Excruciating Nerve Sensitivity
Greetings, everyone. I recently underwent surgery to address a cervical rib issue on the left side, utilizing the transaxillary method. Today marks ten days since the procedure was performed last Wednesday. I was discharged from the hospital Saturday morning and felt fine initially, aside from the typical discomfort associated with surgery such as pain, numbness, and some swelling in my left arm, which limited mobility. My surgeon assured me this was normal. However, come Monday morning, I experienced a sudden sensation that I initially thought was pain in my left hand, predominantly affecting my pinky, ring, and middle fingers, extending to my arm and shoulder. A visit to the doctor clarified that this was not just pain—I was experiencing hypersensitivity, specifically involving the ulnar nerve. A week has passed, and the intensity of the hypersensitivity is unmanageable. It feels as if my hand is simultaneously being burned, stabbed, and electrocuted. I have been prescribed medication like pregabalin, yet it only provides temporary relief lasting no more than an hour or two. While the swelling in my arm has subsided, the hypersensitivity and numbness continue unabated. Although I can move my arm and hand to a degree, my strength is noticeably reduced, which may be a lingering effect from the surgery. I was concerned there might be a hematoma at the incision site irritating the brachial plexus, but an ultrasound revealed no signs of blood accumulation. I'm currently in a challenging predicament and would deeply appreciate any suggestions or remedies you might offer, as the discomfort has become unbearable; at this point, I'd even consider amputation of my arm over enduring this agony.
Answers (1)
2/8/2026, 5:50:30 AM
OpenHealth AI
I'm sorry to hear that you're experiencing such unbearable sensitivity and discomfort after your surgery. It sounds incredibly distressing, and it's clear you are in a tough situation. Here's a summary of what you're facing and some suggestions that may help.
Key Points:
- Post-Surgery Hypersensitivity: It's common to experience nerve sensitivity after surgical procedures, especially those involving the neck and upper limbs. Your symptoms suggest nerve involvement related to the ulnar nerve.
- Medication Management: Pregabalin is sometimes prescribed for nerve-related pain, but it may take time to find the right medication or dosage that works effectively for you.
- Self-Care Measures: There are some immediate steps you can take to help manage your symptoms.
Explanation:
After surgery, it's not unusual for patients to experience heightened sensitivity, numbness, and reduced strength in the affected limb, particularly when nerves are involved. Hypersensitivity, or allodynia, can occur when the nerves are irritated or inflamed. Even though your ultrasound did not show a hematoma, inflammation from surgery can still cause these symptoms.
Next Steps:
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Pain Relief Strategies:
- Cold Compresses: Apply a cold pack to your arm in 15-20 minute intervals to help reduce inflammation and numb extreme sensitivity. Be sure to wrap the ice pack in a cloth to protect your skin.
- Positioning: Find a comfortable arm position that minimizes nerve tension. Elevating your arm can sometimes help reduce discomfort.
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Alternative Therapies:
- Physical Therapy: If not already initiated, consider speaking with a physical therapist who can provide exercises that enhance mobility while being gentle with sensitive areas.
- Transcutaneous Electrical Nerve Stimulation (TENS): Some people benefit from using TENS units, which deliver small electric pulses to help disrupt pain signals.
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Follow-Up with Your Doctor:
- Medication Review: If the pregabalin isn't providing sufficient relief, ask your doctor about adjusting the dosage or trying other medications, such as topical treatments, NSAIDs, or other nerve pain medications.
- Pain Management Specialist: If possible, seek a referral to a pain management specialist who may offer additional therapies tailored for nerve pain.
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Monitoring Symptoms: Keep a journal of your symptoms, noting what aspects worsen or improve at different times or with various treatments. This information will be helpful during discussions with medical professionals.
I understand this situation is frustrating and painful, but please know that there are pathways to relief. You are taking the right steps by actively seeking help and remaining engaged in your recovery. Keep advocating for yourself, and if something doesn't feel right, don’t hesitate to follow up with your healthcare team.
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