Doctor insights on:
Mandibular Nerve Damage
A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more
Concerning lateral pterygoid muscle, why protrusive action functions to test intactness of mandibular nerve?
I trust my dentist to do an implant but I hope he does not cut into my mandibular nerve. Do I ask if the positioning of this nerve can be a problem?
Always ask.: You should always ask ANY question that you think is important. In this case, the dentist should be able to show you radiographic evidence to support the answer- possibly 3D data. However, implants are very common and not as scary as the internet might make you believe. ...Read more
What is the likelihood of a repeat pleomorphic adenoma causing damage to the mandibular nerve when the tumor is located low internally in the right neck/jaw and close to the jugular. The child had her first removed in 2009 when she was 9, she is no
Is dentistry mandibular nerve block the same as a local anesthesia injection given in the mouth? If not what is the difference please?
Yes: A mandibular nerve block is used to numb all of the lower teeth on one side of the mouth. ...Read more
Does a dental panoramic X-ray show the positioning of the mandibular nerve in the lower jaw for implant planning?
No: X-ray is2dimensional representation of a 3 dimensional object. A CBCT (Cone Beam CAT Scan) allows 360 degree look at the area. ...Read more
Yes and no: A severed or ruptured nerve theoretically can be repaired surgically, but that does not guarantee complete healing and normal function. Nerves do have the ability to regenerate. New connection can be made to bridge the area of injury. This takes time and most healing will occur within the first year after injury. Ultimately, your body will do the best it can to heal the injury. ...Read more
Theoretically and in reality it does not happen because nerves are very slippery and movable, and the acupuncture needles flexible. Because of that it is virtually impossible to pears a nerve.
Of cause care is being taken that nerves are avoided.
Acupuncture points are located along the fascias (very thin transparent tissues enveloping the muscles) and usually away from the nerves. ...Read more
Cubital tunnel: Most commonly, ulnar nerve is trapped at the level of the olecranon fossa at back of the elbow, and treatment can involve medication, pt, steroid injection, or surgical nerve transfer out of harms way. Less common, is involvement of median nerve at the front of the elbow. An EMG study can help guide treatment interventions. ...Read more
Yes: Some nerves give feedback to your brain and spinal cord, helping your body to protect them. When they fail, the joints can be exposed to excess force without you knowing it. This is called a neuropathic (or charcot) joint. It is seen fairly often in the feet of people with the neuropathy (nerve damage) associated with diabetes mellitus. ...Read more
DependsOnTypeInjury: If the nerve is crushed, given time it will probably grow back on its own in 1-2 yrs. If it was severed, it may or may not repair itself. Physical rehabilitation can help the re-wiring process. Also, if the nerve is injured due to inflammation, neuroprolotherapy may help function return. ...Read more
Possibly: Men that have had back surgery especially lowered in the spinal column in the area where the nerves control the reproductive area may develop subfertility. This surgery may compromise the ability to ejaculate and maintain erection and may even possibly affect sperm production. ...Read more
Here are some...: First, one needs to figure out what & why makes you think that you have penile nerve damage. So, collect the related information on the onset, degree, & progress over time with its sequence of events, & bring those to Doc for anylysis, physicals, & possible tests so to deduce possible Dx for proposing possible Rx. But, up to now, there is no known Rx to solve nerve damage, but lifestyle may help.. ...Read more
Variable: If the nerve is cut and repaired at the original surgery, the prognosis is usually good, but recovery can take about one year. This is because the nerve regenerates only about one inch per month. Alternatively, if the extent of damage is uncertain after the original surgery, physical therapy is prescribed for three months. ...Read more
Yes: 98% of patients will get improvement in sensation and most complete recovery. It could take up to 3-4 months, so be patient. It also depends on how much damage you have going into the surgery (based on emg/ncv test). Permanent and irreversible nerve damage can also occur for many reasons without decompression of the nerve. ...Read more
Urologist should...: Can bladder malfunction result? Yes. Could be muscle or nerve generated dysfunction. Which came first, neurogenic bladder or bladder distention? A good urologist or spinal cord specialist should answer based on details of your situation. Need to see specialist to discuss. ...Read more
unlikely: This would be a rare complication from acupuncture. Basically, it would be very painful if a needle was introduced into the nerve. You would experience pain well in advance of insertion into a nerve. Thus, an acupuncturist who is knows their points and needles gently would would likely not cause this problem. ...Read more
First, understand: That nerve pain is pain radiating into the leg with back pain that may or may not be associated with it. If there is no leg pain, then there could be one of multiple reasons for your back pain that if it has persisted or progressed in spite of having it for some period of time you should see your doctor if otc medication, time & activity modification don' t help, get checked ...Read more
Nerve damage implies permanent damage so medications that help nerve pain are recommeded. Post herpetic neuralgia (due to shingles) is a classic example of nerve pain which responds to Lyrica (pregabalin) or gabapentin. Tricyclic antidepressants (e.g. Elavil & others) have be used for years to treat 'nerve pain'
nerve blocks (injections) also are helpful.Surgery may help if the 'damage' is not yet permanent. ...Read more
Evaluation: Before treatment can be discussed a cause needs to be identified. See a neurologist. ...Read more
Neuropraxia is defined as a temporary loss of function of the nerve. Some nerves are purely sensory while others carry both sensory and motor fibers. Traumatic contusion injuries to nerves or nerve compressions can cause Neuropraxia. Sensory nerves like sural nerve in the leg or mixed sensory and motor nerves like the median and ulnar nerves in the forearm & hand ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more