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I Would Like To Know Is No Nerve Pain A
Question: Hello
If you have sensations on the ulnar aspect of hand but no pain then there is nothing to worry for.
Thanks
If you have sensations on the ulnar aspect of hand but no pain then there is nothing to worry for.
Thanks
I would like to know is no nerve pain a good thing after Ulnar nerve decompression and an anterior interosseous nerve transfer In the forearm.?
No But I have no muscle or sensory due to severe compression so now six months on I still don't have nerve pain that can't be a good thing
Brief Answer:
hello again
Detailed Answer:
Hi,
Having a pain or pin prick sensations after nerve transplantation is actually a good sign as it signifies nerve regeneration.
In your case as 6 months have already been passed and if you still didn't have got any sensation in the region of your nerve transplant then probably the procedure hasn't worked as expected for you.
However, I would like to suggest you to consult your neurologist personally and get one nerve conduction study done for proper evaluation.
Hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
hello again
Detailed Answer:
Hi,
Having a pain or pin prick sensations after nerve transplantation is actually a good sign as it signifies nerve regeneration.
In your case as 6 months have already been passed and if you still didn't have got any sensation in the region of your nerve transplant then probably the procedure hasn't worked as expected for you.
However, I would like to suggest you to consult your neurologist personally and get one nerve conduction study done for proper evaluation.
Hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr I have had nerve conduction studies and they has improved in the ulnar aspect of my hand at all. I did ask my hand surgeon and Neurologist about nerve pain and I had no nerve pain before or after the surgery. They both said having nerve pain is dibilating. The nerve transfer also didn't bring the hand back to life it just sends small signals to the Ulnar aspects and when the native axons reach my hand then the hand will recover. I don't know if my nerve is recovering at the elbow this is the issue as my latest mri and Ultrasound of the elbow and forearm both show swelling of the ulnar nerve but no nerve compression.? Does this type of injury really take 12-18 months?
Brief Answer:
Hello again
Detailed Answer:
If it has been a long segment nerve transplant then yes it might take a long time to show signs of recovery and as a medical professional we can’t pin point how long will it take to recover and it vary from patient to patient.
But as you saying that nerve conduction study is showing some improvement and you feel some small signals getting conducted then probably some recovery is going on but in a slow manner.
We can just wait and follow the treatment and advised prescribed by your neurologist.
Kind Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
If it has been a long segment nerve transplant then yes it might take a long time to show signs of recovery and as a medical professional we can’t pin point how long will it take to recover and it vary from patient to patient.
But as you saying that nerve conduction study is showing some improvement and you feel some small signals getting conducted then probably some recovery is going on but in a slow manner.
We can just wait and follow the treatment and advised prescribed by your neurologist.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Remy Koshy
No sorry Dr I think you misunderstood I meant the latest Nerve conduction studies showed no improvement as yet. My initial problem was a ulnar nerve entrapment at the elbow in the right arm that was so severe that my muscle's wasted fast in the hand and a decompression and an anterior interosseous nerve transfer End to side was done, it is a type of nerve transfer so no no improvement as yet 6months after this operation. Is it possible to recover the muscle in the hand once a nerve connection is established? As that the AIN nerve is not powerful enough to to that If there already is muscle wasting but will just keep the motor end plates alive but not actually functional so will I have a chance still in this process? My surgery was exactly two months after my ulnar nerve entourage of symptoms so only two months my hand had suffered until I was operated on.
Brief Answer:
Hello again
Detailed Answer:
Apologies for the delayed response.
Dear I can understand your concern very well but here I would like to assure you that as you have a long graft so it will take time for response to appear and above that the rate of growth of nerves in our body is quite slow, roughly around 1mm per day.
So from this rate of growth you can understand that it’s a slow process and it will need your patience. Ideally we should wait for approximately a year.
By that time you should continue with a good physiotherapist to maintain whatever tone is there in the affected muscles, be in regular touch with your neurologist and most importantly be positive. Things will improve soon.
Kind Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
Apologies for the delayed response.
Dear I can understand your concern very well but here I would like to assure you that as you have a long graft so it will take time for response to appear and above that the rate of growth of nerves in our body is quite slow, roughly around 1mm per day.
So from this rate of growth you can understand that it’s a slow process and it will need your patience. Ideally we should wait for approximately a year.
By that time you should continue with a good physiotherapist to maintain whatever tone is there in the affected muscles, be in regular touch with your neurologist and most importantly be positive. Things will improve soon.
Kind Regards
Dr Bhanu Partap
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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