[Dada]

Hi guys,

Since 2 weeks I realized that when I bend my hip, the quadriceps of my left leg is getting weak immediately and I have a strange sensation. My MRI came back clear three days ago though. I had disk surgery on L5/S1 one year ago and relapse in November at same disk. No problems when standing or lying.

I’m very diligent on my physio training and just doing isometric excercises. I got PRT the first time three days ago, which felt good.

I know it’s a moonshot given the complexity of that injury.

Is there something I can/must do?

Best regards
Dada

Topic

[Reed]

Reed on January 23, 2021 at 1:43 pm #49666

I think the quadriceps group is driven by the femoral nerve typically supplied from L2, L3, and L4. Very close to your L5 injury. But maybe there’s an issue elsewhere – the nerve passes under or through the sartorius muscle, and can get pinched causing numbness / tingling in the outer thigh. You could try working that muscle with a lacrosse ball or foam roller and seeing if that improves anything. See attachments.

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[Dada]

Dada on January 25, 2021 at 4:29 am #49699

Thx, Reed. Will try that before I start my ME training this week and report back. That’s a very reliable test for me.

[Thomas Summer, MD]

Thomas Summer, MD on January 27, 2021 at 7:48 am #49822

Hi Dada!

Have you tried what Reed suggested?
Do you feel any pain or numbness?
What does your doc (or/and physio) think about your symptoms?
Difficult to tell without an examination. But try what Reed suggests and continue with the physio exercises and core work.

lg!
Thomas

[Dada]

Dada on January 28, 2021 at 1:56 pm #49998

Hi guys,

Thank you both for your support!

Just tested it with the Gym ME program. I think it did not get better by the trigger point massage. I’m pretty much at 3/4 of my endurance of my good leg. Also stability at lateral squats on a box is worse with the bad leg.

I feel also numbness but no pain. I have slightly sciatica but more in the harmstring and glutes area, not on the quadriceps.

My doc where I get my PRT is actually not a good doctor and narcissist. So he don’t really care about the leg paralysis. He is also a neurologist not an orthopedist. But I get the injections for free. That’s the reason why I go there. And at the moment, I’m not doing my physio program with a physiotherapist, so can’t check there.

Any ideas?

LG
Dada

[Thomas Summer, MD]

Thomas Summer, MD on January 29, 2021 at 7:41 am #50046

Hi Dada!

Do you have the symptoms with all movements? Is it getting better or worse? Did you have anything like that before?

A good clinical examination should be done. A neurologist would be optimal for that. “Narcissist” is a problem.

[Dada]

Dada on February 1, 2021 at 4:04 am #50206

Servus Thomas,

I have the symptoms with all movements, some are better some are worse.

– Box-Step Ups are quite fine
– Lateral Squats on a box are not so good
– Bulgarian Squats are okayish but do also cause SI joint problems
– Goblet squats cause the weird sensation like the Slav Squats

When I do “Slav Squats”, after being in that position it takes around 2s and I get a weird sensation on the side of my thighs. I think it gets slightly better, but very, very slowly. I did not have something like that before. In December it felt slightly weird but power/coordination/endurance was not limited.

I did not get my written diagnostic finding from the MRI yet but can share that one as soon as I hold in my hands.

I will get my last PRT this week and then need to see a different doctor. The PRT does not seem to have an impact on the paralysis so far.

I mean the standard diagnostic tests for paralysis (pushing/pulling the foot against the doctor’s hand, or walking on heels and toes) might not yield any results for an athlete since base power is still sufficient to perform these tests but peak power/coordination/endurance is limited.

I’m just scared that I do harm to my nerves/muscles permanently 🙁

LG
Dada

[Thomas Summer, MD]

Thomas Summer, MD on February 2, 2021 at 4:16 am #50310

Hi Dada!

very difficult to tell what’s the exact problem.
Where exactly does your doc place the PRT?
As a neurologist, your doc should/could measure nerve conduction velocity. This would give more information, about where the problem could be.

lg!
Thomas

[Dada]

Dada on February 2, 2021 at 3:10 pm #50339

Hi Thomas,

The sensation moved today 😀 no problem with hip hinging anymore but when I stand upright the sensation is there. It feels like the moment before your have muscle failure when doing a strength exercise.

The PRT is at S1.

Is the moving a good or bad sign?

LG
Dada

[Thomas Summer, MD]

Thomas Summer, MD on February 3, 2021 at 3:37 am #50361

Servus Dada!

I would count the moving as a good sign. But many different possible reasons and hard to tell from far away.

[Dada]

Dada on February 4, 2021 at 8:27 am #50435

Servus Thomas,

Today, I was capable of performing the full Gym MY workout again thanks to the moving paralysis. It felt good. Let’s see how the remaining paralysis when standing upright is influencing my body. I will monitor that in the future.

Can I buy you a beer when I’m in Austria again?

LG
Dada

[Thomas Summer, MD]

Thomas Summer, MD on February 6, 2021 at 6:57 am #50500

Servus Dada!

happy to hear that your symptoms are improving.
Do you know Mohrenbräu? The name is a little bit politically incorrect;-) But it’s the beer from my home.

Zum Wohl!
Thomas

[Dada]

Dada on February 7, 2021 at 1:49 am #50522

Servus Thomas,

In April, I’m hopefully about to do the Bernaise Traverse. I will try to stop by then and drop some Bavarian beer…

LG
Dada

[Thomas Summer, MD]

Thomas Summer, MD on February 9, 2021 at 8:28 am #50623

Tegernseer and Augustiner, please;-) but now we are getting far away from medical topics. …but probably as important!?;-)

zum Wohl und
gute Besserung!

[Dada]

Dada on February 10, 2021 at 12:23 am #50657

Alrighty. And good choice ?