hip Problems 0 07-16-2007 11:46 AM
Nerve Block Shots Following Knee Replacement Sue310 Knee & Hip Problems 2 02-19-2006 01:47 PM




Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 01:05 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2017 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!