Post-Hip Replacement Recovery: When to Consult a Neurologist?

About the hip joint?

My father underwent hip replacement surgery two to three months ago and has been doing rehabilitation on his own.
If he experiences numbness in both legs, should he see a neurologist? I am from Tainan, and I would appreciate any recommendations for experienced attending physicians.
THANKS!!

Xiao Jun, 20~29 year old female. Ask Date: 2006/05/30

Dr. Shi Guozheng reply Orthopedics

Numbness in both feet can certainly be caused by issues related to the lumbar spine.
You can consult a neurologist, but it's also advisable to see an orthopedic specialist (spine specialist).
In Tainan, the Orthopedic Department at National Cheng Kung University Hospital is quite good.
They have experts in hip joints and spine, so it might be worth a visit.

Reply Date: 2006/05/30

More Info

After undergoing a hip replacement surgery, it is not uncommon for patients to experience various complications, including neurological symptoms. In your father's case, if he is experiencing persistent numbness, tingling, or weakness in his legs, it is essential to consult a neurologist. These symptoms could indicate nerve damage or compression, which may require specialized evaluation and treatment.

When to Consult a Neurologist
1. Persistent Symptoms: If your father has been experiencing numbness or tingling in his legs for more than a few weeks post-surgery, it is advisable to seek a neurologist's opinion. Neurological symptoms that do not improve over time can indicate underlying issues that may need further investigation.

2. Functional Limitations: If your father is unable to perform daily activities or if his mobility is significantly impaired due to these symptoms, a neurologist can help assess the extent of nerve involvement and recommend appropriate interventions.

3. Pain Management: If he is experiencing significant pain that interferes with rehabilitation efforts, a neurologist can provide insights into pain management strategies and potential treatments, such as medications or physical therapy adjustments.

4. Electromyography (EMG) and Nerve Conduction Studies: These tests can help determine the extent of nerve damage and guide treatment options. If your father's symptoms are suggestive of nerve injury, these tests may be warranted.

Importance of Rehabilitation
Rehabilitation is crucial after hip replacement surgery, as it helps restore strength, flexibility, and function. However, if your father is experiencing discomfort or pain during rehabilitation, it may hinder his motivation to participate in therapy. A neurologist can work in conjunction with physical therapists to create a tailored rehabilitation plan that addresses both his physical and neurological needs.

Recommendations for Finding a Neurologist
Since you mentioned you are from Tainan, I recommend looking for a neurologist who specializes in post-surgical complications or peripheral nerve injuries. You can start by:
- Consulting with the Surgeon: Your father's orthopedic surgeon may have recommendations for neurologists who have experience with post-hip replacement complications.

- Local Hospitals or Clinics: Check with local hospitals or medical centers in Tainan for neurologists on staff. Many hospitals have directories of specialists.

- Online Reviews and Referrals: Websites that provide patient reviews can be helpful in finding a neurologist with a good reputation.

Conclusion
In summary, if your father is experiencing ongoing neurological symptoms after his hip replacement surgery, it is essential to consult a neurologist. Early intervention can lead to better outcomes and may improve his quality of life. Rehabilitation should continue, but it may need to be adjusted based on his neurological status. By working closely with both his orthopedic and neurological teams, you can ensure that he receives comprehensive care tailored to his needs.

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