Monday, 14 December 2015

Radial Nerve Palsy And Physiotherapy Treatment :

Radial Nerve Palsy  :


Introduction :
  • Radial nerve is most commonly injured peripheral nerve accounting for 70% of all the peripheral nerve injuries of Upper Extrimity.
  • Wrist drop, also known as radial nerve palsy,
  • it is a condition where a person cannot extend their wrist and it hangs flaccidly.
  •  your hand hang limply so that your fingers point downward.


Cause :

 

radial nerve injury has a variety of possible causes:-

  •     fracturing the humerus (a bone in the upper arm)
  •    
  •     using crutches
  •     falling on or receiving a blow to the arm
  •  
  •     Saturday night syndrome
  •     compression of the lower part of the brachial plexus


  •     Awkward body positions: it can also put pressure on the nerve. For example, you sleep on your arm or leave it draped over the board.
   
  •     Growths: Tumors or cysts (lumps) inside your wrist or arm may press against the nerve.



Symptoms :
Injury to the radial nerve usually causes symptoms in the back of the hand, near the thumb, and in the index and middle fingers. Symptoms may include:

  •     sharp or burning pain
  •     numbness or tingling
  •     trouble moving the wrist and fingers
  •     analgesic or anti-inflammatory medications
  •     anti-seizure medications or tricyclic antidepressants
  •     steroid injection.
  •     Pinch and grasp problems: You may not be able to bring your thumb and fingers together (pinch) to grasp objects.


Diagnosis :

  •     X-rays: You may need x-rays to check for broken bones or foreign objects in your arm.


  •     MRI. An MRI may be used to look at the soft tissues and blood vessels in your arm, and to check for cysts
        or masses.
  •     Electromyography and nerve conduction studies: these are tests that measure the electrical activity of your
              muscles. Your muscles are tested at rest and while you are using them. An EMG test may also check the nerves that control your muscles. 




Treatment :



the symptoms of wrist drop will most likely resolve spontaneously within 8–12 weeks.

  •    Medical managment:- pain relief druds
  •    Surgical Managment:- to repair radial nerve, Tendon transfer
  •    Physiotherapy managment:-

    Transcutaneous electrical nerve stimulation foe pain relief

    Splint or cast: You may need a splint or cast to help support your wrist and hand while the radial nerve heals. A splint or cast helps extend your fingers and wrist so you can use them as much as possible.



    Physical therapy helps you with special exercises. These exercises help make your bones and muscles strong and flexible.

  •             Ball Squeeze
  •      
  •             Finger Stretch With Resistance
  •      
  •             forearm Rotations
  •      
  •             Wrist Stretch
Samarpan Physiotherapy Clinic