Loss of Sensation in Calf After Thigh Surgery: When to See a Neurologist? - Neurology

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It sounds like you are experiencing significant and concerning symptoms following your femoral osteotomy surgery. The loss of sensation in your calf, along with the "electric shock" sensations and inability to feel temperature or pain, are important indicators that should not be ignored. Given the complexity of your symptoms, it is advisable to consult a neurologist for a thorough evaluation.

After a surgical procedure, especially one involving the bones and joints, it is not uncommon for patients to experience some degree of nerve irritation or damage. In your case, the symptoms you describe suggest possible nerve involvement, particularly in the peroneal or tibial nerves, which are responsible for sensation and motor function in the lower leg and foot. The fact that you are experiencing a complete loss of sensation and abnormal sensations such as tingling or electric shock-like feelings indicates that there may be an underlying neuropathy or nerve injury.

The nerve conduction studies and electromyography (EMG) tests you mentioned in your previous correspondence provide valuable information about the condition of your nerves. Reduced amplitudes and conduction velocities, as well as absent sensory nerve action potentials (SNAPs), suggest that there may be damage to the nerves that could be contributing to your symptoms. These findings can help the neurologist determine the extent of nerve damage and the potential for recovery.

It is essential to seek a neurologist's opinion because they specialize in diagnosing and treating conditions related to the nervous system. They can perform additional tests, such as MRI or further nerve conduction studies, to assess the situation more comprehensively. Furthermore, they can help differentiate between various potential causes of your symptoms, such as neuropathy, radiculopathy, or other nerve-related issues.

In terms of timing, if your symptoms have persisted for four months without improvement, it is reasonable to seek a neurologist's evaluation sooner rather than later. Early intervention can be crucial in managing nerve injuries and may improve your chances of recovery. The neurologist may recommend treatments such as physical therapy, medications for nerve pain, or other interventions based on their findings.

Additionally, it is important to communicate openly with your orthopedic surgeon about your ongoing symptoms. They may have insights into whether your symptoms could be related to the surgical procedure itself or if there are other factors at play. Collaboration between your orthopedic surgeon and neurologist can provide a more comprehensive approach to your care.

In summary, given the persistence and nature of your symptoms following your femoral osteotomy, it is advisable to consult a neurologist. They can provide a thorough evaluation, potentially identify the underlying cause of your symptoms, and recommend appropriate treatment options to help you regain sensation and function in your calf. Early intervention is key, so do not hesitate to seek further medical advice.