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Suggest Treatment For Loss Of Movement In Left Arm Post Injury
Question: Hi Sir,
My father feltdown and got injured in his left collar bone. He is unable to lift his left hand but he has sense in his left hand and fingers and wrist are working fine. He is not able to lift his hand as from the shoulder till his elbow lost power. We consulted a doctor and took MRI scan. The report says that "the brachial plexus strech injury involving all trunks,divisions, and C8-T1 roots with increase in thickness and intra neural bright bright signals with bulbous appearance of supra clavicular and retro clavicular segments of brachial plexus.". Doctor told that the nerves got injured so badly that recovering from this is possible only upto 20 percent. He also told that regeneration of nerves is very slow as my father is 60 years old. He gave a tablet to cure the blood clot in the injury part. I just want to know is there a way out for this injury. If there is a way, please suggest me how to proceed with it.
Thanks,
XXXX
My father feltdown and got injured in his left collar bone. He is unable to lift his left hand but he has sense in his left hand and fingers and wrist are working fine. He is not able to lift his hand as from the shoulder till his elbow lost power. We consulted a doctor and took MRI scan. The report says that "the brachial plexus strech injury involving all trunks,divisions, and C8-T1 roots with increase in thickness and intra neural bright bright signals with bulbous appearance of supra clavicular and retro clavicular segments of brachial plexus.". Doctor told that the nerves got injured so badly that recovering from this is possible only upto 20 percent. He also told that regeneration of nerves is very slow as my father is 60 years old. He gave a tablet to cure the blood clot in the injury part. I just want to know is there a way out for this injury. If there is a way, please suggest me how to proceed with it.
Thanks,
XXXX
Brief Answer:
Quite a serious injury. May require nerve transfers in a few months.
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
I have read your query and understood your problem.
It appears that your father has sustained a high energy trauma to his collar bone and the nerves which go to his upper limb from his spine via his neck.
This is baked Brachial plexus. This is imperishable for the normal power and movement of the hand, fingers, forearm, elbow, arm and shoulder. Even sensation of the entire upper limb is provided by these nerves.
The Report you have mentioned states that C8T1 roots have been involved preganglionic. This means that there is usually poor prognosis in the recovery due to the complexity of the injury and the neve regeneration potential.
All is not lost. There are various options to treat such a condition. Usually your Doctor would wait for a minimum of 3 months to 6 months to see if the nerves are spontaneously regenerating. If they do then Rehabilitation will suffice in aiding the recovery.
If spontaneous recovery is not happening in this time, then certain procedures of nerve transfer with our without muscle transfer can be done to bring back power to the lost muscle function. This way your father can have essential muscle activity to perform essential daily tasks and also be able to have some sensation over the inner side of the upper limb.
This is a long road to recovery. Your father needs your complete support and cooperation to help him tide this tough situation.
Kindly discuss with your Doctor regarding the various options available like nerve transfers and splints which can help him gain meaningful function of his upper limb and also suggest an effective exercise protocol to strengthen the muscles.
Make sure he eats healthy. Keeps well hydrated. Stay stress free.
I hope I have answered your query.
Thanking you.
Regards,
Dr. Aashish Raghu
Quite a serious injury. May require nerve transfers in a few months.
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
I have read your query and understood your problem.
It appears that your father has sustained a high energy trauma to his collar bone and the nerves which go to his upper limb from his spine via his neck.
This is baked Brachial plexus. This is imperishable for the normal power and movement of the hand, fingers, forearm, elbow, arm and shoulder. Even sensation of the entire upper limb is provided by these nerves.
The Report you have mentioned states that C8T1 roots have been involved preganglionic. This means that there is usually poor prognosis in the recovery due to the complexity of the injury and the neve regeneration potential.
All is not lost. There are various options to treat such a condition. Usually your Doctor would wait for a minimum of 3 months to 6 months to see if the nerves are spontaneously regenerating. If they do then Rehabilitation will suffice in aiding the recovery.
If spontaneous recovery is not happening in this time, then certain procedures of nerve transfer with our without muscle transfer can be done to bring back power to the lost muscle function. This way your father can have essential muscle activity to perform essential daily tasks and also be able to have some sensation over the inner side of the upper limb.
This is a long road to recovery. Your father needs your complete support and cooperation to help him tide this tough situation.
Kindly discuss with your Doctor regarding the various options available like nerve transfers and splints which can help him gain meaningful function of his upper limb and also suggest an effective exercise protocol to strengthen the muscles.
Make sure he eats healthy. Keeps well hydrated. Stay stress free.
I hope I have answered your query.
Thanking you.
Regards,
Dr. Aashish Raghu
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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