Post surgical Neuropraxia in legs and feet.

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other side of the mountian
New Member


Date Joined Jun 2010
Total Posts : 5
   Posted 6/28/2010 8:10 PM (GMT -6)   
Since my surgery on April 07, 2010 I have had problems with numbness and burning in my feet which had been diagnosed as neuropraxia or nerve damage from the amount of bend that my back was put in during surgery and the length of time (4 hours) I was in this position. I was wondering if anyone else had experienced this side affect?
Age 48 at diagnosis
2 Sept 09 PSA 11.75
13 Oct 09 PSA 8.75
Biopsy positive 3+3=6 on 11 of 14 punches
07 April 10 Open Retropubic Radical Prostatectomy
Gleason upgraded to 3+4=7 after prostate removal, lymph nodes clear
Stage T2B
PSA at 1 months (05 May 10) 0.01
 

Post Edited (other side of the mountian) : 6/29/2010 7:15:37 PM (GMT-6)


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 6/28/2010 8:27 PM (GMT -6)   
After my surgery I couldn't cross my legs without pain and when riding motorcycle I got sharp radiating pains down both legs. Gradually all the pain subsided and my legs are back to normal. It took more than 6 months.
Age 70, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Six PSA tests undetectable, latest April 30
Pad free beginning Mar. 18, 2010!


Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 6/29/2010 1:27 AM (GMT -6)   
I had agonizing lower backpain. I remember in the recovery room I kept trying to ask them to pull me up a few inches on the cart so my back wouldn't hurt, and the nurse kept giving me dilaudid instead until I woke up enough to explain clearly what I wanted. I was pretty goofy the rest of the day from all those painkillers. The front of my thighs and my knees were numb and tingling, which I was told from stretching the femoral nerves from being in the same position for 4 or 5 hours. I was lucky, though, it went away totally after a couple of days.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 6/29/2010 5:09 AM (GMT -6)   
Neurapraxia is part of Seddon's classification scheme used to classify nerve damage. It is a transient episode of motor paralysis with little or no sensory or autonomic dysfunction. Neurapraxia describes nerve damage in which there is no disruption of the nerve or its sheath. In this case there is an interruption in conduction of the impulse down the nerve fiber, and recovery takes place without true regeneration, as Wallerian degeneration does not occur. This is the mildest form of nerve injury. This is probably a biochemical lesion caused by concussion or shock-like injuries to the fiber. In the case of the role nerve, neurapraxia is brought about by compression or relatively mild, blunt blows, including some low-velocity missile injuries close to the nerve. There is a temporary loss of function which is reversible within hours to months of the injury ( the average is 6–8 weeks ). There is frequently greater involvement of motor than sensory function with autonomic function being retained. This form of nerve-impulse interruption should not be ignored and the patient should refer to a physician as soon as possible. In sports neurapraxia is common and happens to most athletes during their sports life-span. Patients should also refrain from playing sports or putting stress on the injured area.
http://en.wikipedia.org/wiki/Neuropraxia

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 6/29/2010 8:47 AM (GMT -6)   
Pre op I could squat on my haunches for quite a period of time, ie playing with grand kids etc, but post op I had great trouble getting down and everything seemed to sieze up and I had difficulty standing. This has gradually resolved and I am now back to about pre op mobility.
 
I am now 99.9% continent apart from a drip or two after peeing and an occassional "wet dream". ED is a problem but I am getting some feeling without meds. By the way I wish I could pass wind without having a pee !
 
All the best from England.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.
Sept 18th 09. PSA less than 0.1
Sept 29th follow up consultation at Addenbrookes. Staff happy with progress.
Nov 11th update. One small stress dribble in the last 2 months. Still some muscle stiffness in pelvic area.
March 20th psa less than 0.1 Very occassional stress dribble. No pads for several months.
 


other side of the mountian
New Member


Date Joined Jun 2010
Total Posts : 5
   Posted 6/29/2010 8:02 PM (GMT -6)   
Thanks to all for your post. My symptoms are like the explanation posted by Steve in Dallas. When I woke from RRP, from my thighs down on both legs had the same sensation as if you sit on your foot and it "goes to sleep". As crazy as it sounds I could move my my legs and had good muscle tone when I would lift my legs and push on the Dr's hand and when I would pull back with my leg on the bed against the doctors resistance. The problem was that when I went to lower my leg from lifted to on the bed, I had no control at all. It would just flop around. Some nerves had no sense of sensation and other had ultra-sensitivity to sharp touch. Because of the good muscle tone they tried to get me out of bed unsuccessfully on two occasions both of which I ended up being hoisted back into bed with a lift. For two days after the surgery I could not walk and was confined to bed. Finally on the third day the leg control came back enough to get out of bed and sit up in a chair. On post surgery day four I finally was able to walk down the hall with the help of the physical therapist on a walker. I was finally released on day five and came home with a walker.
Things continued to improve each day for the next couple weeks. Now after 9 weeks I am left with some numb spots on the bottom of both feet and burning sensations similar to felt by people with diabetes. The Dr.'s are telling me that the numbness and burning may go away in a month, maybe a year and maybe not at all. But from where I started on post op day one to now, if it doesn't get any better, I can learn to live with it and be thankful for every day.

Good luck and keep on fighting to all!!
Age 48 at diagnosis
2 Sept 09 PSA 11.75
13 Oct 09 PSA 8.75
Biopsy positive 3+3=6 on 11 of 14 punches
07 April 10 Open Retropubic Radical Prostatectomy
Gleason upgraded to 3+4=7 after prostate removal, lymph nodes clear
Stage T2B
PSA at 1 months (05 May 10) 0.01
 


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 6/30/2010 3:08 PM (GMT -6)   
I too, had a similar recovery room experience after some hours with the robot. It involved both motor and sensory functions in both legs (right predominately) and lower back pain. The main motor deficits cleared over several days to anyone but me. I had some weakness for at least 6 months. Now I have some sensory residuals that continue to improve. There are very few "pure" motor or sensory peripheral nerves in the body. Most nerves are mixed with both modalities. A pure (95%) motor nerve is the radial nerve in the arm, but for nearly all others there is both a sensory and motor neurpraxia potential. I would bet that in 9-12 months you will have little or no trouble.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. Doubled from 3.5 to 7.0 in one year.
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital. New Gleason was 4+4=8
pT2c G3 pN0 (0/14 nodes +, Margins, etc. clear
Catheter out in 5 days (home in 3 days). No incontinence
Positional neurpraxia in hip and knee resolved 90+% in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good. Now beginning 5 mg Cialis daily. 11 months post-op had first usable erection.
3month PSA less than 0.01, 6 month PSA less than 0.01, 11 month PSA remains less than 0.01


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 6/30/2010 5:31 PM (GMT -6)   
Mountain,
The burning you described as something like that of diabetics is what I experience and was finally diagnosed with Peripheal nueropathy. Felt like shingles at first then the burning got much worse, almost like it was burning thru the meat and bone and skin. But now taking meds for that, and it helps somewhat. Not sure if nerves were damaged during surgery or what, but I am over one year post op. Your situation is different than mine with the exception of the burning. Lets hope that we both rid ourelves of this in due time.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael


other side of the mountian
New Member


Date Joined Jun 2010
Total Posts : 5
   Posted 6/30/2010 9:55 PM (GMT -6)   
Thanks Brainsurgeon and Michael for you post. My experience sound very similar to that of Brainsurgeon and now at 3 months post surgery, my legs are still weak along with the burning and numb spots in my feet. Thanks everyone for your encouragement and keep on fighting.
Age 48 at diagnosis
2 Sept 09 PSA 11.75
13 Oct 09 PSA 8.75
Biopsy positive 3+3=6 on 11 of 14 punches
07 April 10 Open Retropubic Radical Prostatectomy
Gleason upgraded to 3+4=7 after prostate removal, lymph nodes clear
Stage T2B
PSA at 1 months (05 May 10) 0.01
 


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 7/2/2010 2:54 AM (GMT -6)   
Until I found this thread I had no idea that the fact that my feet often feel really odd could be relevant to anything.
I find that my feet often feel really hot especailly towards the end of the day, hot enough to be annoying when I am in bed and trying to sleep.

At the end of last year I even bought a whole load of new socks so as to have ones that are very very thin, having been wearing thick socks since I was 16.
It kinda feels like my feet are too full as well, it that makes sense, so I try to make the sensation go away by lying on my belly with my legs bent so that my feet are higher than the rest of me.
And now the hot weather is indeed making my feet bigger. Luckily I am at home and cane go bare foot a lot of the time.

I will mention it to the doc at my next visit though.

(At least when they first checked my PSA last year they also checked my blood sugars etc and they were okay, though with regard to diabetes my father-in-law is a diabetic and he has trouble with his feet feeling cold all the time.)

Alf
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)
June 11th 2010 finished RT - main side effect tiredness, but also the occasional small leak


Orchyd
New Member


Date Joined Jul 2010
Total Posts : 1
   Posted 7/4/2010 7:47 PM (GMT -6)   
Hello,

Reading some of these posts is both encouraging and terrifying. I am a 3 year gastric bypass patient. After having lost 200 pounds it was time to save my pennies and get the abdominoplasty (tummy tuck) and mastopexy (breast lift) that I have been dreaming of. I went into surgery on the morning of 6-28-10. After a 7 hour surgery I woke up with ZERO feeling in my left lower leg. I had no control, and very little sensation. I could not feel the neurologist sticking pins in my toes. I am only a few days out of the hospital and in a great deal of pain from my procedures as they are fairly invasive. I continue to have numbness all through my foot, burning, the feeling of intense swelling, sensitivity, and other discomforts. I can walk around with a walker and a special orthodic boot, but am in constant fear of losing control and breaking an ankle or foot, not to mention the pain it causes. Sleeping is very uncomfortable as my foot throbs constantly. I can move my toes now which the doctors say is encouraging and they expect a full recovery but there is no telling when. I am just worried about resuming my day to day activities, as I must work to survive. I am very scared, and confused, and dont know how something like this can happen with such routine procedures.

other side of the mountian
New Member


Date Joined Jun 2010
Total Posts : 5
   Posted 7/4/2010 9:19 PM (GMT -6)   
Orchyd,
Im my case, when I was one week post op I had been home for 2 days and was on a walker. During that time I gained more feeling in my lower leg and feet. Wednesday (7-07-10) will be 3 months since my surgery and there are still a few spots on each foot that are numb and the burning is to a level I can live with. I am on two drugs (Oxcarbazepine and Amitripityline) to help with the numbness and burning in my feet. The Dr's are telling me that they think that the everything should get back to normal but it may take as long as a year. The main thing to remember is take it slow and at your own pace. I am walking without a cane now but still walk quiet a bit slower than I used to.
Hope all continues to improve for you.
Age 48 at diagnosis
2 Sept 09 PSA 11.75
13 Oct 09 PSA 8.75
Biopsy positive 3+3=6 on 11 of 14 punches
07 April 10 Open Retropubic Radical Prostatectomy
Gleason upgraded to 3+4=7 after prostate removal, lymph nodes clear
Stage T2B
PSA at 1 months (05 May 10) 0.01
 


other side of the mountian
New Member


Date Joined Jun 2010
Total Posts : 5
   Posted 7/4/2010 9:26 PM (GMT -6)   
English Alf,
I have had the same sensations you are talking about. I have actually took my shoes and socks and felt the bottom of my feet to see if they were swollen because of the way certain spots felt. I have actually learned to sleep on my stomach with my feet hanging off the bed so the covers don't rub against them. The meds have helped with the sleeping and the burning sensation is not as intense as it once was. Good luck with your further recovery. Keep on fighting the fight!!
Age 48 at diagnosis
2 Sept 09 PSA 11.75
13 Oct 09 PSA 8.75
Biopsy positive 3+3=6 on 11 of 14 punches
07 April 10 Open Retropubic Radical Prostatectomy
Gleason upgraded to 3+4=7 after prostate removal, lymph nodes clear
Stage T2B
PSA at 1 months (05 May 10) 0.01
 

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