So frustrated. No dorsiflexion in 2 months and no sign of improvement. I can run but the body has had to adjust. Once able to run 10K in 38:xx now 44:xx. Shall I get surgery or give in another 6 months then surgery. I do have the option to buy a support --dynamic aid
http://www.braceshop.com/braces-and-supports/ankle-braces/foot-drop-braces.htm?limit=32
Are you doing physiotherapy? I had a mild version of this after a serious bike accident and spent 3 months in re-hab. Now I have about 90% dorsiflexion. The best exercise for me was walking on my heels and trying to point my toes UP. Your case does sound a bit worse…
Good luck and stay positive.
-Robert
Did you visit a neurologist and have you had an EMG made? First thing I should do.
Braces treat symptoms not causes. Because they supplement muscle activity, they will reduce the need to reform neural pathways to resume muscle function. A brace may be necessary for short term use following a surgery or while things heal, but hopefully will not become a long term solution. There are devices available that electrically stimulate the nerve to cause muscles to function, but they will be very costly and only work when certain injury criteria are met.
I would continue working with your doctor to figure out what damage occurred from the hit and follow his instructions to get back to running.
neurosurgeon here. you need a diagnosis. if you had lateral knee trauma it’s probably a peroneal nerve palsy. the earlier post was correct. you need an emg and a doctor (neurologist, physiatrist, or neurosurgeon) that knows peripheral nerve.
Are you doing physiotherapy?
Yes I did for the first 3 weeks, included message work, PT, and acupuncture with electro stim at times.
I can run but with a limp foot
Yes positive as I am just now have new lower goals lol
Did you visit a neurologist?
Yes I did
Right, I hope the brace would not be needed too, although I can run trails up 1.5 -2 hrs it does come at a cost to the alignment requiring PT.
I’ll have another muscle stim in 3 weeks.to test the progress
neurosurgeon here. you need a diagnosis. if you had lateral knee trauma it’s probably a peroneal nerve palsy.
…yes it is.
I am about that time to make my second muscle stim test to look for any progress in response to the nerve regrowth. At times I think it does improve but then that could be all in the mind.
In the mean time , now 2 months post accident I have kept up the training at best as I can. The limiter being the physical disability otherwise aerobically I’m fine. I have been told I was several weeks too earlier returning to training but then a typically response by athletics right.
I know the past 6 months i am not as strong as i was this time last year, this season in The australian summer down under i did no swimming and the comparision to my TSS/TSB/CTL/ATL is a roller coaster downhill. Perhaps make inroads into the skeletal muscular area to look improvements?
Thank you for your input.
Did you visit a neurologist?
Yes I didwell, what’ s the diagnosis? Neuropraxia, axonotmesis or neurotmesis?. You didn’t mention this. A dropfoot is a symptom, not a diagnosis.
I ’ m a physiatrist. Treatment depends on severity and signs of regeneration.
Did you visit a neurologist?
Yes I didwell, what’ s the diagnosis? Neuropraxia, axonotmesis or neurotmesis?. You didn’t mention this. A dropfoot is a symptom, not a diagnosis.
I ’ m a physiatrist. Treatment depends on severity and signs of regeneration.
Is a physiatrist what we in the USA would call a PM&R doctor?
neurosurgeon here. you need a diagnosis. if you had lateral knee trauma it’s probably a peroneal nerve palsy.
…yes it is.
I am about that time to make my second muscle stim test to look for any progress in response to the nerve regrowth. At times I think it does improve but then that could be all in the mind.
In the mean time , now 2 months post accident I have kept up the training at best as I can. The limiter being the physical disability otherwise aerobically I’m fine. I have been told I was several weeks too earlier returning to training but then a typically response by athletics right.
I know the past 6 months i am not as strong as i was this time last year, this season in The australian summer down under i did no swimming and the comparision to my TSS/TSB/CTL/ATL is a roller coaster downhill. Perhaps make inroads into the skeletal muscular area to look improvements?
Thank you for your input.
Any further progress. I went from 37.xx 10K guy to 41.xx after a bad accident at IM Switzerland 2011. Nerve damage in my left leg from smacking my knee against a house and ripping up my groin. The worst is when I skate ski as I have no dorsiflex in a ski boot, but it is better when not trapped in a boot and when only in running shoes. Cycling is OK, because the good right leg can move the bad left leg around. In running or XC skiing, the bad leg needs to take care of itself. I unconsciously also changed my gait substantially and did not even realize it because I had a substantial traumatic brain injury. Now i am trying to un learn all those motions I picked up. I do have dorsiflex but really need to think hard with every step to pick up my toes.
Hi Dev,
Thank you for the f/up. Interestingly I have noticed a slight ability in the flexing up of the toes, but excluding the big toe :-(. I do feel some movement in the tiabialis ( that muscle in the shin). Cycling has helped in this. I to have to consciously lift the foot when walking. When running it is not so bad, though the alignment of the leg and foot are off where any lengthy run requires some reservation to correct pacing as the hip flexor and hamstring tiring. I am working with powercranks again. Over the next 3 weeks to see if this will help build strength in leg muscle group. It did when was recovering from a post op meniscus repair.
Yes, like you consciously thinking at times the way I walk and not trip my self up. I have caught myself several times stumbling regretfully.
I must get back to having medical test on the nerves. I too wish I could shop on line for a medical office for stem cell nerve repair, as I have read there is very sound good results. As you know time to find a medical cener that will do it. Perhaps a trip to Asia or Sth America., but of course money and time again.
What has been your rehab program.
Mike
Yes!
Did you visit a neurologist?
Yes I didwell, what’ s the diagnosis? Neuropraxia, axonotmesis or neurotmesis?. You didn’t mention this. A dropfoot is a symptom, not a diagnosis.
I ’ m a physiatrist. Treatment depends on severity and signs of regeneration.
Is a physiatrist what we in the USA would call a PM&R doctor?
yes!