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  • Radial nerve (posterior intraosseous nerve) severed during radial tunnel release surg

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    Old 01-30-2011, 07:33 PM   #1
    rightarmuseless
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    Question Radial nerve (posterior intraosseous nerve) severed during radial tunnel release surg

    Hi, new here so I am not sure what i am posting is in correct spot. I fell at work approx 8 months ago and injured my right arm. I had stitches, pain swelling etc in my elbow forearm and shoulder. Bulk of injury was to elbow area. X-rays and MRI done, stitches came out after 8 days and long arm cast applied for 6 weeks. I was in constant pain and my thumb lost feeling in it. The original MRI showed a tear in tendon and muscles in elbow and lots of fluid and i understood that due to injury. After cast came off came physical therapy 3x a week, pain in entire arm continued to worsen, never able to fully extend arm and ended up with occasional wrist drop. Workers comp gave dr the runaround when surgical exploration and release of deep radial nerve surgery was recommended. The EMG/ECV showed radial amplitude of 0.2 in right and normal 2.1 in left arm. Finally surgery was approved after 5 months. During surgery 3 hours total and over 2 hour tourniquet time the dr said there was so much scar tissue and nerve was compressed in numerous places and while she was decompressing the nerve under the forearm muscle belly there was to much scar tissue and she dissected the posterior interosseous nerve. So we will fast forward almost 3 months later....... after surgery, large amounts of swelling, horrid pain, no use of extensors in hand 4 fingers. Only my pinky would move. After some time my ring and middle finger did get a little extension back at the knuckles but i have not regained ANY extension of thumb and first finger. Physical therapy is useless. New EMG/ECV showed radial amplitude at only 0.1, less than BEFORE surgery. Also new MRI shows tons of damage and denervation of all forearm muscles and some tear in my wrist as well as edema still. I am right handed so this has been awful. My surgeon kept saying give it time till this recent EMG came in, now shes saying nerve transfer surgeries etc... She is sending me to a top specialist in Chicago for second opinion and then she said she will do the surgery. I think i would rather him do it! Anyone out here ever go through anything like this? How is nerve transfer surgery and recovery from this? Anyone have anything for me? Also last 2 days my hand has been tingling like asleep and today i lost sense of touch feeling in thumb and 1st finger...

     
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    Old 05-05-2011, 08:41 AM   #2
    potachev
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    Re: Radial nerve (posterior intraosseous nerve) severed during radial tunnel release

    Quote:
    Originally Posted by rightarmuseless View Post
    Hi, new here so I am not sure what i am posting is in correct spot. I fell at work approx 8 months ago and injured my right arm. I had stitches, pain swelling etc in my elbow forearm and shoulder. Bulk of injury was to elbow area. X-rays and MRI done, stitches came out after 8 days and long arm cast applied for 6 weeks. I was in constant pain and my thumb lost feeling in it. The original MRI showed a tear in tendon and muscles in elbow and lots of fluid and i understood that due to injury. After cast came off came physical therapy 3x a week, pain in entire arm continued to worsen, never able to fully extend arm and ended up with occasional wrist drop. Workers comp gave dr the runaround when surgical exploration and release of deep radial nerve surgery was recommended. The EMG/ECV showed radial amplitude of 0.2 in right and normal 2.1 in left arm. Finally surgery was approved after 5 months. During surgery 3 hours total and over 2 hour tourniquet time the dr said there was so much scar tissue and nerve was compressed in numerous places and while she was decompressing the nerve under the forearm muscle belly there was to much scar tissue and she dissected the posterior interosseous nerve. So we will fast forward almost 3 months later....... after surgery, large amounts of swelling, horrid pain, no use of extensors in hand 4 fingers. Only my pinky would move. After some time my ring and middle finger did get a little extension back at the knuckles but i have not regained ANY extension of thumb and first finger. Physical therapy is useless. New EMG/ECV showed radial amplitude at only 0.1, less than BEFORE surgery. Also new MRI shows tons of damage and denervation of all forearm muscles and some tear in my wrist as well as edema still. I am right handed so this has been awful. My surgeon kept saying give it time till this recent EMG came in, now shes saying nerve transfer surgeries etc... She is sending me to a top specialist in Chicago for second opinion and then she said she will do the surgery. I think i would rather him do it! Anyone out here ever go through anything like this? How is nerve transfer surgery and recovery from this? Anyone have anything for me? Also last 2 days my hand has been tingling like asleep and today i lost sense of touch feeling in thumb and 1st finger...
    Hi, I would not be able to tell you about the surgery, but I wanted to ask you if you had any complications with your breathing and general sensitivity on the whole right side. I had a severed radial nerve about 6 months ago and it seems that the whole right side is kind of not being able to feel and even facial articulation is reduced. Is that familiar? I would be really thenkful for an answer. Paul

     
    Old 05-08-2011, 04:29 PM   #3
    hurting24
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    Re: Radial nerve (posterior intraosseous nerve) severed during radial tunnel release

    Quote:
    Originally Posted by rightarmuseless View Post
    Hi, new here so I am not sure what i am posting is in correct spot. I fell at work approx 8 months ago and injured my right arm. I had stitches, pain swelling etc in my elbow forearm and shoulder. Bulk of injury was to elbow area. X-rays and MRI done, stitches came out after 8 days and long arm cast applied for 6 weeks. I was in constant pain and my thumb lost feeling in it. The original MRI showed a tear in tendon and muscles in elbow and lots of fluid and i understood that due to injury. After cast came off came physical therapy 3x a week, pain in entire arm continued to worsen, never able to fully extend arm and ended up with occasional wrist drop. Workers comp gave dr the runaround when surgical exploration and release of deep radial nerve surgery was recommended. The EMG/ECV showed radial amplitude of 0.2 in right and normal 2.1 in left arm. Finally surgery was approved after 5 months. During surgery 3 hours total and over 2 hour tourniquet time the dr said there was so much scar tissue and nerve was compressed in numerous places and while she was decompressing the nerve under the forearm muscle belly there was to much scar tissue and she dissected the posterior interosseous nerve. So we will fast forward almost 3 months later....... after surgery, large amounts of swelling, horrid pain, no use of extensors in hand 4 fingers. Only my pinky would move. After some time my ring and middle finger did get a little extension back at the knuckles but i have not regained ANY extension of thumb and first finger. Physical therapy is useless. New EMG/ECV showed radial amplitude at only 0.1, less than BEFORE surgery. Also new MRI shows tons of damage and denervation of all forearm muscles and some tear in my wrist as well as edema still. I am right handed so this has been awful. My surgeon kept saying give it time till this recent EMG came in, now shes saying nerve transfer surgeries etc... She is sending me to a top specialist in Chicago for second opinion and then she said she will do the surgery. I think i would rather him do it! Anyone out here ever go through anything like this? How is nerve transfer surgery and recovery from this? Anyone have anything for me? Also last 2 days my hand has been tingling like asleep and today i lost sense of touch feeling in thumb and 1st finger...
    So Have you had anything done. If yes how do it come out. Please let us know ether way.

     
    Old 08-01-2011, 07:59 PM   #4
    rightarmuseless
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    Re: Radial nerve (posterior intraosseous nerve) severed during radial tunnel release

    Just an update now 9 months post surgery. Still have zero use of extensor and abductor musclesin thumb and first finger. Awful pain all the time in hand wrist and forearm. Now the work comp doctor is saying he agrees tendon transfers need to be done. EMG's and ECV's show still low amplitude radial nerve and no activity at all in the muscles that are inervated by the radial nerve Hopefully someday I will have use of my right arm back but unfortunatly i will never be a paramedic/firefighter again, even after the tendon transfers. Now it will be a fight with work comp and the surgeon that did this because they say its her fault for the permanant damage and only their resp for initial injury. Ugggg. In the meantime im left hanging in pain and deformed.

     
    Old 08-03-2011, 11:51 AM   #5
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    Re: Radial nerve (posterior intraosseous nerve) severed during radial tunnel release

    rightarmuseless

    Thanks for the update. Sorry that things are not working out very well for you. Hope you can get you arm in working order and feeling better pain wise. Are you going to need any more surgery to correct what is wrong with your arm, wrist, and fingers. See several Drs. for more opinions.

    Over the past 5 months my crps has moved down into both legs more so on the right. Now I have to use a cane to help me walk. I hope it stop spreading further.

    Good Luck

    Hurting 24

     
    Old 08-14-2011, 12:31 AM   #6
    XuhQshinR
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    Re: Radial nerve (posterior intraosseous nerve) severed during radial tunnel release

    Quote:
    Originally Posted by rightarmuseless View Post
    Just an update now 9 months post surgery. Still have zero use of extensor and abductor musclesin thumb and first finger. Awful pain all the time in hand wrist and forearm. Now the work comp doctor is saying he agrees tendon transfers need to be done. EMG's and ECV's show still low amplitude radial nerve and no activity at all in the muscles that are inervated by the radial nerve Hopefully someday I will have use of my right arm back but unfortunatly i will never be a paramedic/firefighter again, even after the tendon transfers. Now it will be a fight with work comp and the surgeon that did this because they say its her fault for the permanant damage and only their resp for initial injury. Ugggg. In the meantime im left hanging in pain and deformed.
    I am So Sorry to hear of your injuries and the painful misfortunes that fell on you during the attempted repair that made it so much worse!

    I hope that you have legal representation in this matter. I feel for you and I have the same worries about my surgery possibly causing more damage as they say...every surgery comes with risks.

    I do first and foremost pray for you to have full recovery, but if that is not possible it should not be that you do all of this suffering for nothing! Especially when it may have cost you a career!

    It is unfortunate that today you MUST HAVE LEGAL REPRESENTATION on any injury that can and most likely will have a negative effect on your lively-hood and career. Severing a nerve even though an accident someone saying "Sorry About That" will not cover your mortgage, car payment, and other bills if you are not able to return to work making what you were and would have been making as your career advanced. So you are definitely going to need help or at least legal guidance.

    W/C is very sloooooow to resolve or authorize proper treatment for true moderate - serious injuries as it seems to be standard policy to deny, if can't deny, throw cheap meds at it for inflammation such as ibuprofen, send you to 2 - 4 weeks of PT and release you to full duty and hope you will just accept their "It is what it is so live with it" policy. Their job really is to get you and the Dr. to get you back to full non-restricted duty asap even if you are still in pain. Full 100% MMI with No Restrictions is what they would like to see on your file.

    I too have another thing in common with you. I too was a full-time FF/EMT here in Florida for 10 years. Thank you for your service boot!

    My situation will be posted in another thread as it would not be my intention to even appear to hijack your thread. All I can say is that I have learned that Workers Comp is required more to protect the employer than it is for the employee.

    Also I have learned that my employers workers comp insurer (A very large insurance company) should be changing their name to "Iceberg or Glacier National Casual "T"" as they did not seem to be moving at all on my case for the first 3 months of my injury and they just casually ignored my Dr's requests/referrals for tests and treatment and my numerous phone calls.

    Again I thank you for sharing with us and keeping us updated as people in very similar situations have most likely read your thread and though they may not post, they learn from what we are going through and who knows...they may even say a prayer for us! Well....Thats ok with me!

    Get better soon and Please Please Please make sure you defend your rights to proper and continual medical treatments and do not sign your rights to future medical coverage away on this...its serious! Here in Florida Public Safety personal Fire/EMS/LEO have even better Work Comp Rights!

     
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    Tags
    arm paralysis, denervation muscles, finger numbness, radial nerve palsy, radial tunnel syndrome



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