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Doctor insights on: Radial Nerve Release Surgery

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Chronic r arm/shoulder pain x6yrs. 2 wrist surgeries & radial nerve release gave zero relief. Current CT angio neck report said modest cervical spondylosis. Could this be the cause of my arm pain?

Chronic r arm/shoulder pain x6yrs. 2 wrist surgeries & radial nerve release gave zero relief. Current CT angio neck report said modest cervical spondylosis. Could this be the cause of my arm pain?

Absolutely: Cervical spondylosis is a much more common cause of radiculopathy and nerve pain than thoracic outlet syndrome, a cervical rib, a brachial plexopathy or shoulder impingement syndrome, particularly with confirmed cervical spondylosis. Have a spine specialist consult. The history is extremely important and the patterns. Emg/ncv' s are sometimes helpful, but not always. ...Read more

Nerve (Definition)

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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What type of "plasty" surgery would be recommended for expiration of the radial nerve and radial aspect of the wrist?

What type of "plasty" surgery would be recommended for expiration of the radial nerve and radial aspect of the wrist?

Radial nerve: If the question is about "plastic surgery" in radial nerve palsies then some patients may benefit from tendon transfer surgery. ...Read more

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Can you have surgery on the sensory part of the radial nerve in the forearm? That is what the emg showed.

Can you have surgery on the sensory part of the radial nerve in the forearm? That is what the emg showed.

Yes you can.: It could be impingement of your radial, median or ulnar nerve or problem with the tendon that cause your symptoms. Take care! ...Read more

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Will severe tennis elbow cause your sensory nerve to be slow. The emg show my radial nerve at 26. I'm having tennis elbow surgery soon. Will this help?

Will severe tennis elbow cause your sensory nerve to be slow. The emg show my radial nerve at 26. I'm having tennis elbow surgery soon. Will this help?

See below: These are two separate conditions but have similar symptomatology. Conservative treatment is similar for these conditions. You may want to seek an orthopedic surgeon who specializes in upper extremity conditions to explain the different etiologies (causes) of these conditions. ...Read more

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How much is d success rate of nerve graft surgery in case of radial nerve palsy in left arm. What is d time taken to recover after d above surgery.

How much is d success rate of nerve graft surgery in case of radial nerve palsy in left arm. What is d time taken to recover after d above surgery.

Radial nerve graft: The question is complicated in that it depends on the length of time that the nerve has been injured and how much of the nerve has been injured. The success rate for the radial nerve is greater than that for the ulnar nerve. It takes 3 - 6 months and maybe longer to know the degree of recovery. Good motor function has occurred in up to 70%. See your nerve expert. ...Read more

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Since I had radial nerve decompression, I still have pain & spasms. I've had compression 13 yrs. Will pain ever stop?

Since I had radial nerve decompression, I still have pain & spasms. I've had compression 13 yrs. Will pain ever stop?

?: I am a bit confused had compression for 13 years? When was the decompression done
it is certainly possible that things might not get better esp if the nerve was compressed for 13 yrs which is a long time
perhaps should seek other opinions with pain specialist or hand surgeon or ortho/hand surgeon. ...Read more

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Already had radial nerve decompression in arms. Still when I grip or grip for long, my hands go into spasms snd fingers contort. Why still?

Already had radial nerve decompression in arms. Still when I grip or grip for long, my hands go into spasms snd fingers contort. Why still?

Neuromuscular: Dystonia is an abnormal movement disorder described a slow movement, tonic, like a spasm that may result in abnormal posturing of a limb, neck or torso. Paramyotonia is an abnormal inability to relax a muscle after forceful contraction is applied. Muscle cramps can occur as sign of prior injury to a nerve leading to that muscle. Consult with your physician to help you sort this out. ...Read more

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What Dr would determine if I need a peroneal nerve release surgery first or a total knee replacement followed by nerve release...DX for both already?

What Dr would determine if I need a peroneal nerve release surgery first or a total knee replacement followed by nerve release...DX for both already?

Nerve Tx or Knee 1st: Your orthopedic surgeon will most likely want your peroneal nerve treated first. They don't want any other medical issues clouding the high success of your knee replacement. ...Read more

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I am scheduled to have carpal tunnel surgery and also ulna nerve release. Any opions on the elbow nerve release? A little scarred.

I am scheduled to have carpal tunnel surgery and also ulna nerve release. Any opions on the elbow nerve release? A little scarred.

Scared or scarred?: Just kidding. Typically ulnar nerve release at the elbow is a straight forward procedure just as carpal tunnel release is. Talk to your surgeon and share your fears, get your questions asked and answered prior to surgery. ...Read more

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I hurt my forearm /elbow 7mth ago just had an emg 2weeks ago it read 26 on the radial sensory nerve! Does that mean I'm going to need surgery? Pain

I hurt my forearm /elbow 7mth ago just had an emg 2weeks ago it read 26 on the radial sensory nerve! Does that mean I'm going to need surgery? Pain

Not necessarily: The main reason to have surgery is to release the nerve if your doctor thinks it is pinched. In most cases surgery is not necessary for the nerve to heal. If slowing of the nerve is the only abnormality found, surgery would be the last option after trying physical therapy, medications and other non-invasive modalities. Discuss the test results with your doctor. ...Read more

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I had pudendal nerve release surgery december 2012, followed by keloid scarring and now pelvic instability. Would pregnancy still be recommended?

Depends: What approach release did you have?
Pregnancy can possibly increase pressure on the nerve near the end. Vaginal delivery can possibly cause nerve injury. Both of these are possibilities but not definites. I would recommend consideration of C-section with delivery. ...Read more

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I broke a lot of bones in a ski accident including my humerus. When I broke that I stretched and tethered my radial nerve. It's about 40 days from the surgery and I have gained some movement and feeling back in my wrist but not near 100% percent. Still ca

I broke a lot of bones in a ski accident including my humerus. When I broke that I stretched and tethered my radial nerve. It's about 40 days from the surgery and I have gained some movement and feeling back in my wrist but not near 100% percent. Still ca

COMMENTS: I will assume you wish to know prognosis regarding your radial nerve. Let's assume the nerve was not severed. If your insulation, myelin is all that was affected, you would have good recovery by 28 days, but sounds like some axonal impact, which recovers at speed of fingernail growth, about 0.1 mm daily. So, suggests it may take many months for maximal recovery. Take B complex, and do some PT. ...Read more

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What's radial nerve's palsy?

What's radial nerve's palsy?

Radial nerve palsy: Is a condition inwhich the radial nerve ceases to function. It can be temposary if the nerve was just bruised, or it can be permanent if the nerve was irreversably damaged. The radial nerve is responsible for several of the muscles that control the hand and wrist as well as the triceps muscle. The effect of the palsy depends on where the nerve was injured. Everything downstrem will be affected. ...Read more

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What are symptoms of radial nerve palsy?

What are symptoms of radial nerve palsy?

Wrist drop: Radial nerve can be compressed against the upper arm bone (the humerus), e.g. By falling sleep with arm hanging over a chair (saturday night palsy!) or by crutches in the armpit or by traction in the operating theater etc and cause wrist drop. An EMG can diagnose the site. ...Read more

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Is radial nerve palsy considered disabled?

Yes: Radial nerve palsy is disabling as it prevents you from extending your wrist and fingers due to lose of nerve supply to the muscles in the forearm responsible for extension. ...Read more

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Radial nerve drop what I should do now?

Need eval: If you are saying you have a radial nerve injury that is causing weakness in the affected arm or hand, then this needs to be evaluated ASAP. If I have this wrong or am misunderstanding, please repost. Dr R ...Read more

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What is a good way to test the integrity of the radial nerve?

What is a good way to test the integrity of the radial nerve?

Exam: A neurological examination can check both sensation and strength in the distribution of the radial nerve. A more objective approach is to do EMG testing and measure nerve functions directly. ...Read more

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Tell me about radial nerve palsy?

Nerve compression: Causes weakness of wrist and finger extension, and numbness to dorsum of the hand. Can advance to wrist drop. Possible level of compression in proximal forearm, mid humerus, and cervical nerve roots. Seek care with upper extremity surgeon and/or neurologist. ...Read more

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What causes a radial nerve palsy?

What causes a radial nerve palsy?

Wrist drop: Radial nerve can be compressed against the upper arm bone (the humerus), e.g. By falling sleep with arm hanging over a chair (saturday night palsy!) or by crutches in the armpit or by traction in the operating theater etc and cause wrist drop. An EMG can diagnose the site. ...Read more

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Could radial nerve damage be repaired 100%?

It depends: It depends somewhat on the degree of the damage. Mild issues often resolve with time. More serious damage may improve but not completely resolve. Sometimes, there is no improvement. ...Read more

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How bad is a traveling tinel sign with radial nerve palsy?

Not so bad: Tinel's sign occurs when the nerve has some degree of re-innervation and peripheral sprouting, (recovery), so could be indicative of improvement. ...Read more

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Would 70-90% sensory loss (radial nerve in wrist) be considered a diability?

Would 70-90% sensory loss (radial nerve in wrist) be considered a diability?

Radial Neuropathy: Sensory loss from the radial nerve is considered an impairment. It is only a disability if it prevents you from being able to do a job or participate in society. Numbness by itself is almost never a disability as it rarely effects function. ...Read more

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Would 70-90% sensory loss (radial nerve in wrist) be considered having a disability?

Would 70-90% sensory loss (radial nerve in wrist) be considered having a disability?

Probably not: Unless this sensory loss is somehow rendering you disabled, it's not likely. Results of tests, such as nerve conduction studies, do not determine disability. ...Read more

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I have fluid on my radial nerve in my forearm will an emg pick that up and show what's going on?

Unlikely: Emg/ncv studies are diagnostic for nerve pathology or problems but if the nerve is healthy the test will be normal. If the test shows a problem of the radial nerve where the fluid or swelling is you'll only have signs of a radial neuropathy but not know what's causing the swelling, e.g. An x-ray might show pneumonia but not tell you the bug causing it. ...Read more

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My emg said I damaged the sensory part of the radial nerve in the forearm! What does the numbers mean on the test? 26 it should be 50 or higher! : (

Conduction velocity: The numbers relate to the speed of conduction of the nerve. There are expected values in the arm (usually above 49). Slowing in an area relates to injury. ...Read more

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Occupational med want to put me on gabatentin for my radial nerve in my forearm & i'm1 who doesn't do good on meds! I'm scared, I have bad reaction?

See below: The real question is what you want to do for your problem. My assumption is that this is causing pain. There are no good remedies for nerve problems so if you want relief trying the Gabapentin is reasonable. The side-effect profile for Gabapentin is favorable and most people tolerate it well. ...Read more