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Reflex Sympathetic Dystrophy (RSD) (CRPS) Message Board


Reflex Sympathetic Dystrophy (RSD) (CRPS) Board Index


Hello... I recently had a total knee replacement (11 wks postop). I have developed severe pain in my foot, causing my foot to be lazy & very painful. Sometimes my big toe feels like it's being pulled back. I'm sure that it is nerve pain because I also feel like I have restless legs at night & it didn't start until about 6 wks post op. I asked if anyone on the knee board could help me. One person suggested that it could be CRPS.

Since I think that this started with my TKR, I asked my surgeon about it. He suggested that I contact my regular doctor because he was only concerned with my knee & NOT my foot. Nice, huh?? :rolleyes: I didn't go to my regular doctor because I figured that he would only send me to a podiatrist or pain specialist, so I took it upon myself to start with a podiatrist & saw him today.

The podiatrist suggested a foot brace & also a compression sock that pulls my foot forward by the toe to be at a 90 degree angle while resting. It was so uncomfortable that I could only wear it for a bout 1/2 hr. It caused the pain to be more intense, shooting down towards the arch of my foot! I called him back with my report of pain & all he said was to give it a couple of weeks. I can't!! I can't stand the pain that it is causing!!

I'm wondering what my next step should be. Should I see a pain specialist or a nuerologist? Oh... I also had a severe back injury 2 years ago. I'm also wondering if that is the the culprit here! :confused:
I went to my regular Dr & he said that more than likely I have a nerve pinched behind the knee that would cause that kind of pain in the foot. He prescribed Lyrica with Clonazapam & so far it has calmed it down. He said that he will order an EMG to make sure it is what he suspected. I asked him about RSP, because I have so many other issues with pain. He said that it is a possibility, but there is really no test to make sure. How does somebody get an actual diagnosis of this?
[QUOTE=Lucy56;4994866]I went to my regular Dr & he said that more than likely I have a nerve pinched behind the knee that would cause that kind of pain in the foot. He prescribed Lyrica with Clonazapam & so far it has calmed it down. He said that he will order an EMG to make sure it is what he suspected. I asked him about RSP, because I have so many other issues with pain. He said that it is a possibility, but there is really no test to make sure. How does somebody get an actual diagnosis of this?[/QUOTE]
..... Lots of tests, and weeding through the common problems.. I had many mri,s X-rays, ct scan, a nuclear bone scan in the beginning then a three phase bone scan 1.5 yrs later with was the nail that held the dx together.. time and patience is needed with this. but they can suspect it and try to get early treatments.. I know some dr,s use nerve blocks to dx it. but that isn't necessarily fact as i had nerve blocks and it did nothing for me...





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