Radial Nerve Palsy, injury - WRIST DROP . Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 15 окт 2024
- Dr. Ebraheim’s educational animated video describing the condition known as radial nerve palsy.
The radial nerve originates from the posterior cord of the brachial plexus. Radial nerve injury results from acute trauma or compression of the radial nerve.
Condition is often referred to as
•Saturday night palsy: alcohol is sometimes a factor as person falls asleep with the back of their arm compressed by a chair back, bar edge, etc.
•Honeymoon palsy: from another individual sleeping on one’s arm overnight, compressing the nerve.
•Crutch palsy: compression on nerve from walking with crutches.
The radial nerve supplies the extensor muscles allowing for extension of the wrist and fingers in addition to supplying the triceps that extends the elbow. If the muscles are not working properly, the patient will experience the condition known as “wrist drop”.
A radial nerve injury classically occurs by fractures involving the distal third of the humeral shaft. The patient will be unable to perform the “hitch hike” sign.
If the nerve is compressed at the axilla, the triceps muscle will be affected. Patient will not be able to extend the elbow in addition to wrist drop.
Treatment of radial nerve palsy
•Brace, cockup splint
•Physical therapy to help maintain the muscle strength and avoid contracture.
•EMG and nerve studies:
Brachioradialis is the first muscle to recover.
Can be done as early as three weeks and follow the progress.
•Nerve exploration, repair or graft: nerve exploration:
Nerve exploration is indicated in open humeral fracture with radial nerve palsy or in conditions that have had sufficient time without nerve recovery.
•Tendon transfer if nerve cannot be repaired or the function cannot be restored.
Thank you so much for these videos. Your videos are very helpful as an OT student. I appreciate that you include physical therapy in your recommendations for treatments of a variety of conditions; however, it would be amazing if you could also mention the importance of occupational therapy in treating these conditions, especially upper extremity conditions. I think OT is often overlooked and it is a vital part of a patient's recovery. Thanks again for everything!
After four monts I lost the wrist drop. I can move my wrist up now. I imagine I will have a full recovery within the next two months.
Congrats hope I recover soon, what were the signs of recovery or just randomly came back?
@Sailor Moon No it will not be sudden. Signs of recovery will depend on your habits. I use a computer all the time, so typing and using a mouse has become easier. From a mental perspective, you need to accept the fact this is going to take a long time to heal. Nerves are a bitch if they get bruised. Or if you have a bone fracture in your radial nerve area that is suppressing the nerve, meaning the nerve is bruised. Another sign, which will sound weird, but if you scratch the side of your head with the hurt hand, it should feel really weak, and difficult. Signs of improvement will show that you can do this more normally and with more strength. Cutting fruit is also a sign of improvement if you feel you have more power to cut said fruit, like a lemon or orange. Either Way, assuming the nerve was not severed by a bad cut, or some other trauma you WILL HEAL. Like I said I can finally move my wrist up, and that is the sign to full recovery. I don't have wrist drop, but I am not fully recovered. My hand is still fairly weak. Meaning I could not lift a weight without a wrist splint yet. The bad news, this could take up to six months to heal, the good news you will heal. I like this channel, so I can tell people they are not screwed. When I first went through this, it was scary, so I want to tell people not to freak out. Others on this channel have reported full recovery as well. Hang in there, wear your wrist splint all the time. And try to use your hurt hand as much as possible for normal activities. and I do not advice seeing a doctor anytime soon. I did, because I was scared and they did nothing for me, they did not even know what they were looking at. Then I got slapped with a $3,500 hundred dollar bill for nothing. This heals on it's own. Just get a couple of good wrist splints. And use your hurt hand as much as possible, to a comfortable degree. Last thing I will say, if you have numbness on your thumb, upper hand or anywhere due to the injury, do not worry it goes away. That scared me alot.
@@jasonaquino8232 thank you I have had wrist drop for 7weeks now after a humerus fracture but I have had some minor improvements compared to my first week so that's a good sign...also the burning pain I had in my hand is gone just the tightness and numbness is what I feel around the fingers. I use a splint and I have therapy balls I got off Amazon. My strength is pretty weak though.
Thank you for this information.
Thanks for the info. It's been almost 3 months for me and still not much improvement. But I'm confident it will come back.
Three weeks ago, I had a horrible snowboarding accident that lead to a broken humerus. After a 3.5 hour surgery, I was unable to feel or move my wrist and fingers. The doctor diagnosed it as radial nerve palsy. I’ve been going to physical therapy and doing exercises every day. The feeling and movement in the wrist are slowly coming back, but the fingers… not so much. i can’t make a thumbs up, or extend my fingers at all. It’s been hard, and there’s been some depressing moments. Reading the comments in this section makes me realize that I’m not alone. Just gotta keep working hard and being patient.
Hey Luke,
I'm in a similar boat. I fell asleep on a computer chair with the arm rest jammed into my arm pit. I woke up with my right arm feeling numb. I was unable to move my wrist upwards or extend my fingers. Yeah it's been insanely depressing man. It's been a month and I can now extend my fingers. My wrist still has the characteristic "wrist drop". I've been doing physical therapy twice a week. The neurologist is like 3 months out. I have been trying to find an answer online to no avail. How is your hand now? It's been like 7 months since you posted
How are you now?
@@lacascadaobregon hey, how are you now?
Any update ?
Me too 😢
Thank you! Spread the word
I'm a week into this passed out at the computer. They have me on steroids and a split. It's very stressful since my work is now limited. Praying we can all give each other night fives and a thumbs up soon.
same boat brother... 100 words per minute down to 1....
My mouse hand is fucked due to passin out on a comp lol fucking gamers nightmare
how are you guys today? Fully recovered right?
@@Jointanatomy took 6 months for me to regain use, but i'm 100% recovered now after a serious pinch to my radial nerve. terrifying stuff initially. hoping these words help someone in the same situation! 🙏
I don't suggest taking steroids. just time and a couple of wirst splints.
A year ago I had this accident wherein I broke My left Ulna. Two weeks later I got this Radial Nerve palsy. I can't move any of My fingers and at the same time I had this wrist drop. My doctor said I need a surgery to have titanium plate in My broken bone and suggest to have a NERVE EXPLORATION to fix My radial nerve palsy. Months after My surgery I still had this Radial nerve palsy despite of having Nerve Exploration procedure. But with the help of My friend who is a Physical therapist I got My wrist and fingers back to normal. Thank God. 😊
Sinir kesilmişmiydi
hi , I wanted to share my bitter experience. I had suffered from radial nerve palsy after I fell down from my motor bike and broke my right hand humerus. It was in Last august 2014. It was so painful both physically and mentally as doctors have not given any time frame of recovery. I was worried, and thinking what if I can not recover. This video here gave my insight about my injury and the comments the hope to fght back. I had gone through physio therapy for 3 months and finally recovered from it and able to work normally. I even started driving my bike in due course. I really feel grateful for my physio for his help and positive talk.
I had to use dynamic cockup splint though it looked very awkward when I was using for typing on keyboard and doing exercise . Advise all the fellow injured to keep your spirits up and believe that you can recover fully from this.
How long did it take for complete recovery?
Hi Basav, it can be anywhere between 2 months and 6 months depending on the extent of nerve injury. Also I came to know that one will recover completely even if the nerve is damaged about 70%
Hi Krishna,
I have already crossed 4 and 1/2 months, only able to move my wrist up and down (70% compared to healthy hand). But no fingers extension yet. Thanks for your words. Hoping for the complete recovery.
Hello, when did you start seeing first sign of healing? I’m on week 7 but no progress. It happened from humerus fracture
@@mr_ah9d iyileştinizmi nasıl yaralanmıştınız
It is my pleasure, please share the videos with your friends and family!
keep at your therapy, Thanks for sharing
It's better forhandpisioteraphyeqipment
How do Igetthiseqipmentplease
.
Thank you for sharing this video with us. It took me about seven months to fully recover, and now I am considering having the plate removed. However, the doctor mentioned there is a possibility of affecting the radial nerve again. Do you have any advice?
It is controversial subject on whether or not the nerve will recover on its own. After three weeks you should have an EMG (nerve conduction study). If the nerve is not cut, there is a good chance of recovery.
Kesilirse iyileşmezmi
thanks for a great video. i have been trying to explain to family what I'm experiencing with the hope that would offer compassion not disdain ans suspicion. This is the 2nd time in last 8 months I have wrist drop.
Wow thats some bad luck
I had this at the end of january after probably passing out in my own bed after too much alcohol. The first doctor gave me a brace, and told me I would get up to 90% of the functionality back in 6-8 weeks. I think it took 13 weeks.
Everyday tasks sure became much more troublesome.
I got this after falling asleep in my office one night. Woke up, and had to deal with this for almost 8 weeks.
Did you get EMG test? If yes, how much % damage?
Doctor didn’t say how much % of your nerve damage ?
its to good to understand the
wrist drop.
Excellent!!! Wish all teachers were like this
Wanted to share that I got Saturday night palsy. Can initially be scary when you read online it takes months of recovery in even mild cases. Not necessarily true, there is a huge variance in recovery times. For me it took 4 weeks for full recovery. Was dominant hand and I live in China so couldnt eat with chopsticks or cook for a week and a half. But gets better!
This just happened to me two weeks ago after waking up in the middle of the night in my computer chair. I have right wrist drop and have gone for CAT scan and MRI. Dr. has scheduled me for an EMG and physical therapy. Your video was extremely informative and I appreciate the time and effort and of course your experience and knowledge. Thank you very much.
damn same exact thinh happened to me!
i spoke to a doc on the phone first (cuz COVID) and he told me i had to go to an ER for brain scans or possible nerve/muscle dmg.
i saw my co-pay was $150 + $200 deductible, so i was like f***.
then i decided to just go to urgent care and surprisngly i saw a doc like 2 hours later.
the doc i saw said the same as on the phone and sent me to a specialist.
the specialist's nurse gave me x-rays (they say they have to do x-ray before MRI).
2 minutes after my x-ray, the specialist walks in and immediately tells me i have Radial Nerve Pallsy and give me a wrist brace/ splint.
The fact that your doc's didn't catch this before you had a CAT & MRI scares me
btw he said ill be good in a week and it has been like 3 days and i already am like 50% recovery!
same thing happend to me. I can feel my fingers ect but cant extend fingers or lift wrist up.... did u recover
Did it come back I’ve been lik this since my coma n woke up in September
Hey bro...i just damaged my radial nerve .. can u suggest me what therapies did u take?
Mine develpoed as a post operative condition following carpal tunnel repair on the radial nerve using a radial axillsry block as anesthia. I woke up in severe pain in the recovery room. My surgeon had already gone and left me in his partners care. I was in so much pain they could not release me from the hospital and it was supposed to be an outpatient procedure. No one seemed to know what was wrong. When my durgeon returned to work he knew immediately what was wrong. The pressure of the wrist drop was pulling on the axillary section of the radial nerve causing severe pain. He orderedca brace to be put under the cast my wrist was in and the pain stopped almost instantly. It took almost a year of intensive therapy to regain 90% use of my hand . There are still certain movements I can't make, like the boy scout salute or counting to 3. This can be a debilitating nerve injury and should be monitored if it doesnt heal after a few days.
Thanks for the reply, glad you're nearly all better. Here's a little tip I found has really helped me since starting it yesterday for anyone suffering from it. Most mobile/cell phones you can set multiple alarms for. Set an alarm every few hours throughout the day and evening to do some wrist exercises and get in to a routine.
I got a touch of that Saturday night palsy. Only been about 4 days. Ordered a splint and am doing exercises. Trying to use the affected arm often. It’s also my dominant hand, makes things quite difficult.
How are you now
Yes thank you for your story. I have been experiencing wrist drop for 2 weeks now and it is scary.
Did it go away?
Hi sir i have also sem problem my wrist drop how can I recovere my hand please sajust me
Hi
@@wajid.ali.555ali8 how are you now
Saturday night palsy.. 6 days handicap now.
Will apply splint today and hope to regain function soon🙏.
hey guys, to anyone freaking out from sleeping or pressing on the nerve.. CHEER UP. GOOD NEWS! It goes away! It did take six months for me though and it was hell! Bless! There is a light!
Zac what kind of treatment you did?
I didn't have to go to work for 8 weeks so for me it was a miracle. lol
Hello, when did you start seeing first sign of healing? I’m on week 7 but no progress. It happened from humerus fracture
@@Nada-wq7tb i started seeing results around the 3 month mark i believe it was. Make sure to take b vitamins (spirulina is a good option) and also if you can , use electric stimulation on it! I had just severely pinched my nerve - not a full blown sever. Stay optimistic! Everyone's journey is different! It's one of the hardest things you'll go through! I have 100% full function of my wrist again.
@@fikrihelminugraha I'm sorry, just now seeing this. I used multi B vitamins and electric stimulation EVERY DAY! Mind you, i just severely pinched the nerve, not severed. 6 months later i had a usable wrist and now several years later i am back to 100%.
I just want to say, I'm very happy for everyone's recovery. I too have dropped wrist, from a terrible fall. Trying to keep a positive attitude,but as all have experienced it can get depressing at times. It's been for months and have regained 90% use of my arm back. Still have the dropped wrist. Was in a rehb. For 3 wks., home PT. for 3 wks. and now I've been going to out patient therapy 3x a week 4 1/2 wks. Not much progress on hand. Very minute movement of muscle in my arm. Dr.says it could take up to 9-12 months to get the use of my hand back. I sure hope so. Thank you all for sharing your stories. Best of luck to everyone.
Sad to hear that prolonged recovery.
I too recently damaged my radial nerve it's very depressing.
By the way are u fully recovered now?
Did you ever recover?
Yeah, wondering too. Concerned at no response. 😔
I FULLY RECOVERED FROM SATURDAY NIGHT PALSY! For anyone on this thread, I was diagnosed with Saturday Night Palsy at a hospital. I had fallen asleep with in my office chair with the chair's armrest jammed into my armpit. When I awoke, I felt the tinglyness for about 20-30 minutes before I thought I was having a stroke. I rushed myself to the hospital.
I was aggressively trying to find a job as a software engineer. I was doing 3 technical interviews a week, several interiews everyday. I was running myself thin, at my computer, and I fell asleep in the wrong position. That decision lead me to believe that I had lost my arm for good. The first few months my hand were completely useless and it felt that it was going to stay that way. My passion was almost taken from me.
I'm not sure what exactly goes on with a Radial Nerve Injury. But I am guessing that the inflammation of the radial nerve blocked the neurological pathway circuit preventing me from using my hand and arm.
I had a palsy-like look when trying to use my hand. I type a lot.
About a week in I got a Repetitive Stress Injury on my left hand. Basically, the top of my hand hurt from using my left hand solely to type. I was on RUclips looking up how to type one-handed.
I was overcompensating for not having a right hand, on the day of an interview. Most would've done the interview still, but I took it as a reason to reschedule. Health is more important than anything and I was putting coding first. I realized that big time. I was coding all day long, every second I was at the computer.
I love programming, but I love my health more.
@@lacascadaobregon Thanks. Mine just happened on the 23rd, overdoing it on my phone in the wheelchair (already have Charcot foot on L and bilat currently-under-control lymphedema), with the armrest jammed against my L bicep. We're talkin' 10h in one position, without so much as a catstretch.
Phone. Yup, big lesson learned. I'd give anything to be able to do the offline tedium I hate so much as easily as I did before.
Looking forward to recovering. Thanks.
You should have a EMG nerve studies completed.
@MrRiders6 thank you
this is in B Plexus program .i am finishing it
This is the FIRST positive thread I have read concerning my wrist drop! Everything else has told me That I screwed myself. I had left foot drop in one week, which came back fairly quickly, and then complete wrist drop three weeks later. I stopped drinking. This is definitely a sign to stop drinking. I also have set a quit smoking date. But I want to thank you all for at least giving me hope. I'm 6 weeks out with my wrist, and still no function. But at least I now have hope!
Rebecca Lambert so what happened ?
It’s September 2019 now
You will be fine, unfortunately it could take 6 to 8 months. I am 4 months into this and I am almost there. Regarding drinking, yeah I got this due to hard liquor, the good news is I have not drank hard alcohol since and I don't think I will ever again. Knowing if you get too drunk this can happen to you. So that is a win, kinda glad this happened. I am too scared to drink hard alcohol. Which is good, hard liquor is evil shit. But you could heal faster, I think it really depends on your age. I am older so that is probably why it takes longer. Younger people will heal probably within three months. Hang in there and know you will be ok eventually. Plus just know people who have bad injuries, it is not uncommon it could take almost a year to fully recover. Tiger Woods is out of commision for a year.
I had this for a little over 3 months, all better now! Don't worry, it goes away 99% of the time!
Should I go to the hospital?
Really? I got drunk and fell on my hand..and I may have slept on it wrong..did you have wrist drop? Did you have numbness? I have this. Its been about a month now. A doctor told me I should be ok. But did you see signs of recovery before the 3 months? I know alot of questions...but I want to talk to someone who has actually experienced this....did you just wear a wrsit splint like I am?
@@jasonaquino8232 Hey bro, sh*t happens! lol.. our stories are very similar! 😅 All in all it was 6 months of recovery for me until I could "use" my left hand again.. a few more weeks until it was 100% I started seeing improvements around the 3 month mark. Make sure you take a multi B vitamin! it's no fun, but it WILL get better as long as you just pinched the nerve. Severe pinches may take up to a year to recover fully! Let us know how you're doing!
@@MBE_KB for anyone reading this, YES! you should seek a medical professional! this injury can range from a simple pinch to permanent damage to your nerve. they can run tests to see how your radial nerve is doing.
@@zac3740 Thank you very much for your reply. Its nice to actually talk to someone who has this condition. Doctors don't know anything. In a week or so, I will hit the three month mark. The numbness seems to be going away, but honestly no real improvement yet. Yeah I expect this to take six months at this point. All keep in touch. Thanks again, means a lot.
Anybody watching dis n having doubts keep pushing I made a full recovery frm dis only thing I can say now is my arm get tired real fast then normal, n for the people who freshly broke it keep to ur rehab everyday put ur wrist over a chair n try to lift it everyday u will see progress it may hurt at first dem sharp pains u gon feel frm ur nerves feel like ur arm on fire but keep fighting, it started wit my thumb which came back first then so forth
Thanks
It is not proper to diagnose or treat via the internet. If you can visit Toledo, Oh, I would love to take a look and see what your options are.
Injury to the radial nerve sucks. I went through surgery on mine in January (5 months ago), I'm finally able to hold my wrist up and minimal extension of my fingers has returned. I'm still praying for full recovery.
Neden yaralanmıştınız
@@kazmyldz5689 bıçak yarası
Siniriniz tam kesilmişmiydi
Thank you.
Mine lasted 6 weeks before the nerve compression healed thank God
hey man, how did you find out that it was nerve compression and not nerve damage? I had a surgery 19 days back and got a wrist drop. i can now slightly lift my wrist but no strength on the fingers. Tell me about your experience.
@@zaker.o if you can move your wrist upwards it means that the nerve is not cut, and this means that you will heal
@@alecumihnea hey, by moving my wrist upwards I mean I can move from dropped position to a position that is not a "traffic police stop" sign. Like my hand's upper part is in same position as my forearm with fingers still dropped. Do you think it will heal? I just got back from NCV test and it says my radial nerve is not responsive in my upper limb and forearm. So I'm still worried.
@@zaker.o any movement is good
@@zaker.o hi..any improvement ? im so worried ..i got radial nerve palsy 4 weeks back....there is no strength in right arm anf cant move my middle finger...plz tell me yr course of treatment
Thank you for sharing! Spread the word and keep watching for new videos!!
Sir please number me
Tendon transfer is not the only option. A nerve transfer is an option. Two branches of the median nerve to radial nerve. FDS to ECRB wrist extension, and FCR to PIN finger extension.
I was passed anatomy exam easyly because of the ur video sir,it was easy to understand short and sweet. Write a book sir
Your video was extremely helpful
@naomi13jf thanks
are you student ?
or orthopedic resident ?
this is a geat goup of videos ,our residents are very smart
Hi. It´s been 8½ months since I fell and "did something" to the radialnerve. Just shortly before going into surgery for pancreas cancer. I told the hospital about my issue, but nothing was done at first. It took them about 7 or 8 days to finally take an x-ray and have a doctor helping me. I know from reading on the internet that it´s important to take action as soon as possible or else you will risk malfunction. Well, this happened to my right arm/hand/fingers. I was going through hell healing from the whipple surgery and a right hand not functioning at all! The muscles in my arm disapeared completely and I´m now trying to build up muscles again. The process is real slow and I wonder if I`ll ever succeed. I have partial function of my fingers and can now use a pair of scissors ubt with lots of difficulties. Everything I do is with difficulties….
Hie.. Im sorry this had to happen to you. Hope you recovered and are much better now. As a physical therapy student I'm keen to know your progress and what you think worked well or didn't during your course of treatment.
How are you now
really it was difficult for me to understand nerve injuries as a medical student and you made it so easy , so I wanna thank you for this great videos and I hope you make a video about nerve examinations like card test in ulnar n. inj., pen touch test in median n. inj. , ..... etc.
thank you again
I’m experiencing this right now, I don’t drink but fell asleep on my desk chair for hours and woke up with a left arm wrist drop and went to the ER the day after Easter. I’m also left handed so hopefully wearing the brace and self therapy helps with recovery.
hey, I’m actually experiencing the same thing, from the same reason. How long did it take you to get better?😢
@@ashleylowe2555 Hey What's going on. Similar story. I woke up with my right arm feeling numb. Went to ER, told it was Saturday Night Palsy. at first, I was unable to move my wrist upwards or extend my fingers. It's been a month and I can now extend my fingers! My wrist still has the characteristic "wrist drop" though. I'm being told that after the nerve decompresses I will see signs of recovery in my wrist.
Are you unable to move your wrist/fingers too?
@@lacascadaobregon how are you now
@@ashleylowe2555 how are you now
Hello i have a right hand wrist drop..i fall sleep on a wooden chair home..now its 3weeks i do massage and some excersize..i can up wrist a little bit but finger up i can't..what can i do please??😢
thank you very much for this very useful video!
i had radial palsy for 6 months after a humerus break,everything has recovered well and this video was highly informative :)
I still have numbness inbetween the thumb and index finger but this is nothing compared to having wrist drop etc
Hope everyone else recovers well :)
Hello, when did you start seeing first sign of healing? I’m on week 7 but no progress. It happened from humerus fracture
@@Nada-wq7tb mine was 12 weeks till any sort of return of function
@@raynr001 any advice to help with the movement?
@@Nada-wq7tb Any progress?
@@MalcolmJ42 yes, I’m on week 17 now and my wrist started to move about a week and a half ago! I couldn’t believe it I thought it would never wake up. No finger movement yet. How about you?
I got radial nerve palsy 4 months ago,I immediately started physical therapy 5 times a week and im also taking vitamins B(Neurobion) for the last 2 weeks. I have very small improvements from day one.
I would appreciate if someone would describe their recovery in details. Also thinking about getting a brace after seeing multiple comments about it,so if anyone can reccomend a brace that helped them it would be appreciated. Good luck to anyone going through this 🙂
hello, how is your recovery going, is there any change?
@@kazmyldz5689 I think its a little bit better,but still cant really do anything with it. I cant even put my wrist straight yet.
I have stopped physical therapy for the last two weeks to take a little break,but im starting again next week. Still taking vitamins B(Neurobion). Its beginning to become frustrating but i hope one of these days it starts improving.
Whats your story and do you have maybe some advice?
@@marelicamarelica854 I'm 22 years old. 5 months ago I was stabbed above my right elbow and my radial nerve was cut, I had an operation and my nerve was sutured. I have started to see small improvements in the last 1 month, very little movement has come to my wrist
@@kazmyldz5689 I'm also 22 years old. I guess there isn't anything left to do for us then just to wait and hope it comes back.
@@marelicamarelica854 Why would you take a break from physical therapy, likely the only thing that will restore the function of your hand?
@Tebraheim thanks
Hello...i was have buggy acident and i have badly fracture of humerus,they try to restore function with nerve repair but didnt works...Now im going for tendon transfer.
Will tendon transfer give me back good motion of wrist and fingers?
Im guitar player and i relly want my hand back best it could be.thank you all.
Thank you for sharing.
Thank you so much for the brief, but very informative overview!!
just an update for anyone else suffering from this condition, i was returned to work full duty on september 1st about 5 months since this happened to me and my arm is at about 95 percent. I have full use of my hand except for a slight weakness when trying to lift heavy things, but overall 5 months was what it took for a "full" recovery.
Hey bro... R u at 100% now?
Coz i just damaged my radial nerve in surgery. Now i Can't move my fingers and wrist. Wrist drop position.
@@rohitsingh4500 How are you know? Hope it got better
@@0047Ak how are you now
@@rohitsingh4500 how are you now
I had tendon transfers 10 years ago…. Are there any treatments to try a nerve graft, transplant, etc to try and revive the nerve or is the tendon transfer what I am stuck with? 😢
nice educational presentation.but posterior interosseous nerve injury is not included.it will be better if have similar presentation on posterior interosseous nerve injury also.
Sorry but it is not appropriate to diagnose/treat over the internet. Each person's healing time is different.
Good video, simple and clear
Just sharing my story for anyone freaking out after waking up and not being able to lift their hand. I had all the symptoms (wrist drop, numbness on back of hand, unable to do a thumbs up etc.) after a nap in an awkward position. It hasn't even been two weeks and i have 90% motion back. However, i have very little strength in the hand and it tires quickly. My advice is to use the affected hand as much as possible and get a splint to support your wrist in the early days of recovery. Anyways, it gets better and it may not necessarily take 3-4 months as i kept reading, so don't worry!
Hey bro...i just damaged my radial nerve .. can u suggest me what therapies did u take?
@@rohitsingh4500 sorry to hear that, its a scary experience. I was pretty much 100% recovered after 1 month so did not need physical therapy, just as I said above, trying to lift the hand regularly to help stimulate the nerve. If the damage is minor you will have some movement back after a few days, you just have to wait. Good luck.
Thank you brother. Actually while surgery my nerve got stretched as doctor told.
@@rohitsingh4500 hey man. i guess i had the same issue after surgery. It's going to be 3 weeks since the surgery in two days and right now I can lift the wrist a little but no strenght on the fingers. How long did it take you to recover?
Thank you🤩
Great videos for anatomy preparation 👍
This is an excellent video about radial nerve palsy.
Very simple and easy to understand!!
Thank you, Sir!!
I FULLY RECOVERED FROM SATURDAY NIGHT PALSY!!!!!!!!!
For anyone on this thread, I was diagnosed with Saturday Night Palsy at a hospital. I had fallen asleep with in my office chair with the chair's armrest jammed into my armpit. When I awoke, I felt the tinglyness for about 20-30 minutes before I thought I was having a stroke. I rushed myself to the hospital.
I was aggressively trying to find a job as a software engineer. I was doing 3 technical interviews a week, several interiews everyday. I was running myself thin, at my computer, and I fell asleep in the wrong position. That decision lead me to believe that I had lost my arm for good. The first few months my hand were completely useless and it felt that it was going to stay that way. My passion was almost taken from me.
I'm not sure what exactly goes on with a Radial Nerve Injury. But I am guessing that the inflammation of the radial nerve blocked the neurological pathway circuit preventing me from using my hand and arm.
I had a palsy-like look when trying to use my hand. I type a lot.
About a week in I got a Repetitive Stress Injury on my left hand. Basically, the top of my hand hurt from using my left hand solely to type. I was on RUclips looking up how to type one-handed.
I was overcompensating for not having a right hand, on the day of an interview. Most would've done the interview still, but I took it as a reason to reschedule. Health is more important than anything and I was putting coding first. I realized that big time. I was coding all day long, every second I was at the computer.
I need to put myself first. That's the lesson from all of this.
I have same symptom like you, cannot extend fingers ( it’s been 2month already but sill cannot feel any of strength and movement on my right 5 fingers..) , do you know any other community that i can refer ? Cuz now i’m trying ti find any evidence that it will get heal… and do you know any person who are still suffer from this palsy ?
Thank you, my mother just got this today from working too hard as a masseuse and she's freaking out.
After reading the comments, I decided to share my story here: I am currently suffering from a radial nerve palsy after removal of a plate and surgical screws (3 weeks ago) that were placed in my right humerus after it was broken over 4 years ago. I have a wrist drop and can not stretch my fingers properly. MRI showed that the nerve was not severed, but I have seen no improvement over the last 3 weeks. I hope this will get better soon.
What's going on. Similar story. I fell asleep on a computer chair with the arm rest jammed into my arm pit. I woke up with my right arm feeling numb. Went to ER, told it was Saturday Night Palsy. at first, I was unable to move my wrist upwards or extend my fingers. It's been a month and I can now extend my fingers. My wrist still has the characteristic "wrist drop" though.
@@lacascadaobregon Hi, same here, it has now been 5 weeks since my surgery and I still have the wrist drop. Extension of the fingers is getting slightly better though.
hey man. It's going to be 3 weeks in two days since the surgery and right now I can lift the wrist a little but no strength on the fingers. How long did it take you to recover?
@@zaker.o Hey man. As for me, the wrist drop is still present. But I feel that I can move my fingers better and when I am holding my arm in a vertical angle, I am able to lift my wrist up (this works when making a fist but also with my hand opened). All in all, this is some progress, but still a long way to go until my hand works normal again, I guess. I will keep you updated.
@@0047Ak Good to hear that you're having some recovery. Are you taking any therapy like TENS or Electrical Stimulation? The splint I'm wearing, it makes my upper part of my hand ache and numb and also the thumb. Unbearable pain. What kind of a brace/splint are you wearing?
Im glad to hear this should go away. Been 2 weeks for me now having this problem . I thought it wasnt going back to normal ever. Glad to hear other people have it return to normal. praying mine does too soon!
How are u now
@naomi13jf who teaches you ortho ?
i may be able to help your medical school
i studied the island
it is as good as cyman island or even better
thanks
I had this April last year and was on a splint for almost 3 months. The nerve will be repaired after 3 to 6 months.
you are amazing, thankyou. learned alot!
I am a 31 year old man. I had Saturday Night Palsy. I as so scared. I thought Id never move my hand again. but rejoice guys it does get better! it takes ages yeah. But for me it was only a month and a half. MY doctor said half a year to a year xD. im glad it was only a month and a half. For anyone watching this video if you got it try and take deep breathes and relax. You WILL get full function of your hand.
Long back I've seen this video. And now ive got the same problem. Can you please suggest me what step should I've to take next. Should i need to take surgery for it??? Please do answer
Thank you for making this understandable.
i am diagnosed wrist drop by my orthopedics surgeons. he prescribed me some medicine i.e. inj. methycobile, syngap and cockup splint. after 2 weeks passed no improvement found at yet. should i go for surgery or wait. please anybody help me out.
your doctor should know more after your six week follow up.
3 mths post radial nerve palsy.. wrist drop was my first symptom then numbness on my arm and fingers..
It takes time and recovery process is so slow but never give up.. im gaining my strength back but still 30% to be fully recovered.
Please keep us updated! Same story. 4 weeks now
How are you now
If you're watching this and scared, don't worry, you will be fine after a few months.
I was watching this video months ago, scared because I drunkenly slept on my arm all night and was unable to move it.
First you'll gain the use of your index and thumb, then slowly the rest of your fingers, next is your wrist, and then recovery from there is just strengthening your wrist so you can lift stuff.
I had to download a voice-to-text program for my PC.
Thank you i so needed to hear this..my left hand just gave up on me after my son slept on it..im currently in lot of pain medicating..and i just got my thumb&index finger back to be able to grab stuff(2days after injury)..cant brush my hair..struggle to do the simplest thing.. so the fact that you recovered and that is the process gives me hope!
@@meeka3312 I got wrist drop 2days ago, can you reply and let me know on your update? Thank you!
@@the_realest_1579 the pain is going away but my wrist is still asleep-it is month and week past injury-it can recover very quickly for some-mine was that painful that it was beyond anything I ever lived through! What are ur doctors saying?
@@meeka3312 how are you know with your hand?
@@sailormoon9480 Hi, in overrall my hand is tons better-I can lift my wrist sideways,but upwards-not yet-it has improved though-I stopped using a brace for nightime few days ago-got better dexterity in my fingers and I can even put washing up/wash my hair...do other stuff as long as i put my hand on things first-I am also back to work-just have a splint for when i am there-and take it slow-i did have a sick note(as it involves computer work)but I said-no i wont let it stop me be me!
Since then I have been doing neuromobilisation excercises/ discovered Dynamic tape-that stuff is magic!(it does lift your extensors up and u can put it on and do stuff without splint!)-I have also been meditating for healing-something I havent done before.
This coming tuesday I have a visit with hand surgeon(first actual proper assesment) ..I am a little scared-as my journey to where I am at was not the easiest-I even went through a period where I got it in my head that it might be ALS-so I will update after Tuesday-tell u what my doctor said..he is renowned hand surgeon so fingers crossed(ai can do that now!) I will get the help I need -counting on Electrostimulation treatment options.
Hope u are ok?
In high lesions, such as in fractures of the humerus (particularly mid-shaft fractures where the radial nerve lies in the spiral grove), or due to prolonged tourniquet pressure, there is
weakness of the radial extensors of the wrist
numbness over the anatomical snuff box.
They are also seen in patients who fall asleep with the arm dangling over the back of a chair ('Saturday night palsy').
My wrist has been like this for 4 to 5 days. What do I do help
What kind of doctor to see for wrist drop? I had a carpal tunnel release and a radial nerve release done a couple of days ago and nothing has changed. I am thinking of a neurologist next who can do a proper ex-ray to see where there is damage. Going on for 3 months with no results. I suspect it is somewhere near the neck or upper shoulder area.
Sir i had a humerus fracture my radial nerve was stucked in betwwen bone my fingers were not working so doctor told that it needs surgery and plates and screws for broken bone my surgery was done 15 days ago yesterday doctor cutted the fracture but my fingers are still not working
Hi! Any updates? Im facing the exact same issue
GOOD LUCK
Dr. Ebraheim, do you still respond to comments on this video?
very great lecture video! :D Thank you...DR
Any medicine or treatment can cure this ??? my brother suffer this disease he cannot stand his hand after his serious accident
@chikali63 it can happenen without broken bones
checkemg and nerve study
Hello, what could be the cause for this (almost full wrist extension palsy) happening once for maybe half a minute after waking up in the morning, then fully going away? Also some occasional minor tingling during the day at random times (especially in the small finger).
Dr. Nabil,
I can't tell you how relieved I am to have found this site. I am a 27 year old, living in Alaska. I have had radial palsy (sleeping with pressure on the nerve) for over three months. I am getting my fingers back, probably seven out of ten (with exception of the thumb, that's a 2/3), but I have not improved with my wrist. I have medicaid for one more month, more if I can figure out what type of doctor i need to see for help with this that is willing to write a statement....
How are you now
I was in an accident as passenger and broke my left Humerus 3 months ago, I have had surgery with a plate inplant and screws. Ever since ive had radial nerve palsy. The surgeon advised me my nerve was intact.
I'm suffering from extention of the fingers or thumb . my wrist was dropped but recently ive been able to lift it up and down. I'm depressed as medics don't seem to know any thing other than wait and see. Thus video along with others has really help me gain some confidence but I would really like some Feedback from others who are or have gone thru this and what steps recovery took and does it heal full and time scale
Fahd Shad hey how long did it take to heal? I had my humerus bone surgery a month ago and i have a wrist drop.
@@AnasKhan-xk2jm r u recover from wrist drop
Bro send your number bro
@@AnasKhan-xk2jmHi, it was found that my nerve was tangled in scar tissue and also abit damage. A nerve surgeon operated in my arm again to release my nerve and help to repair it.
After this , I was told slowly the nerve will confectionery and recover. A nerve recovers 1mm a month so depending on the distance from the end of the damaged nerve it can vary in how long the recover takes.
I was also informed to take vitamin supplements and to clean to help recovery
So my accident happened nearly 2 month ago. Broke my upper arm badly and had a surgery and woke up with a wrist drop. Couldn’t move my hand or fingers. After 3 weeks my hand function was coming back slowly. After 6 weeks I was able to use my hand and fingers nearly like I did before the accident. But the strength is very week in my hand. I have to train my hand daily with 1kg weight. I am so happy that the healing didn’t take 5 or 6 months. Just wanted to give some others people hope that this wrist drop doesn’t take this long to heal for everyone.
@naomi13jf where is Seychelles
sorry fo the question
@naomi13jf great ,check shoulder dislocation
a new and very good for the students and residents
thank you for the video, what happens if its a low lesion? would the patient get wrist drop? and what about the interrosei nerve that branches off at the elbow, would that not allow a patient to retain function?
i still have sensation over the area of the arm/hand that is controlled by the radial nerve, just no motor function. wrist movement is coming back very slowly. it isn't level with my arm yet, but it does flicker up a little.
@MsMedic1972 check if the EMG HAS ANY RECOVERY
IT SOUNDS LIKE YOU NEED TENDON TRANSFERS
This is great information. 2023 / September. 🤝
Wonderful Video.
I like it!
Even honeymoon nerve palsy!
You can get the EMG done but it wont tell you much, just hurts like hell. I had it done around week 3 after this happened. They sent me to physio, which basically told me to do wrist stretches etc and wait. Everywhere I read online said the wrist will recover first. In my case, my thumb did. Then followed the fingers. After about 2 weeks of recovery in my fingers, my wrist started to come back. Its still very weak, but it did come back. Getting a proper splint helps coping with this lots.
excellent sir
Hello, just wanna share my experience that everything is gonna be okay! I’ve recovered 95% of my hand 5 months since i broke my arm and i’m waiting for full recovery anytime soon
For those who want to know, the sign of your recovery is tingly feeling around your arm and then you can start move you arm slightly little by little by the time pass. Im very lucky since i broke my arm really bad and had spiral fracture in my right arm and had to undergo 4 hours surgery to have internal fixation. My wrist drop gone at 3 months after my accident.
One thing for sure, this injury takes a lot of time to heal what you can do is eat healthy, keep the positive mind all the time, do some regular visit to the fisiotherapy!
For anyone who have been in the same position as mine and still waiting for the recovery sign, you’ve got this!❤
Thank you How about fingers
@@조직폭력배-x4s my finger are 100% now except my thumb still 80%. Once your wrist can go up your finger will be back along
@@salsabillarivanaisyroq1630 Hey, I'm at 3.5 months since the surgery and wrist drop and can move my wrist up and down, and not sideways and no finger movements. How long after you started moving the wrist you got your finger movements? Also, I had been going for physiotherapy but not going that much any more, because the exercises they have been doing on me I can do it at home myself. The only other thing they do is Muscle Electrical Stimulation. They said this and the exercises are the only treatment options I have. What are the things did you do in your physiotherapy? The exercises they showed me stretches the radial nerve. Do you think it is wise for the damaged radial nerve to be stretched? I mean does it affect the healing process? Also, my doctor said to stop wearing cock up splint which I did. Do you think it will slow the healing process?
@@zaker.o my finger movement are came back earlier than my wrist except my thumb. What i do is do some electrical simulation 2x in a day and use my hand as much as possible even with wearing cock up splint.
If you mean strech you radial nerves is streaching your injured arm that’s totally okay! You thrapist give u that routines to prevent you from athrophy
Got it a day ago, and that sucks, I can't type properly (I'm IT guy). From what I read -- it takes 1-6 month to recover, that sucks twice as much :)
UPD ok, it was 5-6 weeks or so, my hand works almost as usual, except I can't carry heavy stuff, I guess another 3-4 weeks will make it ok. So it was two months in my case (I was able to use my hand without thinking about this after 20 days or so). Didn't go to a doctor tho, since I don't have some serious problems and my nerve is ok (not physically damaged).
@Robert Hill how are you now??
@@chiefrockerzog5476 how are you now
I got radial nerve cut due to accidental stab in my lower arm (a little below the elbow joint) . The doctors did a plastic surgery to repair the nerve. It’s been almost 6 weeks after surgery; still waiting for recovery.
How are you now
@@조직폭력배-x4s I got 85-90% movements restored. Alhamdolillah
@normansgal thanks
The radial nerve arises from C5 - T1 and is an important nerve in the dorsal aspect of the arm and forearm. It supplies
the triceps
brachioradialis
wrist extensors
extensor digitorum longus muscles.
The sensory supply is over the dorsum of the thumb and the first web space, and the dorsum of the forearm.