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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. ...Read more

Dr. Olav Jaren
1,345 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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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I had bilateral sagittal split osteotomy surgery recently. My inf alv nerve was torn but was reconnected during surgery. I have numbness and an intense burning sensation. I this healing or neuropathy? Permanent or temporary?

I had bilateral sagittal split osteotomy surgery recently. My inf alv nerve was torn but was reconnected during surgery. I have numbness and an intense burning sensation. I this healing or neuropathy? Permanent or temporary?

Too soon to tell.: At this point in your surgical recovery, your body is going through a lot of healing. There will be discomfort from the procedue itself. Numbness and burning pain are both typical of nerve injury, even if that nerve has been repaired. Nerves heal very slowly. It is too soon to know how long you will have the discomfort, but likely these feelings are not permanent. ...Read more

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I've been having nerve pain/neuropathy/parasthesia. My neurologist only said about degenerative changes but there was a C6 hemangioma picked up, is that common or a cause?

I've been having nerve pain/neuropathy/parasthesia. My neurologist only said about degenerative changes but there was a C6 hemangioma picked up, is that common or a cause?

Comments: The hemangioma is very unlikely to represent anything other than a congenital vascular variation, which is rather common. Did you not have an explanation of what is causing your symptoms from your neurologist?
Please be assertive, and request that there is a plan to uncover the cause of your symptoms, and what types of therapeutic interventions might be best. ...Read more

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I have hereditary neuropathy. Would having a breast reduction cause permanent nerve damage?

I have hereditary neuropathy. Would having a breast reduction cause permanent nerve damage?

Depends...: I do not think that your hereditary neuropathy will be a contraindication to proceeding with breast reduction surgery. Your neurologist will likely be your best resource when it comes to obtaining “clearance” for the procedure. " nerve damage” is always possible (for example loss of sensation…) with any type of surgery including breast reduction surgery. ...Read more

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Can you have peripheral neuropathy with negative nerve. Conduction tests? Tested positive for bilateral carpal tunnel

Carpal tunnel or PN: If your nerve conduction test showed you have carpal tunnel syndrome, that is your diagnosis. Your nerve conduction test is not normal or negative if this is the diagnosis. This is a good test for distinguishing these two conditions. It is possible to have rare kinds of neuropathy with a normal nerve conduction test- this is why it is important to have an interview and exam with the test minder ...Read more

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Can spinal nodule on L4 Nerve Roots Cause Demyelinating neuropathy & radiculopathy in low Lumbar & Sacral area? Can it cause Neutropenia & high iron?

Can spinal nodule on L4 Nerve Roots Cause Demyelinating neuropathy & radiculopathy in low Lumbar & Sacral area? Can it cause Neutropenia & high iron?

No: This is a better question ask a neurologist. In general a nodule does not cause Demyelination. When you bring a neutropenia and high iron, then we're looking at a possible mixture of different medical diagnoses. Ask your physician for you to see neurologist that specifies into these areas. ...Read more

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Can wearing tight fitting shoes over a period of time cause nerve damage in your feet or what is called peripheral neuropathy?

Can wearing tight fitting shoes over a period of time cause nerve damage in your feet or what is called peripheral neuropathy?

Tight fitting shoes: May impede circulation or put pressure on certain nerves in the foot which can add to the effect of neuropathy or cause numbness by itself. Nerves need blood supply to work well and that includes blood flowing in and out of the foot (or anywhere in the body) tight pressure on sensitive nerves in the ankle or between the toes can also cause nerve compression or neuroma formation giving numbness. ...Read more

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Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy. Correlate EMG findings with cervical spine MRI. Severe sens

Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy. Correlate EMG findings with cervical spine MRI. Severe sens

Double Crush: Sounds like you may have what's known as "double crush" phenomenon. Both cervical spine and entrapment of the ulnar/median nerve causing symptoms. Certainly, carpal tunnel and/or cubital tunnel release is easier and less risky than neck surgery and usually considered before neck surgery. Unfortunately, diabetes puts you at high risk for recurrence of carpal/cubital tunnel syndrome. ...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


Dr. Bennett Machanic
1,463 Doctors shared insights

Neuropathy (Definition)

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