Ep 238 – Post-Surgical Neuropathy: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

A client has a knee replacement on his RIGHT knee, but then develops nerve symptoms in his LEFT foot. It’s been five years, and he’s seen a variety of specialists, and no one knows what’s going on. His massage therapist has some strategies to help him, but what is really going on here? Spoiler alert: I have no idea, but I learned some fascinating things about post-surgical neuropathy!

Resources: 

Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app

Ahn, K.S. et al. (2011) ‘Postsurgical inflammatory neuropathy’, Regional Anesthesia and Pain Medicine, 36(4), pp. 403–405. doi:10.1097/AAP.0b013e31821e6503.

Godlewski, C.A. et al. (2020) ‘Post-Surgical Inflammatory Neuropathy: An Underappreciated but Critical and Treatable Cause of Postoperative Neuropathy’, Cureus, 12(12). doi:10.7759/cureus.11927.

Laughlin, R.S. et al. (2020) ‘Postsurgical Neuropathy: A Descriptive Review’, Mayo Clinic Proceedings, 95(2), pp. 355–369. doi:10.1016/j.mayocp.2019.05.038.

Speelziek, S.J. et al. (2019) ‘Clinical spectrum of neuropathy after primary total knee arthroplasty: a series of 54 cases’, Muscle & nerve, 59(6), pp. 679–682. doi:10.1002/mus.26473.

Staff, N.P. et al. (2010) ‘Post-surgical inflammatory neuropathy’, Brain: A Journal of Neurology, 133(10), pp. 2866–2880. doi:10.1093/brain/awq252.