SCS trial in patient with alcoholism

[SC Tian]

Possible positioning injury - foot may have been left over-extended or at an otherwise awkward angle. Do you know whether she was well-padded? Lack of neuro deficits, non-dermatomal distribution suggests to me msk pain. You do have a little curve in those leads at the entry site though so I guess it’s possible one of those is pushing on the dorsal column in a small area. If so, that should go away as she moves around.

Thanks for the input, appreciare it, all incisions and insertions, and pocket on the right side, the curve is on the right side as well.
We use jackson bed, scd, there is a roll around both ankles.

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[MitchLevi]

I'd get a CT scan T + L spine.

Labs.

I'd expect nothing to come of this.

 

[SC Tian]

Stat MRI would be a good option. Rule out something you did.
Get ESR/CRP/CBC/Uric acid.

Really appreciate your uric acid, this morning, pain localized metatarsal joint of big toe, red and swelling locally now. Thanks for everybody’s input.
Just a little note, if superficial perorneal praxia, this patient have diffused pain pattern that does not fit either.