Spinal Haematoma following T1/T2 epidural

Posted by lowth21 @lowth21, Jun 2, 2023

3 weeks ago i had a RFN (Radio Frequency Neurotomy) for pain in my neck. Procedure included an epidural to the T1/T2 level. Upon wakening from the procedure I had sever waves of pain in my elbows and my feet were numb with slight numbness from my buttocks to my feet.. In the last 3 weeks the severe numbness has got worse and it has now moved north into my calves and knees. Specialist requested and MRI which showed "posterolateral haematoma at the T1/T2 level measuring 7.6mm X 5mm" Will attach a copy of the MRI. Specialist also requested a nerve conduction tests from a Neurologist which showed all nerves working OK.
Has anyone endure such a problem with numbness to feet to buttocks following a Epidural Haematoma? It is now 3 weeks with numbness worsening. My GP believes that it will eventually improve. So if anyone has had a similar complication following a spinal epidural I would welcome their or any moderator give their opinion to prognosis treatment etc.
Thank you for listening.

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Sounds like the MDs are expecting the blood in the hematoma to be eventually re-absorbed and symptoms to decline, as pressure on the spinal cord is relieved. Best advice- be careful! Numb feet are an invitation for falls- make your home safe- take up throw rugs, make clear pathways, install a grab bar at entrance to the tub and one inside, use railings on steps.
Wishing you great good luck and hope.

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Thank you for your quick reply. Have you heard of the numb feet/legs from a spinal epidural epidural? Also from your knowledge, how long does it approximately take (assuming it does) for the numb feet etc to return to normal? The numbness seems to be getting worse moving up into my calves & shins? I cannot find much information on the internet.
Kind regards
John

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I must admit I am naturally an optimist. The very good news is that the EMG was normal, you don’t have “nerve disease”. Also good news is that the MRI shows a hematoma, for which reabsorption is apparently expected, there is no anatomical displacement or injury.
It takes concentration to just “go with the flow”, and try to live each day, finding solutions as you go along for every problem that comes up with living with lower leg numbness, even if you really don’t want to change what you normally do. I just bought an Exercycle as it’s not safe for me to walk the distances I used to enjoy doing.
It will be wonderful if time is the great healer, as it seems the MDs anticipate, but if it takes a long time or if it’s not, that’s okay, you’re still you and you’ll be fine, doing things differently, but fine.

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Thank you so much. I love your optimism. I am lucky that I have a wife that keeps me positive and that's what I have to do. I call it "Hurry up and Wait".
Kind regrads
John

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