Radial Neuropathy

In the rural setting, radial neuropathies may result from injury, subluxation of the radius, compression, or ischemia. The most common complaint is wrist drop, but other symptoms are noted, especially numbness of the forearm and hand (if the lesion is above the elbow), and pain that resembles tennis elbow. Paresthesias of the back of the hand are almost always an indication of lesion localization at the wrist level.

Due to the complexity of anatomy and somewhat generic presentation of radial mononeuropathy, both NCS and EMG are considered to be the gold standard in diagnosis of this condition and in determining severity of the lesion and prognosis, including disability in the patient (38).

Management

Since management of lesions of the radial nerve involves the decision between a conservative approach and surgical decompression (especially at the forearm level), the earliest and most precise diagnosis is associated with potential restoration of function and return to work. A repeat NCS or EMG study should be performed after several months of conservative management to ascertain the possible regrowth of the nerve fibers and, thus, the need for reanastomosis via surgery.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

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