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What Causes Numbness In Lower Limbs After Laminectomy?

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Posted on Thu, 30 Jul 2015
Question: Sir, My wife aged 63 years suffered osteoporosis spinal (d10) fracture. Laminectomy&D9 D11 fixation with pedicle screw surgery was done on 7\4\15 at Apollo Hospital.The patient lower limbs are having numb XXXXXXX and she is unable to walk.Physio therapy and Nervijen p tab with Dulot &other B complex are being prescribed. Kindly suggest better remedies.
doctor
Answered by Dr. Dr. Naveen Kumar Sharma (14 minutes later)
Brief Answer:
Is she able to move her toes or knee?

Detailed Answer:
Hello,
I have studied your case and I think she might have weakness due to nerve compression in the spine. This can be due to fall or pressure on the cord during surgery. Before I advised any thing I would like to know little detail of her illness.
1.Was she able to walk before surgery?
2.Was she able to move her limb before surgery?
3.Please send me her MRI report.
4.What is her present status in terms of movement of the limb in the bed?
Please send me answers of these questions. I will try my best to help you.
thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Naveen Kumar Sharma (36 hours later)
Answers to the Dr questions .
1.Ribs pain and shocks in the lower limbs hence unable to walk .
2.Yes.
3.no MRI after surgery
4.Moving all the limbs freely in the bed.No pain and able to sit in a chair or bed.
walking with the help of a walker only.
Lower legs are numb and in the evenings the numbness is in creasing.
5.Diabetic but under control. Human mixtard 50\50 and Janumet 50\1000 twice daily
6.Bonemax(TPH) inj daly, Dulot 30 mg,Nervijen ,Methylcobal tab are also being used sir.



doctor
Answered by Dr. Dr. Naveen Kumar Sharma (20 hours later)
Brief Answer:
You need to see your doctor for a checkup

Detailed Answer:
Hello,
Thanks for replying.I think that she will be able to walk with in short period of time. She is having weakness and that is common after such surgeries. For precautions I would recommend you to visit your operating surgeon and get her clinical examination. For walking a person should have grade 3 or above power in both lower limbs. If your doctor says that she has above 3 power in lower limb then she is normal.
I would also suggest you to make sure that her vitamin B 12 and blood sugar levels are normal. As it can cause sensory loss or numbness.
I hope this answer will be useful for you. Let me know if there is any other followup questions. thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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What Causes Numbness In Lower Limbs After Laminectomy?

Brief Answer: Is she able to move her toes or knee? Detailed Answer: Hello, I have studied your case and I think she might have weakness due to nerve compression in the spine. This can be due to fall or pressure on the cord during surgery. Before I advised any thing I would like to know little detail of her illness. 1.Was she able to walk before surgery? 2.Was she able to move her limb before surgery? 3.Please send me her MRI report. 4.What is her present status in terms of movement of the limb in the bed? Please send me answers of these questions. I will try my best to help you. thanks