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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For The Pain Caused By Nerve Damage?

I had a Da Vinci hysterectomy on 6/26/12 and sustained nerve damage afterwards in the groin area. I have bee in touch with lawyers but very hard to find concrete proof this was related to surgery and human error. This is a permanent injury now which has changed my life drastically. Things I used to be able to I no longer can. I have been referred to pain management doctors for nerve injections but they only last a short time from a relief perspective. Before my surgery starts I was made to scoot all the way down to the very bottom of the 2/3 size of a regular operating table where my legs were dangling at a 90 degree angel. Quite uncomfortible to say the least. Could this have initial caused the groin area to become aggitated in some way making the lithotomy position the true cause of injury? Do you happen to know how this injury could occur? I do know Allen stirrups were used as well.
Thu, 27 Mar 2014
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Pulmonologist 's  Response
Hello,
I admire your concern and to be frank it is very difficult to say whether the lithotomy position has caused the injury. In fact there are many reasons by which the injury can occur like direct nerve injury during operation, nerve impingement by an underlying damaged organ or something else unrelated to operation to cause nerve problem. I suggest you to go for a nerve conduction velocity testing to actually grade the nerve injury and its actual location. To be frank the treatment of nerve injury by and large is very much unsatisfactory. You may go for acupuncture, local steroid injection, daily physiotherapy, local heat therapy, various aids like Allen stirrup which you have mentioned and usually these treatments most of the time is a prolonged one and a big question mark is there for actual efficacy. Many a times two or three such procedures accumulatively relieve a lot.
Thank you.
Regards
Dr Arnab Maji
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What Is The Remedy For The Pain Caused By Nerve Damage?

Hello, I admire your concern and to be frank it is very difficult to say whether the lithotomy position has caused the injury. In fact there are many reasons by which the injury can occur like direct nerve injury during operation, nerve impingement by an underlying damaged organ or something else unrelated to operation to cause nerve problem. I suggest you to go for a nerve conduction velocity testing to actually grade the nerve injury and its actual location. To be frank the treatment of nerve injury by and large is very much unsatisfactory. You may go for acupuncture, local steroid injection, daily physiotherapy, local heat therapy, various aids like Allen stirrup which you have mentioned and usually these treatments most of the time is a prolonged one and a big question mark is there for actual efficacy. Many a times two or three such procedures accumulatively relieve a lot. Thank you. Regards Dr Arnab Maji