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Old 03-16-2012, 04:33 AM   #1
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Got approval for neurologist... what next???

Burning pain in left leg between lower knee and ankle on outside of calf.

Any foot movement exacerbates the pain.

Hanging the leg at alll [while walking on crutches, getting in and out of bed etc] increases the pain.

Podiatrist said it was penoreal nerve?

I was approved to see a neurologist and will call today to schedule.

What should I expect from neurologist? What should I ask him/her? Should I demand tests? .......meds?...........treatment?

Any suggestions are welcome.

Has anybody had this problem and had a happy outcome?

Thanks to all.

 
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Old 03-18-2012, 12:52 PM   #2
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Re: Got approval for neurologist.......what next???

Please do not demand tests or medication. Neurologists are eccentric in my dealings with several and work at their own speed without any pushing. They can be your best friend or your worst enemy.

They will most likely do some emg/eng tests and maybe an MRI. You may also be asked to have a sural nerve biopsy. Just go with the flow and be patient.

 
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Old 03-21-2012, 07:04 AM   #3
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Re: Got approval for neurologist.......what next???

Thanks for the reply.

I did get approval for a nerve conduction study, which makes me feel better.

I wrote up a list of questions to ask the neurologist.

Thanks for the help.

 
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Old 03-21-2012, 08:03 AM   #4
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Re: Got approval for neurologist.......what next???

I would agree with the other poster. Be prepared to describe your symptoms and give examples of what makes it hurt, what activities make it better or worse, but do not suggest to the doctor what tests you should have.

I would think they might want a MRI of your lumbar spine in addition to the EMG/nerve conduction study. Your podiatrist was talking about the peroneal nerve, which is the nerve that controls lifting the foot. When it isn't working properly, it can result in "drop foot" where the ankle reflex isn't working properly.

A nerve compression in the lower lumbar spine can cause pain and symptoms similar to what you are feeling. The L5 nerve innervates the peroneal nerve. The nerve is a continuation of the sciatic nerve and injury can occur anywhere from mid-thigh on down into the foot. It can be injured by something as simple as crossing your leg too much, from injury from hip or knee replacement surgeries, arthroscopies, etc. Also, peroneal nerve mononeuropathies can occur in hyperthyroidism, diabetes, vasculitic disorders, etc.

Hopefully the neurologist will be able to get to the bottom of your issues.

 
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Old 03-21-2012, 01:19 PM   #5
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Re: Got approval for neurologist.......what next???

Quote:
Originally Posted by onmylastlegg View Post
I did get approval for a nerve conduction study, which makes me feel better.

I wrote up a list of questions to ask the neurologist.
I am glad to hear that they are going to do the nerve conduction. It can be a little uncomfortable but it is bearable. They use electrodes to check your nerve signals.

And yes writing up questions you wish answered is a great idea.

Good luck

 
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Old 03-25-2012, 10:45 AM   #6
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Re: Got approval for neurologist.......what next???

Thanks for all replies.

The neurologist said the nerve conduction test did not show any nerve damage.

It was his opinion that the problem is a tendon.

He changed my NSAID to meloxicam 15mg.

He said that if the problem was still around in 2-3 weeks to come back and he would refer me to a rheumatoidologist who deals with bones and tendons.

The mri of my lower left leg did not show anything [except a benign bone cyst {lesion} that they said was unrelated].

I had been back wallkng for 5 days until I went on a walk last night. It wasn't that long of a walk, and now my pain is back again, and I am back to not putting weight on the leg.

I just don't know what do do anymore. This problem is pushing six months now, and I feel like I have gotten nowhere with it.

Does anybody know of a message board that deals with tendons?

 
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