
Is Severe Pain After Kidney Removal Indicative Of Nerve Damage?

MRI - Neurologist's opinion.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history barring some points.
I am really sorry about your daughter after reading the history, I can understand the plight your daughter and you must be going through.
To recapitulate: Single - Teacher - only source of income - F/ 31 - nephrectomy right in XXXXXXX 2014 - Pains since Nov 2014 5 months gap) - right back and near ribs - ''skin is hot - sharp pain on touch'' - Shingles ruled out - CT scan normal - unaffected by activities - pain medicines - no effect - steroids provided brief relief - referring continues - ... Can it be nerve damage ??? Help ...
I would like to know some details please:
Why was the Kidney removed ?
Seen Neurologist / Neurosurgeon ?
Were the medicines like Gabapentin / Amitryptilin / Tegritol tried ?
Hot skin and pain on touch are definitely indicative of pain of few origins:
-Neurological
-Inflammation underneath.
- The nerve damage or entrapment should have occurred immediately after Surgery and is least possible as you are suspecting... the nerve damage.
-Shingles can show up very few vesicles in a few patients and hence could have been missed. ( How was Shingles ruled out ?)
I would advise her the following:
Blood tests - CBC to see whether WBC is increase. and other routine tests.
MRI of the spine and the affected area: this will help to see whether there is any compression on the cord by prolapsed intervertebral disc / a nerve root / any tumor / abscess or inflammatory process. This will also help us to see the problem along the rib/s, the position of the Kidney-bed, any collection or so.
Also helpful will be the opinion of a Neurologist or Neurosurgeon for clinical / physical evaluation, advise for proper necessary investigation and prescribing proper medications to alleviate the pain.
I hope this answer helps you and your daughter to get a proper diagnosis which is very important to get a proper treatment.
Please feel free to ask for more if required or if you feel there is a gap-of-communication...

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