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Doctor insights on: What Are The Causes Of Bilateral Median Nerve Neuropathy

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Is surgery the only option for median nerve damage from being lacerated?

Is surgery the only option for median nerve damage from being lacerated?

That dpends: The nerve damage is rated three ways:1) numbness/little weakness, 2) major numbness/obvious weakness, 3) doesn't feel or move the hand. For the lattr two, in an acute laceration (not tearing injury) surgery to repair the nerve is best option. If the first type, then therapy and protective care will give the best outcome.

Dr. Olav Jaren
1,338 Doctors shared insights

Nerve Damage (Definition)

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


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Gud morng doctor, vikesh from india (hyderabad) I had a surgery to fix median nerve. How long does nerve damage take to recover from hand (age25)?

Gud morng doctor, vikesh from india (hyderabad) I had a surgery to fix median nerve. How long does nerve damage take to recover from hand (age25)?

When was surgery?: It can take some time to recover. Fundamental, entails this depends on the reason for surgery and if any baseline permenant damage existed prior to surgery.

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I have median nerve damage and also missing a tendon below my thumb from having carpal tunnel surgery. I'm hearing nerve grafts and im scared?

I have median nerve damage and also missing a tendon below my thumb from having carpal tunnel surgery. I'm hearing nerve grafts and im scared?

Good operation: If it is for the right reason with the hand, it sound to me your surgeon thinking about delayed repair and nerve grafting for treatment of cut median nerve, those operations take long time to recover and you may have some revision in the future.

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Can demyelinating neuropathy be caused from residual nerve damage even if the nerves are no longer being pinched?

Can demyelinating neuropathy be caused from residual nerve damage even if the nerves are no longer being pinched?

Yes it can: Deafferentation pain. Deafferentation refers to the partial or total loss of a sensory nerve supply to a particular body area. Normally, when the sensory supply to an area is compromised, one would expect a decrease in sensation and a loss in ability to perceive pain. However, in some cases involving nerve injury, a paradoxical condition arises. See pain management specialist.

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Do psychiatric medications cause nerve damage or neuropathy?

Do psychiatric medications cause nerve damage or neuropathy?

Not usually: Each psychiatric medication reacts differently in different people. Each one has different side effects. Neuropathy is not usually a side effect of them. If you are on some medications and you are having neuropathy then it is prudent to discuss it with your prescribing physician who can review your medications and prescribe accordingly based on your side effects.

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Can small nerve fiber neuropathy cause "intermittent numbness"?

Can small nerve fiber neuropathy cause "intermittent numbness"?

Yes: Sensory symptoms of small fiber neuropathy are highly variable. Common complaints include paresthesias, dysesthesias, and insensitivity to pain. Paresthesias are abnormal sensations. They are often described as numbness, burning, cold, prickling, pins and needles along with other symptoms.

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Can diabetes M2 be associated with sciatic neuropathy as a cause for damaged nerve endings?

Can diabetes M2 be associated with sciatic neuropathy as a cause for damaged nerve endings?

Sciatic Neuropathy: Hello. Diabetes isn't usually associated with true sciatic neuropathy. It can result from nerve compression (tumor, hematoma, etc.) and injury in the gluteal region or thigh. In the gluteal region, it is most often caused by trauma (posterior hip dis;ocation, pelvic fracture). Nerve can be directly injured during an intramuscular injection into the buttocks.

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Could a nerve block in your neck cause peripheral neuropathy in a 31yr old woman?

Could a nerve block in your neck cause peripheral neuropathy in a 31yr old woman?

Nerve block neuropat: It is possible that a neck nerve block could cause neuropathy. However, don't assume this to be the case. Please get this properly evaluated, examined and worked- up by a neurologist.

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Can peripheral neuropathy cause bilateral tarlov cysts? Or vice versa, what's the difference between bilateral tarlov cysts and one-sided tarlov cysts?

None of the above: Tarlov cysts are normally found incidentally on MRI studies. They are peri-neural cysts found adjacent to the spine, where nerve roots exit. They normally cause no symptoms. Peripheral neuropathy is a condition that may cause pain, numbness, or weakness. It is often due to high blood sugar. It affects the nerve itself, and rarely is a Tarlov cyst involved.

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Gonna be a silly questions but can klonopin or Lexapro (escitalopram) cause autonomic neuropathy? Or damage the autonomic nerves?

Gonna be a silly questions but can klonopin or Lexapro (escitalopram) cause autonomic neuropathy? Or damage the autonomic nerves?

Nerve Damage: No question is silly only a question not asked is a silly one. Klonopin or Lexapro (escitalopram) do not cause nerve damage. Klonopin and Lexapro (escitalopram) calm the autonomic nervous system is they work. In initial part of treatment Lexapro (escitalopram) may cause anxiety or akathisia usually temporary.

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Cause of neuropathy, neg dm, vit b and d tests, insulin level, nerve conduction tests. Loss of sens to heat, sharp still have some sens to press?

Cause of neuropathy, neg dm, vit b and d tests, insulin level, nerve conduction tests. Loss of sens to heat, sharp still have some sens to press?

See below: After diabetes and vitamin deficiency, alcohol use, lead or arsenic poisoning, autoimmune inflammation are some of the causes of neuropathy. It would be prudent to consult a neurologist. See this site for more info in the subject. Http://www. Webmd. Com/brain/understanding-peripheral-neuropathy-basics.

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How about FERMORAL NEUROPATHY. I'm a type 2 diabetic with servere NERVE DAMAGE to the left ankle which was caused by a slip and fall to my lower bk?

How about FERMORAL NEUROPATHY. I'm a type 2 diabetic with servere NERVE DAMAGE to the left ankle which was caused by a slip and fall to my lower bk?

Diabetes or Trauma?: There are several types of neuropathy, including femoral or amyotrophy, which can affect patients who have diabetes. It is possible that you may have been or presently are having symptoms associated with them. The bigger issue is separating the damage caused by the physical trauma the ankle as well as the lower back. A neurologist might be the one to best sort out the various possibilities.

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CAUSES? Bilateral lower EMG/NCV Diagnosed Chronic Ongoing Denervation & Demyelinating Neuropathy in LS area (Not diabetic; No Autoimmune; Don't drink)

Answers: Based upon the above, there may be some degree of lumbosacral stenosis, or even multilevel discogenic problems. A cauda equina syndrome might be an answer. But a far better explanation is a peripheral neuropathy of the axonal type, if no structural problem can be found on lumbar imaging.

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Is there a special treatment for peripheral neuropathy and nerve damage caused by inhalation of cleaning chemicals.

Is there a special treatment for peripheral neuropathy and nerve damage caused by inhalation of cleaning chemicals.

Neuropathy: No specific treatments at this time. The treatment usually begins with medications in the antidepressant or anticonvulsant categories. A nerve test Is performed to determine the type of peripheral nerve and the extent of the injury. Transcutaneous electrical nerve stimulation and spinal cord stimulation may help too. Compound creams applied to the affected areas can provide significant relief.

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What if the cause of the neuropathy (i.e peripheral neuropathy) is injury/trauma can the problem be resolved? I.e nerve damage. E.g in the penis.

What if the cause of the neuropathy (i.e peripheral neuropathy) is injury/trauma can the problem be resolved? I.e nerve damage. E.g in the penis.

Damage and IVIG: Nerve damage does not normally heal in response to IVIG therapy, but there are several helpful treatments that may be available from urology for this particular situation.

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With peripheral neuropathy, what conditions could cause damage to both axons and myelin as shown in nerve conduction tests? And can it be reversed?

With peripheral neuropathy, what conditions could cause damage to both axons and myelin as shown in nerve conduction tests? And can it be reversed?

Brief explanation: Most neuropathies affect myelin coverings (Schwann cell), but an advancing axonal neuropathy can secondarily affect the myelin. This is not simple, and you would be far better served by a Concierge consult, and/or find an experienced Medical School neurologist. Reversibility depends on causes and appropriate therapy.

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This may be silly question but can nerve damage in foot (per. Neuropathy) cause glossopharyngeal neuralgia same side body months after or not related?

This may be silly question but can nerve damage in foot (per. Neuropathy) cause glossopharyngeal neuralgia same side body months after or not related?

Not related: But best to find out whether you have an underlying metabolic or chemical disorder affecting the nerves in your body. And perhaps find a neurologist to pursue your concerns.

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


Dr. Bennett Machanic
1,453 Doctors shared insights

Neuropathy (Definition)

Weakness, numbness, and pain from nerve damage, usually in ...Read more