Injury to the Radial Nerve
I am a 26-year-old who experienced a significant health setback following surgery in 2023. After breaking my humerus, I underwent a procedure to have a metal plate fixed to my bone. At first, everything seemed to heal well, aside from the visible scar left by the operation. However, I recently scheduled a surgery to remove the plate, authorized by my new surgeon since my previous doctor had relocated. To my dismay, during the plate extraction, my radial nerve was accidentally severed in two. A plastic surgeon was quickly brought in to reattach the nerve ends. As a result of this surgical mishap, I now suffer from wrist drop and am unable to extend my fingers. My surgeon seems hesitant to address the situation directly, continuously assuring me that I will recover completely, which has led to a loss of faith in his assurances. My own investigations suggest that the likelihood of recovery for a completely severed nerve is significantly lower than for one that remains intact. Is this setback a permanent one for me? What are my realistic expectations for recovery?
Answers (1)
4/4/2025, 11:20:50 AM
OpenHealth AI
I'm really sorry to hear about your experience and the impact it's having on your recovery and peace of mind. It's completely understandable to have concerns about your wrist drop and finger extension after such a significant injury.
Main Points:
- Nerve recovery after a complete severance can vary significantly, and while there's hope for improvement, the outcomes can depend on many factors.
- Recovery timelines can differ; patience and appropriate rehabilitation are essential.
Explanation:
The radial nerve controls movement and sensation to your arm and hand. When it's completely severed, as you've experienced, it can lead to wrist drop—a condition where you can’t lift your wrist and fingers. Nerve healing is often unpredictable, and while some patients see significant improvement over time, others may have lasting effects.
The recovery process can often take months or even years, and it's common to feel frustrated and anxious during this time. The early repair of the nerve is crucial, and since a plastic surgeon reattached it quickly in your case, this gives you a better chance for recovery. However, the likelihood of complete recovery depends on several factors, including your age, the extent of the injury, how well the nerve was reattached, and your rehabilitation efforts.
Next Steps:
- Follow-Up Assessments: Schedule regular check-ups with a neurologist or a specialist in nerve injuries. They can provide a clearer assessment of nerve function over time.
- Physical Therapy: Engage in a structured rehabilitation program focused on hand and wrist movement to help maximize your recovery. A physical therapist can guide you on exercises to improve mobility and strength.
- Educate Yourself: Read reputable sources about radial nerve injuries and recovery processes. Understanding what to expect can help alleviate anxiety.
- Manage Expectations and Emotions: Recovery from nerve injuries can be slow and can include ups and downs. Joining support groups or speaking with others who have undergone similar experiences may help you feel less isolated in your journey.
Remember, it's essential to communicate your concerns openly with your healthcare team until you feel assured about your recovery plan. Your feelings are valid, and seeking support can make a significant difference. If you have more specific concerns or need further guidance, feel free to ask.
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