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Dr. David
Dr. David, Board Certified MD
Category: Neurology
Satisfied Customers: 43434
Experience:  Experienced physician in Neurology
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MY WIFE HAD A KNEE REPLACEMENT AND THE DAMAGED HER NERVE AND

Customer Question

MY WIFE HAD A KNEE REPLACEMENT AND THE DAMAGED HER NERVE AND STILL HAS PAIN IN HER FOOT AND TOES AND THE BIG TOE IS NOT FULLY OPERABLE AND IT IS 2 YERAS SINCE REPLACEMENT . THE KNEE IS FINE BUT SHE BUT SHE STILL LIMPS AND IS ON PAIN KILLERS
Submitted: 3 months ago.
Category: Neurology
Expert:  Dr. David replied 3 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 3 months ago.

I am sorry about your wife and foot pain after knee replacement surgery

has she consulted with a neurologist and a pain management doctor?

has she tried nerve pain medications like neurontin or lyrica to see if these help the pain?

Customer: replied 2 months ago.
she is on gabapentin and hydromorphone
Expert:  Dr. David replied 2 months ago.

what dose of gabapentin? she may need higher doses of gaba.

has she consulted with a neurologist?

Customer: replied 2 months ago.
300 a day that is after the nerve was damaged 2 years ago, we are waiting for an appointment with a neurologist
Expert:  Dr. David replied 2 months ago.

300mg is a very low dose of neurontin,

she may need higher doses

neurontin dose should be slowly increased up to 2700 to 3600mg a day to help with nerve pain.

Customer: replied 2 months ago.
wouldn't that turn my wife into a zombie, she says the 300 affect her mobility
Expert:  Dr. David replied 2 months ago.

higher doses can cause fatigue in some patients, but can help decrease nerve pain