Written by Shahrzad Jafari Jozani
Last Updated: 1/16/2025

Radial Nerve Injury & Repair

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Radial Nerve Injury & Repair

Radial nerve injury is caused by physical trauma, infection, or exposure to toxins. This injury can lead to radial neuropathy or radial nerve palsy. Wrist drop is the most common presentation of suffering from radial nerve palsy. Your radial nerve runs from the armpit down the back of your arm to the hand. Surgery for radial nerve injury may include nerve repair, nerve graft, or nerve decompression.

Radial Nerve injury symptoms

Radial injury often causes numbness and tingling or burning pain. It can also be painless. The condition may cause weakness or difficulty moving your wrist, hand, or fingers. Exact symptoms depend on the location and type of injury. 

Radial Nerve Injury & Repair

Causes of radial nerve injury

  • Fracturing the humerus (a bone in the upper arm)

  • Sleeping with the upper arm in an awkward position

  • Pressure from leaning the arm over the back of a chair

  • Using crutches improperly

  • Falling on or receiving a blow to the arm

  • Long-term constriction of the wrist

A nerve laceration usually requires surgical repair.

Radial Nerve injury treatment options

Radial Nerve injury treatment aims to relieve symptoms while maintaining movement of the wrist and hand. Depending on the cause of injury, your healthcare provider will determine the best treatment option. There are several different first-line treatment options available. These include:

  • Analgesic or anti-inflammatory medications

  • Anti-seizure medications or tricyclic antidepressants (prescribed to treat pain)

  • Steroid injections

  • Anesthetic creams or patches

  • Braces or splints

  • Physical therapy to help build and maintain muscle strength

  • Massage

  • Acupuncture

Radial Nerve Injury & Repair

Radial Nerve Injury Surgery

Most people with a radial nerve injury will recover within three months of starting treatment if the nerve is not torn or lacerated. But others may need to undergo surgery. The goal of surgery is to repair any damage to the nerve. If the radial nerve is entrapped, surgery can help relieve pressure on the nerve. Surgery may also be used to remove a benign tumor from the radial nerve. After surgery, you will need to wear a brace or splint to allow the injury or tendon transfer to heal. Your doctor will refer you to a physical therapist for rehabilitation to restore your range of motion and strength.

Conclusion

In conclusion, Radial Nerve Injury & Repair is a significant area in medical science. Radial nerve injury, which can be caused by physical trauma, infection, or exposure to toxins, often leads to radial neuropathy, also known as radial nerve palsy. This condition can cause symptoms such as numbness, tingling, and difficulty moving the wrist, hand, or fingers. The severity of the injury can range from neurapraxia, a minor injury, to neurotmesis, the most severe form of nerve damage. Treatment options vary depending on the cause and severity of the damage and can include wrist splints, over-the-counter pain medication, physical therapy, or surgery. In many cases, radial nerve injuries can heal on their own, but some require surgical treatment. Most people with a radial nerve injury will recover within three months of starting treatment if the nerve is not torn or lacerated. However, some cases ultimately require surgery.

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FAQs

A Radial Nerve Injury refers to damage to the nerve in the upper arm. This nerve controls the triceps muscle, helps extend the wrist and fingers, and provides sensation in part of the hand. The radial nerve is close to the bone in the upper arm, so it is vulnerable to injury, especially if the arm breaks.

Symptoms of a radial nerve injury include pain, weakness in the wrist, hand, or fingers, and loss of function in the wrist, hand, or fingers.

Treatment for radial nerve injuries may include wrist splints, over-the-counter pain medication, physical therapy, or surgery. Injuries can take a couple of weeks or up to six months to heal. Many radial nerve injuries heal on their own, but some require surgical treatment.

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