Frequent questions He asks the doctor Beginning  
NEUROPATHY OF THE RADIAL NERVE
DENOMINATION DEFINITION YOU CAUSE SYMPTOMS DIAGNOSIS TATAMIENTO TO CONSULT TO CONSULT

OTHER NAMES

  • damage of the radial nerve,
  • malfunction of the radial nerve
    •

    DEFINITION

    The neuropathy of the radial nerve is a situation or illness that for diverse causes affects to everything the sensitive area and motorboat of this nerve of the arm, producing a disorder of the movement of the later part of the arm (muscle triceps), the forearm (muscles chest expanders of the doll) or the sensibility of the hand.

    CAUSES

    The neuropathy of the radial nerve is usually caused by a direct traumatism on the nerve well for direct accident or for a pressure continued on the same one by the adjacent textiles to the same one to his step by the armpit. The pressures of the support of the chair, on having put the arms backwards, or the pressure of a few crutches in the armpit they can produce this problem, also bad positions during the deep sleep. But a frequent cause is the pressure caused after a break of the bone of the arm (humerus).

    SYMPTOMS

    It can be appreciated:

  • Alterations in the extension movement of the hand,
  • Alterations in the movement in the fingers thumb, index and major,
  • Alterations of the sensibility in the back of the hand and forearm,
  • Alterations of the sensibility in the back of the fingers thumb, index and major,
  • Itch sensations ó of ardor in these areas,
  • Sometimes pain in the area or other sensations,
  • Languor of the movement to extend the arm at a height of the elbow,
  • Languor for the extension movement of the doll.
    •

    DIAGNOSIS

    To the physical examination of the hand the weakness will be able to be observed in the muscles chest expanders of the doll and of the fingers (placed in the forearm), in addition to a difficulty in the capacity of rotation of the arm it was doing out (supinación).

    These alterations can be verified by means of an Electromiograma (EMG), which is a test that measures the transmission of stimuli for the nerve. Other times need also studies of X-rays, ultrasound scans or gammagrafías of the area to see the structures compromised in this nervous alteration. Sometimes these alterations can stem from a cerebral ictus and a study will be precise by means of nuclear Magnetic Resonance.

    TREATMENT

    It is possible to wait for a resolution in a few days.

    If the injury is chronic or prolonged in the time and the muscular atrophy is showy it is possible to indicate a surgery intervention to decompress the nerve of structures that him press (surgical decompression).

    If there exists intense pain, which is a problem in some cases for his intensity medicines are used like fenitoína, carbamacepina, gabapentina, or antidepressants tricíclicos.

    The physical therapy is indicated to support the force of the muscles.

    In the sharp pictures the expectation is the entire healing. In chronic pictures the surgery intervention can solve the problem, but in some cases the intense pain can stay and the treatment is precise with medicines earlier quoted.

    WHAT DOCTOR CAN TREAT ME?

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    Writing: Medical equipment   Update: June, 2009
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