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Neurology Community
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury
Ulnar Nerve Transposition
by Gabbycakes, Dec 06, 2007 10:29AM
My original inguiry was a Radial Head Fracture. The Radial Head had to me replaced with a prothesthic. After that first surgery, insertion of prosthectic, I was places in a hard cast for almost 4 weeks of course my arm was completely stiff after the cast came off. A manipulation was tried but no success. I switched surgeons to one of the best in NYC. He did my second contract release, I had choose a different NYC to do the first contracture release only to get stiff again. The 2nd NYC doctor also did a ulnar nerve transpostion. I was put in a CPM Machine Hours after surgery, my arm was completely numb by a cathider(spelling) with ran numbing medication so I could stand the CPM Machine. The CPM Mach. after a 4 day stay in the hospital was sent home with me and I did have great success with getting my range of motion back, I had no ROM to speak of prior. I posted on the RSD fourm because I was diagnosed with RSD prior to the surgery I just explained. The doctors where wonderful got my RSD somewhat under control, using blocks, meds etc.. I felt great because I did have my arm back, but after about 9 months after the surgery I developed or it never went away pink/purple spot in the interion side of my elbow just where it bends. Now for 3 1/2 years I have been treated for RSD claiming the pink/purple area is a trigger. I have had 3 - 5 day ketamine procedures, each followed by the normal boster protocal except for the first one. I apologize for going on but I wanted to give the best picture. Now to the question: I have typical RSD symtoms which at times have spread to other area's of my body and always respond to the ketamine treatments except for this one area on the interior of my elbow. I have some swelling in that area, very sensative, I keep an ace bandage on and it helps with the pain tremendously, the pain continues down my arm to my wrist and into my fingers. The only pain that is not off and on is the interior section of the elbow the arm and wrist comes and goes all day. I sometimes have shoulder and side neck pain. I have been told by a very good neurologist and well known that at this point I should not be seeing what we are all seeing in my elbow. He has not given me an opinion yet but what are your thoughts? Thank you.
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In brief about RDS---
Reflex sympathetic dystrophy (RSD) or complex regional pain syndrome (CRPS), is a chronic, painful, and progressive neurological condition that affects skin, muscles, joints, and bones. The syndrome usually develops in an injured limb, such as a broken leg, or following surgery.
RSD/CRPS is characterized by various degrees of burning pain, excessive sweating, swelling, and sensitivity to touch.
RSD/CRPS appears to involve the complex interaction of the sensory, motor, and autonomic nervous systems, and the immune system.
The goals of treatment are to control pain and to maintain as much mobilization of the affected limb as possible. An individualized treatment plan is designed, which often combines physical therapy, medications, nerve blocks, and psychosocial support.
hope this gives some idea.