Doctor insights on:
Physical Therapy For Post Spinal Accessory Nerve Damage
What tests are needed for spinal nerve root damage/injuries? Damage in neck affecting both hands/arms,but left more than rt.Is this a spinal cord inj?
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
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?
Is electrical muscle stimulation machine for physical therepy for a previous shoulder dislocation helpful?
Yes.: It can improve muscle and nerve function, and improve circulation to the area. A damaged area of tissue will have altered voltage on the surface of the cells. The status of this voltage can affect healing, especially if it is low. I do not see much downside to using it in conjunction with other therapy. ...Read moreSee 1 more doctor answer
Can be: But a careful examination by a specialist can tease out the difference. ...Read more
Mri states severe bilateral neural foraminal encroachment with L4 and L5 nerve root compression . Have had esi no help severe pain gait and motoring issues.Spinal surgeon says see neurologist what sho?
Good First Step: As an anesthesiologist and internist, i completely agree with your surgeon. The first step is to evaluate your candidacy for either pt or transforaminal (ct- guided) injection before going to the slightly more invasive percutaneous, or open surgical, discectomy. It's wise to approach your condition "conservatively, " unless severe pain or loss of nerve function require more rapid action. No worries. ...Read moreSee 1 more doctor answer
Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?
Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more
Positively: It is not a good idea to have any type of infection in your body. A root canal treatment is normally done when you have an infected tooth. If you are getting over a sport injury than you want your body or immune system working trying to heal your injuries and not fighting an infection. ...Read moreSee 5 more doctor answers
Following a bilateral L5 nerve root decompression with erythematous and compressed nerve roots, how common is nerve enhancement as a temp condition?
Post laminectomy: If by nerve enhancement you mean nerve related symptoms, they may linger on due to post operative inflammation for 4-6 weeks, but should be much milder andimproving. If symptoms are worsening or staying the same, see your neurosurgeon. Some people suffer from chronic prolonged symptoms from post laminectomy syndrome that requires further treatments. ...Read more
Limited: Treatment options are relatively limited, and many remain experimental. Complications abound and include things that immobility predisposes one to--blood clots, skin breakdown, contractures, etc. Bowel and bladder control also present problems, too--catheterizations, urinary infections, etc. Many other problems can occur--pain, deformities, etc. ...Read more
Chronic whiplash injury and luq has malfunctioned. Brachial plexus triggers nerve symptoms but nerves not injured. Starting rehab. Healing possible?
Get diagnosis first: Be efficient, and get answers as to why your injury did not fully heal. Not uncommon is an injury to the brachial plexus from shoulder strap, with eventual scarring, called thoracic outlet syndrome. Therapy does help, but is a specific approach, such as felderkreis work. Both EMG and ultrasound studies could pin down precise mechanism. If you have tos, about 85% success with conservative rx. ...Read more
What are treatment options for nerve damage in leg due to quad strain (possibly sciatica/FM). Rest and gradual training?
1st need diagnosis: You may not have actually suffered "nerve damage" by virtue of your injury. You should get a good neurological examination performed of the lower extremity and then, the treatment for the "nerve damage" will be more clear. Of course, for a quad strain no one can argue the points of rest and gradual training to get back into things. That makes perfect sense. ...Read more
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
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
Helps with: Chronic pain due to neuropathic pain whether due to radiculopathy due to post spine surgery or postlaminectomy syndrome, diabetic or other neuropathies, chronic regional pain syndrome are a few reasons. Newer diagnoses its being shown to help with are peripheral vascular disease, heart/cardiac abnormalities like angina. ...Read moreSee 4 more doctor answers
Will lumbosacral plexus mr neurography provide data to diagnose nerve damage caused by: intradural lesion at l4, 1.5 CM tarlov cyst at s-2, and damage from mini-arc bladder sling and partial removal?
Lots of variables: Most doctors wait about four weeks before starting physical therapy after an acdf. Depending on the level of the surger, yphysical therapy activities will vary. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve core strength. This is a good place to learn more: http://tinyurl.Com/p2z8ud. ...Read more
I have MS and spinal stenosis. Emg shows l5-l4-s1 compression of nerve root. Orthopaedic surgeon won't do the surgery without neurologist ok.?
Cautious : I would guess the surgeon is being cautious to make sure that the neurologist agrees that surgery will help the problem. Stenosis of the spinal canal is different than neuroforaminal stenosis. Emg is usually normal in canal stenosis and is sometimes helpful in neuroforaminal stenosis. Just because you have something wrong on EMG and MRI doesn't mean surgery is the answer. Ask twice, cut once. ...Read moreSee 1 more doctor answer
Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read moreSee 2 more doctor answers
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
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