Doctor insights on:
Nephrectomy Cause Foot Drop
Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read moreSee 1 more doctor answer
Foot drop: Foot drop is usually caused by pressure on Lumbar Nerve 5, but 5 percent of people have a shift up or down in which level of the spine affects which nerve. Pressure on the peroneal nerve usually near the knee can cause this as well. If not properly diagnosed or treated the weakness can be permanent and require bracing. If it is from the spine therapy and injections can often work without surgery ...Read more
EBM vs anecdotal : We try to practice evidence-based medicine whenever possible but sometimes we just don't have proof (and may never). For instance, we have no randomized double-blind placebo-controlled evidence that people w/parachute jumping from an airplane live more than those who jump w/o parachute. Yet, we always use parachutes! so if B12 helps you, and there's no downside, i'd say keep using it. ...Read more
Nerve palsy: When the patient is positioned for a vaginal hysterectomy care is taken to prevent pressure on the nerves, especially those just below the knee on the outer aspect of the upper calf. If undue pressure does occur to those particular nerves, foot drop can occur - that could be temporary, but it is possible to have a permanent palsy. ...Read moreSee 2 more doctor answers
Not typically: Typically due to compressive pathology of the L4 nerve root or L5 -- most commonly at the l4-5 level. Not just a small herniated disc. There are other causes: neuromuscular, peripheral sciatic or peroneal nerve palsies or injuries. See your spine surgeon. ...Read moreSee 1 more doctor answer
Need a 2nd MRI after foot drop.1st MRI shows protuding disc l5s1.Will this show cause of drop or just rule out other causes?Had 1 failed nerve drop
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