After surgery for diverticulitis, there is numbness, tingling, and pain in the legs?
Hello, Doctor.
I underwent surgery in mid-December due to diverticulitis with perforation and pus formation.
It has been over a month since the surgery, and I am still experiencing numbness, tingling, and sharp pain in my feet.
I have taken the medications prescribed by the hospital physician (B vitamins, anticoagulants, and pain relievers), but there has been no significant pain relief.
I also visited a nearby clinic where I was prescribed pain medication, but it has not been effective either.
Could you please advise me on how to manage the numbness, tingling, and sharp pain in my feet? Both the hospital attending physician and the clinic doctor mentioned that this is a postoperative complication and that my feet will heal on their own over time.
The attending physician said it would improve in 2 to 3 weeks, while the clinic doctor mentioned it might take 3 months for any improvement.
Zijun, 20~29 year old female. Ask Date: 2024/01/16
Dr. Chen Bingze reply Surgery
Hello, your issue does sound quite unique.
It may be worth investigating whether there are any lumbar spine or sciatic nerve-related problems that could be causing the tingling and pain in your feet.
Reply Date: 2024/01/16
More Info
Post-surgery numbness and pain in the feet, especially after a significant procedure like diverticulitis surgery, can be concerning and warrants careful consideration. It is not uncommon for patients to experience various sensations, including numbness, tingling, or pain in the extremities following surgery. This can be attributed to several factors, including nerve irritation, inflammation, or even the effects of anesthesia.
In your case, having undergone surgery for diverticulitis, it is essential to understand that the surgical procedure itself can sometimes lead to temporary nerve damage or irritation. This can occur due to the manipulation of tissues during surgery, which may affect nearby nerves. The symptoms you describe—numbness, tingling, and sharp pain—are often associated with neuropathy, which can be a post-surgical complication.
The timeline for recovery can vary significantly from person to person. While your surgeon mentioned that symptoms might resolve in 2 to 3 weeks, the physician from the clinic suggested a longer recovery period of up to 3 months. This discrepancy can be attributed to individual healing processes, the extent of the surgery, and the patient's overall health. Factors such as age, pre-existing conditions (like diabetes), and the body’s healing response can all influence recovery time.
Here are some steps you can take to manage your symptoms:
1. Follow-Up with Your Surgeon: Since your symptoms have persisted for over a month, it is crucial to keep your surgeon informed. They may want to conduct further evaluations, such as imaging studies or nerve conduction tests, to rule out any complications.
2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises that may help improve circulation and nerve function, potentially alleviating some of the numbness and pain.
3. Pain Management: If the prescribed medications are not effective, discuss alternative pain management strategies with your healthcare provider. This could include different classes of medications, such as neuropathic pain agents (e.g., gabapentin or pregabalin) or topical treatments.
4. Lifestyle Modifications: Incorporating gentle exercises, such as walking or stretching, can promote blood flow and nerve health. Additionally, ensuring you maintain a healthy diet rich in vitamins, particularly B vitamins, can support nerve repair.
5. Patience and Monitoring: Nerve healing can be a slow process. It is essential to monitor your symptoms and maintain open communication with your healthcare providers. If you notice any new symptoms, such as increased pain, swelling, or changes in mobility, seek medical attention promptly.
In conclusion, while post-surgical numbness and pain can be distressing, they are often part of the healing process. With appropriate follow-up care, physical therapy, and pain management strategies, many patients find relief over time. Always prioritize communication with your healthcare team to ensure the best possible recovery.
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