Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Why Is My Hand Shaking When I Use The Arm After A Shoulder Surgery?
During a shoulder surgery they damaged the muscultaneous nerve and I had surgery in early December and it is now mid April. My hand shakes at times when I use my arm. Then there are times it doesn t or very little. On neurontin 300 mg tid When at 600 mg tid I had tingling in my feet. So they put me back down. EMG of lower arm shows more than 50 decrease. Left muscle 11 right 28. Neurology and ortho surgery arguing about who should follow me. I am fed up with their antics and need help!!!
Wed, 4 Jan 2017
Physical Therapist or Physiotherapist, Harsh Swarup's Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
As muscultaneous nerve is one of the major nerve which supplies to many muscles of your upper arm directly and its branches supply to muscles of forearm and hand, so if it has been damaged you are bound to have weakness in majority of your arm muscles.
So what best you can do is visit a physiotherapy clinic and meet the physiotherapist where a machine called as muscle stimulator can help you in many ways (like preventing muscle wasting and regaining strength back). It will be a very slow process and it might take you own time, like two months to get a noticeable difference in your arm. But along with exercises and if you continue to extend the treatment we can expect good results in a span of six months to one year or sooner. It depends how you respond to the treatment
Kindly have your NCV done of radial nerve, ulnar nerve and median nerve of your hand. Hope to hear from you soon once you had taken sessions. There are other things also which might help you we will discuss about them later.
Hope I have answered your query. Let me know if I can assist you further.
Regards, Dr. Harsh Swarup
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Why Is My Hand Shaking When I Use The Arm After A Shoulder Surgery?
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As muscultaneous nerve is one of the major nerve which supplies to many muscles of your upper arm directly and its branches supply to muscles of forearm and hand, so if it has been damaged you are bound to have weakness in majority of your arm muscles. So what best you can do is visit a physiotherapy clinic and meet the physiotherapist where a machine called as muscle stimulator can help you in many ways (like preventing muscle wasting and regaining strength back). It will be a very slow process and it might take you own time, like two months to get a noticeable difference in your arm. But along with exercises and if you continue to extend the treatment we can expect good results in a span of six months to one year or sooner. It depends how you respond to the treatment Kindly have your NCV done of radial nerve, ulnar nerve and median nerve of your hand. Hope to hear from you soon once you had taken sessions. There are other things also which might help you we will discuss about them later. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harsh Swarup