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    returns disappearing?

    So I'm about 2 1/2 months post-injury now. About 3-4 weeks after my injury, I got back some ankle dorsiflexion in both sides ... at PT, we measured the muscle groups and it was 3/5. Last night, it sorta disappeared. I thought that the muscles might just be fatigued, but when I woke up the condition still exists -- can't seem to move my right ankle.

    As this is the weekend and I'm not sure what docs might be able to do anyway, should I be calling someone? Does something like this happen? Getting somewhat better for 6 weeks and then all of a sudden it disappearing?

    Growing concerned ...
    Daniel

    #2
    .....i'm not a dr. but i am sci@c-4....we are all diff and i don't know your injury, but i experienced "come n go" also....i'm 2.25 years post injury and still have sensation/movement one week and not the next.....seems random w/no pattern

    Comment


      #3
      Generally when someone gets 3/5 muscle return in a muscle, they keep it. The swelling with the initial injury is there, but once it decreases, nerves that were not damaged, work again. That should not disappear. There may be something going on in your spine, but I need more info.
      Are there other symptoms or just that 1 muscle that is not working? Did you have surgery or wear a brace after your burst fracture? Any bowel/bladder changes?

      JM
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        SCI-Nurse:

        I'm not sure what information is relevant. After my MVA on the evening of 10-13-2005, they took me to the hospital where I underwent vertebrectomy and T12 to L2 fusion. Since then I wore a hard TLSO for the first 6 weeks post-injury. They took plain films at that point and switched me to the soft TLSO.

        This week, I've sorta had a cold/sore throat, so the rehab physician's assistant prescribed some regular antibiotics (amoxicillin) 2x day. I have a little bit of congestion and been coughing. I've felt soreness in the muscles all week, including the lower back. I felt well enough to go to therapy Wed, Thur and Fri. Fri during therapy I felt some minor pains/muscle soreness in the lower back. I was still able to move the ankles when I came home on Fri afternoon.

        I took a nap for about an hour and when I got up I was no longer able to move my right ankle, nor feel a contraction. Thinking it was fatigue, I went to bed, but this morning when woke up, the foot had "dropped" and I was no longer able to point the toes up.

        Should I notify a doctor, or should I just keep an eye on it this weekend?
        Daniel

        Comment


          #5
          I'm a T10 and when I first got hurt I had no problem getting an
          erection and I had some calf contraction on both legs. A couple
          weeks after my injury I lost the ability to have a spastic erection,
          calf contraction, and also lost what rectal sensation that I had.
          My rehab Dr. told me that the reason I lost it is because it takes
          about 3 weeks for nerves to degenerate after they are damaged.
          I'm guessing that you also have a lower motor neuron injury like
          me (no spasms). Ask about having a nerve conduction test on your
          legs, I think that is what they call it.

          Matt
          Word to your mother

          Comment


            #6
            Dan, so sorry to hear that you've lost movement in an ankle. I hope it is temporary. I haven't heard of anyone losing function like this before. Hope you'll let us know how it turns out and hope you regain this movement and much more. Mike
            T12 Incomplete - Walking with Crutches, Injured in Oct 2003

            Comment


              #7
              From a healing fusion perspective- 8 weeks post surgery and it should be healed, but could be checked out via X-ray just to be sure. The muscle achiness from your cold could also be attributing to the problem. Again though if you have functon and then lose it totally something seems off. I think though that you need an expert person (whomever did your surgery) not necessarily an ER MD to evaluate it. If you can, contact the surgeon, if not wait until tomorrow and see if you can be seen.

              Good luck.
              JM
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

              Comment


                #8
                Dan, if u had 3/5, I highly suggest stimming that area to get it back! I've had days when i could barely walk, and i was so angry but i just stimmed it the next night and i would wake up and it owuld be fine, hope things work out!
                Injured:10-16-04
                C7/C8, T1 incomplete;


                For stalkers convenience:
                Blog:
                http://www.ordealsonwheels.com/
                Facebook:
                http://www.facebook.com/#!/coryssanchez
                Progress:
                http://photobucket.com/albums/b290/swooty/
                My drawings:
                http://kanvases.com/sites/corysanchez/home

                Comment


                  #9
                  hey cory/mr_coffee,
                  what type of NMES unit are you using for e-stim?
                  -dan
                  Daniel

                  Comment


                    #10
                    Wanted to give you guys an update--so friday, it was literally 0/5 (couldn't even feel a contraction) ... today, tuesday, when I went to PT, it's a 1+/5 cuz we can feel a contraction and see a slight movement. The therapist wasn't sure what would cause such a decrease in muscle strength either but told me that she'd bring it up in their team meeting.

                    I'm still concerned, but since the ankle movement/strength appears to be coming back slowly, I'm going to hold off on panicking. At least for now ...

                    Daniel

                    Comment


                      #11
                      dan, i sent u a message, its an EMPI Focus Unit. www.empi.com then go to proudcts. If you havn't already, ask ur PT to try some e-stim for dorsi/planter flextion and assist with it! I know it will help!
                      Injured:10-16-04
                      C7/C8, T1 incomplete;


                      For stalkers convenience:
                      Blog:
                      http://www.ordealsonwheels.com/
                      Facebook:
                      http://www.facebook.com/#!/coryssanchez
                      Progress:
                      http://photobucket.com/albums/b290/swooty/
                      My drawings:
                      http://kanvases.com/sites/corysanchez/home

                      Comment


                        #12
                        dan_nc,

                        Please contact your doctor right away. You need an MRI of your spinal cord to rule out a disc or some other cause of compression of your spinal roots. I am not sure what your cough has to do with the loss but one other possibility that needs to be looked at is the distant possibility of a inguinal hernia (a weakness of your abdomenal wall near where the sciatic nerve exits into the leg) which may have compressed the nerve. This should not have happened and, if there is compression of a spinal root or peripheral nerve, it should be relieved as soon as possible. I am assuming that it is a root or nerve problem because it involves only one side. How is the other side?

                        Wise.

                        Originally posted by dan_nc
                        SCI-Nurse:

                        I'm not sure what information is relevant. After my MVA on the evening of 10-13-2005, they took me to the hospital where I underwent vertebrectomy and T12 to L2 fusion. Since then I wore a hard TLSO for the first 6 weeks post-injury. They took plain films at that point and switched me to the soft TLSO.

                        This week, I've sorta had a cold/sore throat, so the rehab physician's assistant prescribed some regular antibiotics (amoxicillin) 2x day. I have a little bit of congestion and been coughing. I've felt soreness in the muscles all week, including the lower back. I felt well enough to go to therapy Wed, Thur and Fri. Fri during therapy I felt some minor pains/muscle soreness in the lower back. I was still able to move the ankles when I came home on Fri afternoon.

                        I took a nap for about an hour and when I got up I was no longer able to move my right ankle, nor feel a contraction. Thinking it was fatigue, I went to bed, but this morning when woke up, the foot had "dropped" and I was no longer able to point the toes up.

                        Should I notify a doctor, or should I just keep an eye on it this weekend?

                        Comment


                          #13
                          dr wise, thanks for the response. Once again, being new to SCI, I'm not sure which doc to call. I have attempted to reach my neurosurgeon, who's on vacation. I then tried to call the orthopaedic surgeon who worked on my fusion, but was unsuccessful (left messages last night). This morning I've had the neurosurgery resident paged, but I think he/she's in surgery and hasn't responded to the page (it's been a couple of hours now).

                          Is there another doc I should try to contact? My physiatrist/rehab doc? Or primary care?

                          Growing more concerned ....
                          Daniel

                          Comment


                            #14
                            my 2 cents, call psyitrist asap
                            cauda equina

                            Comment


                              #15
                              My physiatrist's receptionist told me that to speak to someone, I'd need to be seen, and the earliest appointment is 8 days from now. ... this is getting ridiculous. Is this typical of doctors these days?

                              concerned ... and frustrated ... argh!!!
                              Daniel

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