Peroneal nerve palsy - Help I need info!

I now have bilateral (both) peroneal nerve palsy which the dr's are telling is from my wls surgery.  This is very rare and I can find almost no information on this. Would appreciate any information any one has. Thank you - Shannon

I looked it up on the internet and it doesn't sound like it could be caused by WLS. Have you seen an orthopedic Doctor?

Yes - its caused by losing the fat pad between the nerve and the bone thus allowing the nerve to be compressed.  I am seeing a neuologist & having an EMG this friday.  Going to physical therapy 3 times a week and doing special exercises 3 times a day also.  Being fitted for special foot braces today after pt.  This has happened so fast - in just 3 weeks I am walking with a cane and my life has been turned upside down.  Doing everything the dr's want me to plus I have increased all my B-vitamins that someone suggested I do.  I can still drive but its becoming more difficult to drive over an hour & a half which I did friday to see my WLS dr. It's a wait and see type of situation as its so rare.  The Physical therapy dr. caught on to what it was due to the fact that it has affected both feet.  With my back problems it would have affected only one foot not both.  So I am hanging in there and praying it doesn't get worse. Thanks - Shannon

Could you please explain a little more about your condition. I was recently diagnossed with mortons neuroma in the bottom of my feet- it is extremely painful and I can barely walk. I have been to a podiatrist and am going to be fitted with special orthodics. If that doesn't work then its the shots then maybe surgery where the nerve is cut. I am a reflexologist so am pretty familiar with the feet and am wondering myself if this is due to malabsortion of the b vitamins since the bs affect the nerves in our body. There are over 7000 nerve endings in the feet alone so am not too surprised  by some of this. My weightloss surgery is not what one would deem a  success. I lost very little but am sure I still have malabsorption issues. Good luck with your therapy. Sharon

My husband has this on one foot  and he didnt have wls, the drs have tried shots 2 times with relief for a while then the pain comes back. He is getting his special orthopedic shoes this week.

I had surgery on both peroneal nerves friday and will not know for up to 2 months if it worked or not.  In the meantime I have the braces and am waiting on the shoes to come in.  Hopefully they will be here Friday.

I have developed a dropped foot. Is this the same? I can not flex my foot upwards. I start PT tomorrow, need to get a brace and a nerve stimulator. I started taking meg does of B1 and B complex. I sure hope it works.

Shar

Check out this link, if you have not already done so:   www.gastricbypassproblems.org/Nutrionalissuesafterbariatrics urgery.html   Be sure to scroll down and look at all of it.  Janet

Becareful with increasing your vitamins as to much of the b vitamins can cause neuropathy as was told to me by my neurologist.   He also stopped me from doubling up my minerals also.  I am now taking omega-3 fish oil tablets to help with the nerve pathways (also a natural anti-depressant  as it increases the seritonan levels.)  Since my nerve decompressions were done on May 11th I can now move my right fooot up avout 3 incehes.  Nothing noticeble on the left yet except when they zap me with the stimulator.  Hoping I can stop wearing the brace on my right this week.  I dread going to therapy but it is helping.  Will have  a differant therapist starting today as the last one was dead wrong in ignoring my complaints that she was hurting me as the machine was turned up to high - she just turned the machine so I couldn't see the numbers. I am a nurse and if you are going to do something like that you explain to the patient and say lets try this and if its to uncomfortable we will back it down - not ignore the patient.   I had broke my big toe a week ago friday and asked her to please becareful as it was still very sore - again she ignored me.  My orthopedic dr asked if I was getting a new therapist.  I am seeing the head of pt department this afternoon.  He is the one who diagnosed me to start with when the back surgeon wanted me to have therapy to strengthen my legs before he did surgery.  I am so thankful it was caught.  My labs have been within normal and within therapeutic range since I started taking my vitamins after surgery last July so this was not related to vitamin deficency. Shannon

Hi, Shannon.  I am an RN who works in a clinic  of both neurologists and neurosurgeons.  Until last year, my neurosurgeons had only performed peroneal nerve decompressions while in residency, over 15 years ago.  Suddenly, we have seen a significant number of patients with foot drop due to peroneal nerve compression/entrapment, most of whom have had WLS.  Has your neurologist checked your homocysteine and methamalonoic acid levels?  It is possible to have these levels be abnormal, even if your Vitamin B12 is an a low normal range. Good luck in your recovery! Brande, RN