Showing posts with label Compression. Show all posts
Showing posts with label Compression. Show all posts

Tuesday, 28 March 2017

Compression Neuropathy I think A Personal Story


Today's post from ehlersdanloscontemplations.wordpress.com (see link below), is another personal story of life with one of the many forms of neuropathy. Experience has shown that readers like reading about other people's stories in this regard, so long as it's not too often and not a continuous pity-party. This article highlights the fear many people experience when they start to feel 'mysterious' neuropathic symptoms that can't easily be diagnosed. It goes on to reinforce the importance of having doctors that can not only diagnose and treat their patients but support them too. The old 'bedside manner' makes such a difference when the situation seems a little overwhelming.

Numbness, Compression Neuropathy, and Storytime
November 22, 2015 by Stephanie McManus

So, I want to tell you about the onset of a new problem I was dealing with this year. It was eventually diagnosed as compression neuropathy (in my hips). Basically, my ligaments in their looseness cause some sort of problem in my hips and impinge nerves from the base of the spine. I now lose feeling in my upper legs and up into the… bum, when I walk ‘long distances’ and then sit in a normal upright position.

The only relief I’ve found to prevent it from happening is to minimally, sit ‘normally,’ and to spend more time slightly reclined or standing or laying down. Not cool. Whenever I think, “no, I’m sure it’s fine and I’m going to vacuum and then cook and then walk the dog…” it comes back, and despite knowing what it is, I’ll admit, it disturbs me.

My neurologist at UW explained the compression, diagnosed a little vaguely as compression neuropathy, is caused by the hypermobility in my hips and repeated stretching of the ligaments followed possibly by responding muscle spasms. She did research on case studies with EDS patients with these symptoms prior to even seeing me, and she was able to narrow down the diagnosis. What?! It’s what we all hope for in a doctor, that they’ll do their ‘due diligence.’ I almost cried when she came in and knew what Ehlers-Danlos was and familiarized herself with the secondary complications we can develop. You’ll understand the tears of hope?… joy?…if you’ve been diagnosed. 


Anyway, I don’t notice a lot of this going on in my hips, because it’s normal for me and muscle spasms elsewhere feel more troublesome day-to-day. Plus, as I’m sure you’ll understand I start to tune-out sensations that interfere with ‘living life.’ You learn to survive this, and more than surviving, you eventually learn to live more often than survive. Or, always strive for it… every situation is different.

This troublesome, embarrassing, and potentially serious problem started in May of this year. I ignored it! (Don’t do that… ). In June, very ironically after a visit to the first doctor I could find after we needed to move to Washington for my husband’s job, I ended up in the ER. :sigh: My doctor was a whopping 2 hour situation to get to. I drove to Bremerton from our rental in Gig Harbor, rode on a ferry for 45 minutes, sat upright in a chair for an hour waiting for said appointment at a coffee shop, then walked a mile to the doctor’s office to then repeat this going back home.

On the ferry, of all places!, that’s when my legs up the inner thighs all the way into my lower back, and in-between, went completely numb. No feeling at all.

I called my doctor who told me to go straight to the ER. My husband was riding back on the ferry with me from his work in Seattle watching as I laid there unable to 1. panic, because there was nowhere to go or 2. talk, because I was shocked thinking it was the onset of something called cauda equina, an emergency that requires spinal surgery and can happen in EDS.

After many hours at the ER and imaging and a slightly freaked out looking doctor (that’s never a good sign), I was told they didn’t see evidence of cauda equina at this time, and I’m immensely grateful. That’s that, and you know the rest.

So, the point of my story is to illustrate you’re not alone in dealing with ‘mysterious symptoms,’ that eventually, hopefully, are figured out. Some things I deal with remain a mystery, and I’m okay with that right now, because I will keep pushing for a good team on my side when I can in-between living. We fight too hard for good care. But, it’s also important to keep fighting for good care. I got unbelievably lucky being pushed into an appointment with the top neurology clinic in the country. Lucky isn’t my normal, but look, it does happen!

A sad fact, I started experiencing this problem over a year and a half ago off and on. I’d previously been admitted to an ER in Oregon with the same symptoms. This is how I knew about the possibility of cauda equina. But, then, I had been summarily dismissed after the physician couldn’t see the problem on imaging, as if that doctor’s job was confined to diagnosis by MRI lacking any clinical insight. Well.

I’m happy I have such an intelligent and discerning doctor now. I know it will still be difficult because of the lack of awareness about EDS. I’ve continued to experience weakness in my legs and numbness, but I was told to expect it. The difference is I now have a plan and have been told when this could be a more serious problem, and how it will be handled.

Knowing you are cared for and looked over makes all the difference in the world. Right?

https://ehlersdanloscontemplations.wordpress.com/2015/11/22/numbness-compression-neuropathy-and-storytime/

Monday, 27 March 2017

Compression Neuropathies Vid


For those of you who are not so squeamish and like seeing parts of the body from the inside, today's Vimeo video (see link below), looks at the pathology of compression neuropathies. Compression neuropathy is basically nerve damage caused by trapped nerves due to injury, or diseases like arthritis, herniated discs etc. Once again, the results can feel like most neuropathies, with tingling,burning, movement impairment and pain but the difference is that if caught early enough, a compression neuropathy may be able to be reversed through surgical procedure.


2014 CRN – Compression Neuropathies
from Nerve Surgery Plus


Authors: Susan E. Mackinnon MD, Andrew Yee BS
Date: 3/12/2014


This presentation is part of the 2014 Comprehensive Review of Neurosurgery video lectures. Specifically, this presentation discusses compression neuropathies and includes topics of patient evaluation, thoracic outlet syndrome, ulnar nerve compression at the cubital tunnel and wrist, and median nerve compression in the forearm and wrist.






2014 CRN – Compression Neuropathies from Nerve Surgery on Vimeo.


Table of Contents
00:00:14 COMPRESSION NEUROPATHY
00:00:20 Types of Presentation
00:01:05 Histopathology
00:04:14 Progression of Compression Neuropathy
00:06:40 Double Crush Syndrome
00:07:24 PATIENT EVALUATION
00:07:47 Pain Evaluation
00:08:33 Peripheral Nerve Worksheet
00:09:47 Provocative Tests
00:11:47 Scratch Collapse Test
00:19:24 Sensory Examination
00:22:07 Rate of Recovery
00:24:27 THORACIC OUTLET SYNDROME
00:24:44 Conservative Management
00:30:33 Surgical Management
00:35:15 CUBTIAL TUNNEL SYNDROME
00:35:27 Controversy of Cubital Tunnel Surgery
00:37:49 Patient Evaluation
00:43:58 Surgical Management
00:49:32 Post-operative Management
00:50:28 Transmuscular Transposition of Ulnar Nerve
00:54:55 Revision Transposition of Ulnar Nerve
00:59:36 Supercharge End-to-side Nerve Transfer
01:05:18 FDP Tenodesis
01:06:01 GUYON’S CANAL COMPRESSION
01:06:03 Guyon’s Canal Release
01:07:45 CARPAL TUNNEL SYNDROME
01:08:38 Carpal Tunnel Release
01:12:28 Revision Carpal Tunnel Release
01:20:25 MEDIAN NERVE FOREARM COMPRESSION
01:21:00 Median Nerve Release in the Forearm

https://vimeo.com/89133743

Tuesday, 21 March 2017

Knowing Sciatica nerve compression treatment


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