I can't type much as it hurt's.. so cut a long story short!
I've been weight lifting for 4 year's, 7 month's ago i was isolating my forearm's alot more.. i starting getting dull aching pain in my forearm's, i ignored the problem, it got to the stage where i got buring tingling sensations through out my whole forearm and tingling in finger's *double crush injury*? i havent workout snice 7 month's ago.. i had physio treatment, it didn't work... they sent me to see a plastic surgeon who deals with nerves, he gave me steroid injection's, i went back 3 week's later as no inprovment, and was giving another injection in both forearm's... 6 week's later still no inprovement, seeing him next week..
I'm really unsure what step to take now, it's got to the stage where i can't plays sport's do all the things i really enjory... should i ask for nerve conduction studies for the next step, and if surgery is needed is that my last resort?
Here's my referrals, hope this helps..
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.
Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information. We do not review referrals or imaging as part of our role on this forum, therefore, my discussion will be limited to the information you have directly provided above.
Double crush injury is a term used to described more than one site of entrapment of a nerve in a limb. The exact nerve affected would depend on the exact distribution of the pain and tingling. In weight lifters, nerve entrapments can occur between different muscles (the nerves in the limbs pass through several structures including muscles and below or above ligaments and can be entrapped there, particularly when the muscles are enlarged, as in weight lifters). Repetitive pressure on the nerve can certainly lead to more permanent injury to the nerve. Sometimes, surgical release is minimally invasive and can help prevent further nerve damage.
Evaluation by a neurologist with specialty in neuromuscular medicine is recommended, as well as evaluation by a sports medicine specialist. An experienced neuromuscular specialist will be able to assess the site and extent of nerve injury and make further recommendations. As you mention, nerve conduction studies are useful in such evaluations.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
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