Dr. Sathya Vamsi Krishna, an Orthopaedics Expert at Narayana Health City, Bommasandra, sheds light on a serious medical ...

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Understanding Compression Neuropathy | Dr Sathya Vamsi Krishna

hi I'm Dr vami I'm a consultant hand an appal Lim surgeon associated with narana health so today I'm going to speak about compressive neuropathy in the Upper Limb so what is compressive neuropathy uh is nothing but you know uh we have three major nerves going through the appm so they there are tendency to get compressed or tightened at certain points in your Upper Limb so the nerves could get compressed in your neck region Axel region elbow region hand region so what happens so what if it gets compressed so a lot of uh people who have this compressing yopy have symptoms of numbness or tingling sensation or you know rting pain to to the entire hand especially worse during work or you know it wakes them up from sleep so it can be very disturbing to go on with your daily activities so what do you do when we when we see a patient with these complaints so normally we assist them entirely we check for the nerves of all the all the nerves of the hand to see which nerve is causing the problem and then we try to focus on a single nerve so once we have a a focus on a single nerve then we investigate so how do you investigate one is of course uh as I said by clinical examination and then we could order some nerve tests what we call as a nerve conduction study and sometimes even ultrasonography to study the nerve so once we have a diagnosis of a particular nerve being compressed then what do we do so we start with conservative management or you know non-surgical management that is you know we advise patients to you know use some kind of a belt for example a carple tunel where the nerve is pressed here we give them a belt which can be worn at night or a elbow splint so you know by that the pressure on the nerve is reduced and we also have some therapy protocols we call as a nerve gliding excises so that you know nerve is allowed to move so that you know it's becomes free and the patient can be symptom free of course with some medication to nourish your nerve and reduce the sensitive of the nerve so once this these set of treatment fail then we go for the next level that is what is the next level we also could go to the extent of giving a injection like a steroid closer to the nerve where it's getting compressed a lot of people do have a permanent recovery with this or you know some patients may be okay for a couple of months and then they come back then the last resort last option would be a surgical intervention that is when our major rul is you know we go to the exact location of the nerve and we free the nerve completely and it's a very short procedure what we call as a daycare procedure that is you know the patient is called in the morning goes through the procedure and returns home by evening and um and there'll be symptom free immediately and of course they can get back to the work within a week or two weeks so whenever you have a signs of numbness tingling or pain relating to your hand or fingers you always think about a compressive neuropathy it could be because of your underlying problems or it could be because of your occupation so you can always hear a nearby hand surgeon who can evaluate these problems for you and Order necessary investigation and of course advise appropriate [Music] treatment

Dr.

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