Post-Surgery Weakness in Left Leg: Seeking Recovery Strategies

Q: Post-Surgery Weakness in Left Leg: Seeking Recovery Strategies

Hello： I understand your anxiety and encourage you to continue with rehabilitation. <br>However, I do not have your father's relevant medical history, treatment progress, or imaging. <br>For detailed information, I recommend that you consult the original surgeon. <br>Wishing for

The left foot is still weak after surgery?

Hello Doctor: My father has a history of stroke.
From April to early May, he experienced weakness in his left leg and fell, which led him to seek medical attention at several hospitals.
The evaluations showed no significant issues, and the rehabilitation physician suggested that it was due to leg degeneration without providing any additional treatment.
Eventually, he was referred to a neurosurgery department at another hospital, where the physician diagnosed him with left leg weakness related to cervical spine issues (he was hospitalized for about 14 days).
In mid-May, he underwent cervical spine surgery, and after one day of observation in the intensive care unit, he was moved to a regular ward and discharged around the 20th.
He has been practicing walking at home for about three weeks now, but he feels that there is not much difference compared to his condition in the hospital after the surgery.
However, he believes that the surgery has improved the slippery feeling in his left foot, allowing for better contact with the ground.
Nevertheless, he reports that his foot condition is worse than before the surgery, as he could still move his toes prior to the operation, but now he cannot.
Currently, my father still requires a walker to move around, and after waking up in the morning (after elevating his leg at night to reduce swelling), he experiences swelling after walking a short distance.
Sitting on the sofa with his left leg elevated about 3 inches makes him breathless.
I would like to ask the doctor if continuing this training can improve his foot condition, as my father's spirits have been significantly diminished.

Niming, 60~69 year old female. Ask Date: 2023/06/18

Dr. Lai Zhaokang reply Neurosurgery

Hello: I understand your anxiety and encourage you to continue with rehabilitation.
However, I do not have your father's relevant medical history, treatment progress, or imaging.
For detailed information, I recommend that you consult the original surgeon.
Wishing for a speedy recovery.
By Dr.
Lai Chao-Kang, Chief of the Spine Surgery Department, Changhua Hospital.

Reply Date: 2023/06/18

More Info

Post-surgery weakness in the left leg, especially after a neck surgery, can be a challenging situation for both the patient and their family. It is understandable that your father is feeling frustrated with his current condition, especially if he perceives that his situation has worsened since the surgery. However, it is important to approach this recovery process with patience and a structured plan.

Firstly, it is essential to understand that post-surgical recovery can vary significantly from person to person, particularly in cases involving neurological conditions or surgeries. The fact that your father had a history of stroke and underwent neck surgery suggests that there may be multiple factors contributing to his current symptoms. The surgery may have alleviated some issues related to nerve compression, but it may take time for the body to heal and for neurological function to improve.

Here are some strategies that may help in your father's recovery:
1. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can design a personalized rehabilitation program that focuses on strengthening the left leg, improving balance, and enhancing mobility. They can also provide guidance on safe exercises that can be performed at home.

2. Gradual Progression: Encourage your father to gradually increase his activity level. While he may feel that he is not making progress, small improvements can often go unnoticed. Setting achievable goals, such as walking a few more steps each day or standing for a longer period, can help build confidence and motivation.

3. Assistive Devices: Continue using assistive devices like walkers or canes as needed. These tools can provide stability and support, allowing your father to focus on his recovery without the fear of falling.

4. Monitor Symptoms: Keep a close eye on any changes in symptoms, such as swelling, pain, or fatigue. If the swelling in his left leg persists or worsens, it may be worth discussing with his healthcare provider to rule out any complications, such as deep vein thrombosis (DVT).

5. Hydration and Nutrition: Ensure that your father is well-hydrated and consuming a balanced diet. Proper nutrition can play a significant role in recovery, providing the necessary nutrients for healing and energy.

6. Mental Health Support: Recovery from surgery, especially with a history of stroke, can be emotionally taxing. Encourage your father to express his feelings and consider seeking support from a mental health professional if he is feeling particularly down or discouraged.

7. Follow-Up Appointments: Regular follow-ups with his healthcare team are essential. These appointments can help monitor his progress and make any necessary adjustments to his treatment plan.

8. Patience and Encouragement: Recovery can be a slow process, and it is important to remain patient. Celebrate small victories and encourage your father to stay positive. Remind him that improvement may take time, and it is normal to have ups and downs during recovery.

In conclusion, while your father's current condition may seem discouraging, there is potential for improvement with the right approach. Encourage him to stay engaged in his recovery process, and ensure that he has the support he needs from both healthcare professionals and family members. With time, effort, and the right strategies, there is hope for regaining strength and function in his left leg.

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