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Thread: Extreme pain in leg

  1. #1

    Extreme pain in leg

    I was just recently injured in a motorcycle accident on 4/22/06, I broke my L1 vertebrae. I have now been diagnosed w/ an incomplete injury and have feeling in both legs with movement in one of them, the problem I have is that the leg that I do not have movement in hurts indescribingly bad the majority of the time from my knee up, could someone tell me if this is nerve pain or maybe some excercises I could do to stop the pain...

  2. #2
    I think the only person that would be able to tell you that definately would be a specialist after running some tests. Because of you not being able to move your leg, the muscles and joints can definately hurt because of the immobility however the immobility problems can lead to a blood clot which too can cause severe pain.

    Is there any redness, swelling or warmth to your leg? It sounds like it very well could be nerve pain but you really do need to have a doctor rule out other things first. If it is nerve pain there is medication that really helps some people. We just need to know what is causing it before it can be treated effectively.

  3. #3
    Quote Originally Posted by cregmonroe
    I was just recently injured in a motorcycle accident on 4/22/06, I broke my L1 vertebrae. I have now been diagnosed w/ an incomplete injury and have feeling in both legs with movement in one of them, the problem I have is that the leg that I do not have movement in hurts indescribingly bad the majority of the time from my knee up, could someone tell me if this is nerve pain or maybe some excercises I could do to stop the pain...
    cregmonroe,

    It is difficult to tell from your description the cause of your pain but the fact that your injury was at L1 vertebrae, the pain is in the leg that does not move, and that the pain is "indescribably bad" suggests strongly that this is neuropathic pain. This is a pain that comes from having an injury that disconnects the sensory input from the leg, resulting in the appearance of pain in the leg. Many people with amputated legs describe this kind of pain, sometimes called "phantom pain". About half of people with spinal cord injury get some form of neuropathic pain. The "pain" can vary from "burning", "freezing", "vice-like pressure" to "vibrations" and "fatigue".

    Treatments for neuropathic pain are limited. Several drugs have been reported to be helpful although none really eliminate the feeling altogether. The first is low-dose amitriptyline (Elavil). The second is gabapentin (Neurotin) which has to be taken in quite high doses, as much as 3-4 grams per day). Some people have reported that electrical stimulation of the spinal cord helps reduce the pain. There are a number of other therapies but I would not recommend them until the above has been shown not to work.

    The fact that you have sensation in both legs is quite hopeful. Most peopl who develop neuropathic pain do not have sensation in the part of the body that has the pain. How is your sensation above the knee on the right? This suggests that exercise (and sensory input) may help reduce the pain. Do you swim or use an FES bike?

    Wise.

  4. #4
    I do have warmth in the leg, and there is no noticeable redness or swelling, I am currently on the neurontin 600mg tid which I guess does help but the pain just comes at different times I guess that can be expected. I have fairly good feeling above the knee, and also throughout that leg, I can feel some of my toes even, the only thing I really can't feel is like the top of that foot. I have been doing aquatherapy three times a week with my occupational therapist and have also been doing excercises on a electric type of bike where I just roll my wheelchair up and it does the motions for me, however none of this seems to stop the pain...

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