
Hello I Have Attached A Report Regarding My Arm Which

These can halt the axon recovery.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
I have seen the attached report. The enlargement of the nerve at the elbow region can be due to an inflammation or fibrosis. The inability to differentiate the nerve in this area suggests a nerve damage.
The swelling in the nerve at the area of right wrist can be due to fibrosis caused by the surgery itself. The anterior interosseous nerve was not seen separately. It is difficult to comment whether the anastomosis is intact or not.
The thickening of nerve and change in the appearance can hinder the normal growth of axon sheath and normal nerve conduction.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.


Details below.
Detailed Answer:
Hello,
Thanks for writing again.
A nerve pain or sensations like pins and needles or burning sensations are suggestive of a nerve regeneration. Not having any sensation till date suggests that the nerve has not healed. The swelling of the nerve can be due to surrounding muscle tissue, an inflammation or fibrosis.
Ultrasound does not show the molecular level details. We cannot detect for sure the cause of swelling until a biopsy of the area is done but that can cause further damage to the tissue.
The swelling is an abnormality and interferes with normal nerve growth and function.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.


Nerve pain indicates a nerve healing.
Detailed Answer:
Nerve pain does indicate a nerve healing. A swollen nerve indicates an abnormality that can be related to a nerve damage or inflammation in the area and can cause difficulty in healing and reconnection. The nerve transfer should have started to work by now. The inability to feel any sensations in the area suggests that the nerve transfer has not worked for you.
Regards.


Late nerve transfer decreases the chances of success.
Detailed Answer:
The success of a nerve transfer depends on how soon after the injury or compression the nerve was transferred. It also depends on the blood supply of the nerve. The chances of loose anastomosis or inaccurate anastomosis is very rare. Since the nerve has not responded for last six months, the chances of success with transposition now are also very less.
Regards.


Details below.
Detailed Answer:
If the nerve transfer and and decompression was done on the same day then the nerve transfer should have shown the effect by now. Moving the fingers back and forth are not likely to affect the anastomosis.
The swelling does not suggest that the nerve is disconnected. Whether it needs a transposition or not can be decided only by a neurologist after a proper examination.
Regards.


Making a fist will not affect anastomosis.
Detailed Answer:
Simple movements of the hand like making a fist are not likely to affect the anastomosis. A neurologist can evaluate whether is functioning or not. A nerve conduction study can help in detecting the point upto which the nerve is functional. An unstable nerve can affect its function.
Regards.


Details below.
Detailed Answer:
The surgery site is not opened just to look at the anastomosis site. Usually after a nerve transfer you can expect tingling or burning after a week or so. Gradually the nerve function returns to normal in 6 weeks.
Regards.


Repeat surgery is not a wise option.
Detailed Answer:
After a surgery there is fibrosis at the scar site and if reopened all the structures can be adhered together and can cause an extensive tissue damage. This can even further cause a nerve damage. If the nerve is normal or not that can be identified only after electric stimulation or biopsy. Taking a piece for biopsy will make the nerve shorter and will create tension in anastomosis. A repeat surgery can be done for research purposes but will not return your nerve function.
If the nerve starts working then a clinical improvement is always seen in next few days.
Regards.


There is no improvement since XXXXXXX
Detailed Answer:
I have seen the recent nerve conduction study results. They do not show any improvement since XXXXXXX There is severe neuropathy which is not likely to improve now after such a long time. Even the biopsy will also confirm the same findings. There is no benefit of going for an extra procedure without any clinical benefit.
Regards.


There is no other option.
Detailed Answer:
There is no other option except to wait for the improvement. In case the axons grow, it will show an improvement.
Regards.


Your surgeon is correct.
Detailed Answer:
Your hand surgeon is correct in saying that the nerves are slow to grow and it might take a long time for the axons to grow. Due to trauma in very few cases the nerves do not regenerate also. But this is very difficult to detect the rate of growth prior to the surgery. An exploratory surgery is not advisable at all. Do not worry and just relax.
Regards.


Do continue with exercises.
Detailed Answer:
i can understand your distress. But right now we can only wait. Meanwhile do continue with the exercises so as to maintain some tone of the atrophied muscles.
Regards.

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