Radial Tunnel Surgery

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  • Опубліковано 7 лис 2014
  • www.handandwristinstitute.com/... - When the radial nerve becomes entrapped as it passes through the upper part of the forearm, this is known as Radial Tunnel Syndrome. It is most often caused by everyday activities, especially those one finds working in an office (i.e. keyboard use, mouse, etc.) as well as strenuous physical exercise and lifting weights.
    On its way across the upper radial side of the arm, the radial nerve engages several muscles in the elbow, where it can become compressed by various structures , most often the supinator muscle. From this compression, pain radiates downward towards the wrist, affecting the entire forearm. Occasionally, wrist pain without specific cause such as trauma may be present, and this can indicate entrapment. It is also common to see this in conjunction with tennis elbow, and it is important to determine that it is not solely that to ensure proper treatment. Unlike carpal tunnel and ulnar nerve entrapment, tingling and numbness are not generally symptoms of radial nerve entrapment.
    As with many upper extremity conditions, rest, anti-inflammatories and bracing, as well as workplace modification, can be effective in treating the symptoms of RTS.
    Surgery may be necessary if conservative treatment fails to relieve symptoms. A relatively short outpatient procedure is required, in which the supinator muscle is released, but because of the involvement of the biceps muscle, loss of function is not an issue here. A larger incision is preferred because it allows for sufficient compression at all areas that are affected by RTS.
    Three weeks of immobilization will follow the surgery, as well as several more weeks of therapy, which altogether means a recovery period of about three months. The success rate for this type of surgery is about 90%, with a general return to full function.
  • Наука та технологія

КОМЕНТАРІ • 33

  • @DekarNL
    @DekarNL 4 місяці тому +1

    I have surgery planned after 5 years of seeing many doctors for my forearm pain. This is so often overlooked.

  • @srq6666
    @srq6666 9 років тому +1

    Very nicely explained thanx a lot!

  • @king-ew6rl
    @king-ew6rl 2 роки тому

    Wow thank you so much for your lecture ,, I hope you will do many more videos live this

  • @ineedachair
    @ineedachair Рік тому +2

    good luck to everyone who has this. it's basically ruined my life.

  • @workingclassdoctors
    @workingclassdoctors 11 місяців тому

    Nicely explained 👍

  • @cliffburton5696
    @cliffburton5696 7 років тому +1

    Can tight extensor carpi radialis longus and brevus contribute to this?

  • @sheroebo3346
    @sheroebo3346 6 років тому

    how long do you have to wait before make the operation?

  • @violetta6280
    @violetta6280 2 роки тому +2

    I think I might have this condition. What kind of tests / scans do I need to be asking my dr to give me referrals to?

  • @Doobihowser
    @Doobihowser 5 місяців тому

    I had a piece of 'gristle' almost the size of my pinky strapped across my radial nerve. My Dr had done hundreds of these surgeries, and claimed mine was the worst he had ever seen.

  • @dennismartin3312
    @dennismartin3312 3 роки тому

    My issue is that the muscle gets hard and sore, pain can make my arm ache down to the wrist. It only happens while sleeping. I get up and the muscle is like a charlie horse or cramp the takes days to tone done.

  • @1018Stacey
    @1018Stacey 5 років тому +2

    Wow, I am so glad that I came across your video. I was just diagnosed with Radial Tunnel Syndrome last Tuesday. I did get a cortisone injection in my upper forearm last week. I am currently doing my own physical therapy at home. I am having trouble with the palm up exercises. I fractured both my Ulna and Radius in my left wrist last Feb. Is it common to maybe get Radial Tunnel Syndrome after fracturing your wrist?

  • @ahmedmudheher9798
    @ahmedmudheher9798 3 роки тому

    I had a cut in the radial nerve from under the triceps muscle and I had a nerve ligation operation 5 months ago, and I have not yet reached the healing stage. I can know how long it takes to restore the movement of the palm to its previous state Please I need help

  • @supernova7799
    @supernova7799 Рік тому

    Both..

  • @gmhins011
    @gmhins011 4 роки тому +4

    Hey Doc
    Great video. When you fully recover from either resting or surgery. Can you go back to working out the same way you used to. In my case it would be bodybuilding style work outs. I obviously know to ease into it. How can I prevent this from happening again?

    • @WiFiTube
      @WiFiTube 2 роки тому

      Did you cure it? And are you still bodybuilding?

    • @gmhins011
      @gmhins011 2 роки тому +1

      @@WiFiTube I was misdiagnosed…I ended up having a partial distal bicep tear. I had surgery and I am pretty much 100 percent now..and yes still working out

    • @WiFiTube
      @WiFiTube 2 роки тому +1

      @@gmhins011 thank you for your fast response! and have fun lifting weights. 🙂

  • @elizkaivey7449
    @elizkaivey7449 5 років тому +2

    Can pain from this condition radiate as high as the shoulder? My father was diagnosed with thus but he says his pain is much higher indicating possibly refered pain or entrapment higher up in the brachial plexus perhaps?

  • @ahmadchaudhry
    @ahmadchaudhry Рік тому +1

    Doctor is there any latest research on RTS... I have have the same issue from the last one year coz of gym workout

    • @fredrikfarkas
      @fredrikfarkas Рік тому +1

      Came here to ask the same

    • @ahmadchaudhry
      @ahmadchaudhry Рік тому

      @@fredrikfarkas i think by keep doing heavy lift exercises it gonna be fixed

  • @JJL-1962
    @JJL-1962 7 років тому +1

    Unfortunately, I had surgery five years ago and it didn't really help. I cannot perform any exercises that require me to bend at the elbow. It's frustrating because I like to stay in shape but can't. I think doctors should be up front and let their patients know that surgery may help alleviate some pain but may not eliminate it and that it could come back..

    • @lap1096
      @lap1096 6 років тому +1

      Hey i have the exact same problem! I also saw you commenting on another radial nerve related video. I also had radial nerve surgery but it didn't even help. I can't train in the gym for 2 years now...with every exercise i do my outer lower arm instantly starts burning. Do you already found a solution that helped you? :/

    • @MrUSPD
      @MrUSPD 5 років тому

      I believe I have radial tunnel syndrome as well but I am doing physical therapy and trying alternative methods, have you guys heard of peptides like tb500 that are supposed to heal injuries? Perhaps you could research those. Hopefully I do not have to get the surgery I really do not want to have it especially after reading both of your comments. I am hoping that the physical therapy will help me. I'm a musician so it is a big pain in the ass for me and it's been affecting me for 3 months, at first I thought it was tennis elbow and I've had three cortisone injections so far

    • @lap1096
      @lap1096 5 років тому

      @@MrUSPD If you are willing to try tb500, feel free to tell me how it went :p I don't really feel like using it because it think it's very unhealty though... I also doubt it would help :/

    • @jjsiegal1
      @jjsiegal1 4 роки тому

      Have you tried Somotropin (Growth hormone). I’ve used it and it healed three soft tissue tendon injuries that would not heal after one year of physical therapy. Check it out.

  • @sp34.
    @sp34. Рік тому

    They thought I had carpal tunnel, which I did but no symptoms. All my symptoms were from RTS. It took over a year for them to figure it out.

    • @DekarNL
      @DekarNL 4 місяці тому

      5y for me. Lost my job because of it I'm getting surgery in 2 weeks.

  • @danao1796
    @danao1796 2 роки тому +3

    Surgeons gonna cut, that is what they do. Exhaust all other therapies!!! Surgery should be a LAST resort. Imho, of course.