The Upper Hand: Chuck & Chris Talk Hand Surgery My Hardest (recent) Case: Revision Ulnar Nerve
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Jul 18, 2021 Join the hosts as they dive into a challenging case of revision ulnar nerve surgery. They discuss the intricacies of cubital tunnel syndrome and the nuances of diagnostic tools. The episode highlights surgical techniques and how incision size impacts nerve alignment. Listeners will also gain insights into nerve conduction studies, EMG findings, and the complexities surrounding ulnar neuropathy treatment. With an emphasis on careful evaluation and patient care, this episode is a treasure trove for anyone interested in hand surgery.
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Post-Traumatic Nerve Pain Case
- A patient with a prior subcutaneous ulnar nerve transposition returned with intense nerve pain after an elbow injury.
- Her symptoms included burning pain and finger radiation, indicating nerve irritation post trauma.
Medications and Therapy for Nerve Pain
- Start nerve pain treatment with gabapentin or pregabalin despite side effects.
- Consider expert therapy for local nerve calming and patient support while managing expectations.
Therapy and Activity Modification
- Use therapy early to quiet nerve symptoms and provide patient support.
- Limit work-related activities if possible, especially in work comp patients with nerve irritation.