Doctor insights on:
Over The Counter Treatment For Brachial Plexus Injury
Varieble: If acute, might use steroids, but if chronic, analgesics, and physical therapy. If thoracic outlet syndrome, maybe Feldenkries postural therapy, but if unresponsive, perhaps surgical decompression. If rootlets avulsed from spinal cord, no reversibility, and must treat with palliation. ...Read more
Nerve damage: A brachial plexus nerve injury is a serious injury and can range just a mild stretch injury to disruption of a nerve which could mean a surgical exploration is necessary to repair it. There is no "first aid" available but in the milder injuries physical therapy is helpful. ...Read more
Physical therapy: Acutely, there is little to do for a closed brachial plexus stretch injury. Most neurosurgeons will watch these for recovery of sensation and/or movement. If there is no improvement after 3-6 months, surgeons may explore these and remove scar and possibly do nerve grafts across the injured part. Acutely with open injuries, some may surgically explore and attempt to repair the nerve. ...Read more
EMG/NCS: Electromyography combined with a nerve conduction study is the standard of care test for a brachial plexus injury. However, the test may not abnormal unless the injury occurred 2-3 weeks or more prior to the test. An MRI can detect more severe brachial plexus injuries. Of course, no test is a substitute for a good history and physical exam. ...Read more
SCENAR: Good nutritional support (omega 3 supplement high in dha), and scenar treatment are two good starts. Scenar is a microcurrent biofeedback device that needs to be used by a certified and experienced practitioner, but can be particularly helpful. It's similar to a tens unit, but much more effective. ...Read more
Could I have a brachial plexus stretch injury or damage without current compression, if lying down & sleeping provides relief? Neck/shoulder pain
First rib injury two years ago and undiagnosed until this week. Brachial plexus injury and sympathetic nerve involvement in face. What treatment?
The brachial plexus injury from my first rib is the left. Would surgery be more complicated? Been there for two years with nerve involvement.
Not understanding: My assumption is you are asking what spinal cord stimulators (scs) are best at treating? Typically scs is good at treating neuropathic pain disorders, whether related as a brachial plexus avulsion or a chronic radiculopathy post spine surgery. Also patients with complex regional pain syndromes have been helped with scs. Scs is currently being used for vascular pain being done in europe. ...Read more
I've been diagnosed with an acute avulsion fracture of the fibula head. What is the typical treatment & recovery time for this injury?
Fibulae head avulsn: One needs to be concerned regarding the injury to the surrounding tissue like the PCL or posterior lateral corner . I.e. The fibulae head avulsion is the tip of the iceberg ,as in jury to the other structures can lead to significant knee problems. It would be prudent to undergo an MRI to assess the total injury as treatment then is based on the accuracy of the diagnosis. Consider a virtual consu ...Read more
Inflammation: IN the situations you mentioned, the common reason for pain is inflammation which is treated with steroid injections many times, so the same medication can be used to treat all these conditions, however, the dose may be different and excessive doses may lead to irreversible complications. ...Read moreSee 1 more doctor answer
See below: For any musculoskeletal injury, tendon, ligament, muscle, etc, nsaid's are good, like ibuprofen. For any injury, the riice (rest, ice, ibuprofen, compression, elevation) mnemonic is recommended. However, if you have a significant injury, see you doctor for further evaluation. ...Read more
Radial head fracture type 1, most pain in wrist/forearm, acute, severe, acetaminophen no help. need arm for work. ideas?
See below: Once the fracture is treated the usual management of a radial nerve injury would be one of waiting. The nerve could have been damaged by the fracture, or could be compressed by swelling of the tissues around the fracture site. Talk with your orthopedic surgeon and see if nsaids might be a good option, or if other therapy is indicated. ...Read moreSee 1 more doctor answer
Does gabapentin treat a nerve injury(i have an suspected soft tissue injury in foot) or only reduce the pain till the time one is taking medicine?
I've been diagnosed with lingual nerve injury, likely the result of inferior aveolar nerve block for root canal. Is there a pain management rx?
Confirmed first rib injury with brachial plexus involvement. Nerve root C5 and C6 injured at brachial plexus near first rib. Chances of healing?
Brachial plexus : Depends on the length of time since the injury and the extent of the injury. If it involves the insulation of the nerves (myelin) recovery is 3 weeks to 3 months if no further injury. If the wires themselves (axons) are injured it depends on how bad they are injured. Can take 6-12 months if not injured past point of ability to repair. ...Read moreSee 1 more doctor answer
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