
Suggest Treatment For Side Effects Of Nexplanon Implant

Nerve compression to be ruled out. Needs Ultrasound and NCV
Detailed Answer:
Hi there.
Thanks for the query.
Yes, it is possible that the implant is affecting the function of the ulnar nerve. If the pain and pins and needless sensation is extending over the inner side of arm and moving to neck, it could indicate compression of the nerve.
I advise an ultrasound scan of the ulnar nerve to be done to see if it is being compressed.
Also do a Nerve conduction study of NCV to assess the degree of damage to the nerve and chance of recovery.
Most probably it is a neuropraxia and will recover in a couple of months.
You can take Tablet Gabapentin 300mg once at night for a week as this shall give you relief from the paraesthesia.
If you are a right handed person, your right arm will be thicker in girth compared to the left due to more use of right hand for most activities.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu


I went back to the walk in clinic through my doctors office today because the pain that was going up the left side of my neck turned into a numb, stiff feeling that when touched it tingles all the way to my jaw under my chin and jaw. The Provider said he wanted to prescribe a steriod, but decided not too because I'm still nursing my 21 month old. I disscused your thoughts with him about the ultrasound and Gabapentin, but he stated he just wanted me to wait to see my pcp.
My BP was 130/86 which is usually high for me.
I feel like my breathing is a lot slower today as well, and they did not check my oxygen levels at the office.
The new feeling in the left side of my neck reminds me of when i had an epidural and when you wait for the medication to wear off (using as an example because i had an epidural before giving birth back in 2014 and the feeling in my neck reminds me of that feeling i had in my legs waiting for the epidural to wear off) I can still turn my head but it starts to tingle when i do and i feel like my range of motion is off now.
Does the Ulnar nerve travel to the neck?
When I had the EMG they did the test with the needle as well and he stated that it was too soon to see if and how damaged the nerve was. So he recomended coming back if I was still having symptoms in a few weeks. But when he did the needle portion of the test he only did it to my forearm and hand/finger, not above the elbow.
How long would it take to find nerve damage after an injury?
Would the EMG show signs of muscle wasting? Or is there another test for that? And when would muscle wasting start after nerve damage? I read something that stated wasting of the muscle can begin to happen happen after a nerve injury
Thank you for all your insight!.
Answers
Detailed Answer:
Hi there.
Yes, The ulnar nerve arises from a complex set of nerves in the neck called the Brachial plexus. It starts from the spine in the neck. Spinal problems like Cervical spondylosis can cause radiating pain or numbness as well. Extra rib in the neck called Cervical rib can also cause the same symptoms.
To document nerve injury, the best time is about 6 weeks especially if Brachial plexus injury is suspected. An MRI arms NCV will do fine.
Muscle wasting can take a few weeks to months to show clinically. EMG can detect muscle wasting.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu

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