Is it to be discarded?
Dear Dr.
Yeh,
In May of this year, I sought treatment at a rehabilitation clinic due to a stiff neck, and subsequently received an injection in my right gluteus maximus.
During the injection, I experienced a sensation of soreness, but I did not think much of it at the time.
This soreness persisted for 2-3 days.
A week later, I returned to the clinic for follow-up and was informed that it might be due to damage to the subcutaneous nerve plexus, and that I would recover after rehabilitation.
As of today, I am still undergoing rehabilitation, but in addition to the ongoing soreness in my right leg, I also experience soreness and weakness extending from my right calf to the sole of my foot, which is noticeably different from my left leg.
When I touch the area where the injection was administered in my gluteus, I feel soreness and a tingling sensation.
Additionally, I am unable to stand or walk for extended periods.
Could you please advise if this could be related to nerve atrophy, and if you could recommend any relevant medical facilities (I reside in Yonghe, Taipei)? I would greatly appreciate your assistance.
Ms. Chen, 30~39 year old female. Ask Date: 2004/11/16
Dr. Ye Boshou reply Neurology
It is recommended to seek nearby medical treatment.
Please visit the Neurology Department at Far Eastern Memorial Hospital for a detailed examination to determine if there is any sciatic nerve damage.
Reply Date: 2004/11/16
More Info
When dealing with nerve damage following an injection, it's essential to understand the nature of nerve injuries, their symptoms, and the potential for recovery. Based on your description, it seems that you are experiencing persistent pain and weakness in your right leg after a gluteal injection, which may have affected the underlying nerve structures.
Nerve injuries can occur during injections, particularly if the needle inadvertently damages a nerve or if the injected substance causes inflammation. Symptoms of nerve damage can include pain, tingling, numbness, and weakness in the affected area. In your case, the ongoing pain and weakness in your right leg, as well as the abnormal sensations in the area of the injection, suggest that there may be some degree of nerve involvement.
The prognosis for nerve recovery can vary widely depending on several factors, including the severity of the injury, the specific nerves affected, and the timeliness of treatment. Peripheral nerves can regenerate, but this process is slow, typically at a rate of about 1 millimeter per day. Therefore, if the nerve damage is not severe, there is a good chance that you may experience gradual improvement over time. However, if the nerve has been significantly damaged or if there is ongoing compression or irritation, recovery may be incomplete, leading to chronic symptoms.
Physical therapy and rehabilitation are crucial components of recovery from nerve injuries. These interventions can help maintain muscle strength, improve function, and reduce pain. It’s important to work closely with a physical therapist who can tailor a rehabilitation program to your specific needs, focusing on exercises that promote nerve healing and functional recovery.
In terms of your current symptoms, the persistent pain and weakness in your right leg may indicate that the nerve is still healing or that there is ongoing irritation. It’s essential to communicate these symptoms to your healthcare provider, as they may need to adjust your treatment plan or consider additional diagnostic evaluations, such as imaging studies or nerve conduction studies, to assess the extent of the injury.
Regarding your question about whether this is a sign of nerve atrophy, it’s important to differentiate between nerve damage and muscle atrophy. Nerve atrophy refers to the degeneration of nerve fibers, while muscle atrophy is the wasting away of muscle tissue due to disuse or nerve damage. If the nerve is not functioning properly, the muscles it innervates may weaken over time, leading to atrophy. Therefore, addressing the underlying nerve issue is crucial to prevent muscle wasting.
As for recommendations for medical facilities, since you reside in Yonghe, Taipei, you may want to consider visiting a specialized pain management clinic or a neurology department at a reputable hospital. Facilities such as Taipei Medical University Hospital or National Taiwan University Hospital have departments that specialize in nerve injuries and rehabilitation. They can provide comprehensive evaluations and tailored treatment plans to address your specific condition.
In conclusion, while it may feel discouraging to experience ongoing symptoms, it is essential to remain hopeful. Many individuals with nerve injuries can achieve significant recovery over time, especially with appropriate medical care and rehabilitation. Stay proactive in seeking treatment and communicating with your healthcare providers about your symptoms and concerns.
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