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Wrist Drop Causes
A buddy of mine just had an EMG done for wrist drop. He was prescribed Prednisone and told it was a "radial neuropathy. I know he has been known to drink too much and I am wondering if Alcoholic Neuropathy could damage the radial nerve to the extent of wrist drop.His hands show some signs of muscle wasting/weakness. He occasionally has some breathing problems after a binge, too. I am his on/off AA sponsor, which is why I ask.
Also, Prednisone seems a curious treatment...
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623944 tn?1244039090
Just did some research and couldn't find any correlation between alcohol and radial neuropathy other then what is refered to as Saturday Night Palsy - caused by the arm being compressed against the edge of the bar. It is possible that he has compressed it enough in such a manner that it's damaged.
Prednisone is used to treat neuropathy, as well as neurontin and Lycira. It's possible that his history of drinking is why he wasn't prescibed the other 2. You cannot take Lycira and drink alcohol, and you can't take Neurontin if you have kidney or liver disease.

I lost a step-father last summer to alcoholic hepatitis, he had bad neuropathy, with muscle wasting and weakness. He needed a cane to get around.
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Thank you so much to take time to research that! I had checked some as well and the only correlation being that AN damages nerves. So, I guess I speculated that if the radial nerve was damaged it could've been from alcohol! Who knows?
Sorry to hear about your step-father.
I didn't know Prednisone was used for neuropathy, either. Thanks again.

redbud
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144586 tn?1284669764
Prednisone is used to reduce inflammation around the nerve sheath. The theory is the swelling is impinging on the nerve. It reduces swelling. It was an appropriate medication.
It is not used for neuropathy.

He needs an MRI.

Wrist drop indicates damage that is, unfortunately, usually permanant. It happens only after a long period of ignoring symptoms.

I fail to see the connection with alcoholism, unless is is because he was in a fight because he was drunk.
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623944 tn?1244039090
I should have been more specific. Thank you for clarifying that about the prednisone. I meant to say "used to treat symptoms of neuropathy" again, my mistake. I have SFN, and that is one of my options.

The relation to alcohol I mentioned - "Saturday Night Palsy" gives the example of someone being drunk and falling asleep at the bar, resting the head on the arm. The edge of the bar compresses the radial nerve. SNP is usually temporary. I mentioned it as a possible cause because repeating that compression can cause a lesion on the nerve, almost like a callous you'd get on your hand repeatedly using a shovel...

I hope I clarified myself...
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The info I've found on the net indicates that it may likely resolve in months or as long as a year. Permanent damage is indicated as the exception. Where or how did you draw the conclusion it's usually permanent?
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Yes, very well. Thank you.
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