Radial Tunnel Surgery
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- čas přidán 7. 11. 2014
- www.handandwristinstitute.com/... - When the radial nerve becomes entrapped as it passes through the upper part of the forearm, this is known as Radial Tunnel Syndrome. It is most often caused by everyday activities, especially those one finds working in an office (i.e. keyboard use, mouse, etc.) as well as strenuous physical exercise and lifting weights.
On its way across the upper radial side of the arm, the radial nerve engages several muscles in the elbow, where it can become compressed by various structures , most often the supinator muscle. From this compression, pain radiates downward towards the wrist, affecting the entire forearm. Occasionally, wrist pain without specific cause such as trauma may be present, and this can indicate entrapment. It is also common to see this in conjunction with tennis elbow, and it is important to determine that it is not solely that to ensure proper treatment. Unlike carpal tunnel and ulnar nerve entrapment, tingling and numbness are not generally symptoms of radial nerve entrapment.
As with many upper extremity conditions, rest, anti-inflammatories and bracing, as well as workplace modification, can be effective in treating the symptoms of RTS.
Surgery may be necessary if conservative treatment fails to relieve symptoms. A relatively short outpatient procedure is required, in which the supinator muscle is released, but because of the involvement of the biceps muscle, loss of function is not an issue here. A larger incision is preferred because it allows for sufficient compression at all areas that are affected by RTS.
Three weeks of immobilization will follow the surgery, as well as several more weeks of therapy, which altogether means a recovery period of about three months. The success rate for this type of surgery is about 90%, with a general return to full function.
good luck to everyone who has this. it's basically ruined my life.
Surgeons gonna cut, that is what they do. Exhaust all other therapies!!! Surgery should be a LAST resort. Imho, of course.
I have surgery planned after 5 years of seeing many doctors for my forearm pain. This is so often overlooked.
I think I might have this condition. What kind of tests / scans do I need to be asking my dr to give me referrals to?
I had a piece of 'gristle' almost the size of my pinky strapped across my radial nerve. My Dr had done hundreds of these surgeries, and claimed mine was the worst he had ever seen.
Unfortunately, I had surgery five years ago and it didn't really help. I cannot perform any exercises that require me to bend at the elbow. It's frustrating because I like to stay in shape but can't. I think doctors should be up front and let their patients know that surgery may help alleviate some pain but may not eliminate it and that it could come back..
Can tight extensor carpi radialis longus and brevus contribute to this?
They thought I had carpal tunnel, which I did but no symptoms. All my symptoms were from RTS. It took over a year for them to figure it out.
My issue is that the muscle gets hard and sore, pain can make my arm ache down to the wrist. It only happens while sleeping. I get up and the muscle is like a charlie horse or cramp the takes days to tone done.
Can pain from this condition radiate as high as the shoulder? My father was diagnosed with thus but he says his pain is much higher indicating possibly refered pain or entrapment higher up in the brachial plexus perhaps?
Very nicely explained thanx a lot!
Wow thank you so much for your lecture ,, I hope you will do many more videos live this
how long do you have to wait before make the operation?
Nicely explained 👍
I had a cut in the radial nerve from under the triceps muscle and I had a nerve ligation operation 5 months ago, and I have not yet reached the healing stage. I can know how long it takes to restore the movement of the palm to its previous state Please I need help
Wow, I am so glad that I came across your video. I was just diagnosed with Radial Tunnel Syndrome last Tuesday. I did get a cortisone injection in my upper forearm last week. I am currently doing my own physical therapy at home. I am having trouble with the palm up exercises. I fractured both my Ulna and Radius in my left wrist last Feb. Is it common to maybe get Radial Tunnel Syndrome after fracturing your wrist?
Hey Doc
Both..
Doctor is there any latest research on RTS... I have have the same issue from the last one year coz of gym workout