Will Nerve Cutting Surgery Cause Uneven Calf Size? Insights and Concerns

Q: Will Nerve Cutting Surgery Cause Uneven Calf Size? Insights and Concerns

Hello： Generally, the degree of atrophy in both legs will be consistent. <br>It will not affect normal walking. <br>In order to slim the legs at the expense of certain muscle functions, our Hsinchu Hospital does not currently offer such services. <br>However, the injection of bot

Will nerve transection surgery cause the two legs to become uneven in size?

Hello, Dr.
Luo.
Based on your previous answer, I would like to ask further about whether the use of nerve transection surgery to induce atrophy of the gastrocnemius muscle to slim the calves could result in different degrees of atrophy between the two legs.
After all, it is not like liposuction where the amount of fat removal can be controlled.
Additionally, you mentioned that running may feel difficult; how severe could this be? Would it affect normal walking? If someone works as a sales associate, would they still be able to stand for long periods?

Xiao Qing, 20~29 year old female. Ask Date: 2004/03/11

Dr. Luo Qihua reply Plastic Surgery

Hello: Generally, the degree of atrophy in both legs will be consistent.
It will not affect normal walking.
In order to slim the legs at the expense of certain muscle functions, our Hsinchu Hospital does not currently offer such services.
However, the injection of botulinum toxin is a reversible treatment, and our hospital provides this service.

Reply Date: 2004/03/11

More Info

Nerve cutting surgery, also known as nerve resection or neurotomy, is a procedure that involves cutting or removing a portion of a nerve to alleviate pain or other symptoms. While this surgery can provide relief for certain conditions, it also carries potential risks and complications, including the possibility of uneven calf size due to muscle atrophy.

When a nerve is cut, the muscles that it innervates may lose their stimulation, leading to muscle weakness and atrophy over time. This can result in a noticeable difference in muscle size between the affected leg and the unaffected leg. The degree of atrophy can vary based on several factors, including the specific nerve involved, the duration of denervation, and the individual's overall health and activity level. Therefore, it is indeed possible for one calf to appear smaller than the other following nerve cutting surgery, especially if the surgery significantly impacts the muscle's nerve supply.

Regarding your concerns about running and walking, it is important to understand that cutting a nerve can lead to altered muscle function. Patients may experience weakness in the affected leg, which can manifest as a feeling of being "unable to push off" during activities like running. The severity of this weakness can vary from person to person. Some individuals may find that they can still walk and perform daily activities without significant issues, while others may struggle with balance and strength, particularly during more demanding activities.

For someone whose job involves standing for long periods, such as a sales associate, the impact of nerve cutting surgery may also be significant. If the surgery leads to muscle weakness or discomfort, it could make standing for extended periods more challenging. However, many individuals adapt to changes in their muscle function and find ways to manage their symptoms effectively. Physical therapy and rehabilitation can play a crucial role in helping patients regain strength and improve function after surgery.

In summary, while nerve cutting surgery can provide relief from certain conditions, it is essential to consider the potential for uneven calf size and muscle atrophy. The impact on physical activities like running and standing will depend on the extent of nerve damage and individual recovery. Consulting with a qualified healthcare professional, such as a neurologist or orthopedic surgeon, can provide personalized insights and help you weigh the benefits and risks of the procedure. Additionally, engaging in a structured rehabilitation program post-surgery can help mitigate some of the adverse effects and improve overall function.

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