Nerve Damage After Childhood Injury: When to Seek Help - Neurosurgery

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It sounds like you are dealing with a complex situation regarding nerve damage resulting from a childhood injury. Based on your description, it is crucial to understand the implications of nerve damage and the appropriate steps to take for evaluation and treatment.

First and foremost, the symptoms you are experiencing—loss of sensation in the left side of your body, particularly around the lower back and hip area, as well as the noticeable asymmetry in the appearance of your hips—suggest that there may be significant nerve involvement. Nerve damage can lead to a variety of symptoms, including numbness, tingling, weakness, and changes in muscle tone or structure. In your case, the lack of sensation in the affected areas may indicate that the nerves responsible for transmitting sensory information are compromised.

Given your history of a childhood injury, it is essential to seek a thorough evaluation from a medical professional. The first step would typically involve consulting a neurologist or a neurosurgeon. These specialists can perform a comprehensive neurological examination, which may include imaging studies such as MRI or CT scans to assess the condition of your spinal cord and surrounding structures. They may also recommend nerve conduction studies or electromyography (EMG) to evaluate the function of the nerves and muscles.

If the evaluation confirms nerve damage, the treatment options will depend on the severity and nature of the injury. In some cases, physical therapy and rehabilitation can help improve function and alleviate symptoms. Physical therapists can design a tailored program to strengthen the affected muscles, improve coordination, and enhance overall mobility. They may also employ modalities such as electrical stimulation to promote nerve healing and reduce discomfort.

Surgical intervention may be considered if there is a structural issue contributing to the nerve damage, such as a herniated disc or spinal stenosis. In such cases, a neurosurgeon can discuss the potential benefits and risks of surgery. However, it is essential to have realistic expectations regarding the outcomes of surgical procedures, as nerve regeneration can be a slow process, and not all patients experience complete recovery.

Regarding your consideration of cosmetic surgery, it is important to understand that such procedures typically focus on aesthetic outcomes rather than addressing underlying nerve issues. While cosmetic surgery may improve the appearance of asymmetry, it will not resolve the sensory deficits or functional impairments caused by nerve damage. Therefore, it is advisable to prioritize medical evaluation and treatment for the nerve-related symptoms before considering cosmetic options.

In summary, I recommend that you seek an appointment with a neurologist or neurosurgeon to discuss your symptoms in detail. They will be able to guide you through the necessary diagnostic tests and formulate an appropriate treatment plan. Additionally, engaging in physical therapy may provide significant benefits in managing your symptoms and improving your quality of life. Remember, addressing nerve damage is a process that requires patience and a multidisciplinary approach, so be sure to follow through with the recommended evaluations and treatments.