Neuropathy - distal median nerve
Pain in the wrist or hand that wakes you up at night
May be severe Pain may be felt in other areas, for example in the upper arm (this is called referred pain)
Sensation changes in the thumb and pointer (index), middle, and part of the ring fingers, such as:
Weakness of the hand that causes you to:
Drop things Have difficulty grasping objects
Signs and tests
Your doctor will examine your wrist and ask questions about your medical history. The examination may show decreased sensation in the thumb side of the hand. This is called the "radial" side. There may be weakness of the thumb and difficulty using it to pinch.
Tests that reveal distal median nerve dysfunction may include:
Nerve conduction tests
Tests are ...
Transcutaneous electrical nerve stimulation (TENS) involves putting electrical currents into the tissues of the body. It may sound like a torture device. But it is actually used to treat pain. Doctors don't know exactly how it works. It is thought to create a sensation that overrides the pain sensation in the brain. These researchers tested TENS in patients who had a total knee replacement (TKR). TKR can be a very painful surgery. But medicine such as morphine shouldn't be heavily used in TKR patients. Too much morphine after surgery can cause other problems, such as nausea, vomiting, constipation, and reduced lung function. For this study, TKR patients were divided into three groups. For the first 24 hours after surgery, one group got the standard self-controlled doses of pain medicine. The second group got standard pain medicine plus TENS. The third group got pain medicine and false TENS treatments. (The wires were placed into the bandages rather than onto the body.) The researchers tr...
With co-pays, deductibles, and bills to pay, it seems like everyone is in a pinch lately. And although medications are effective at reducing pain in a pinch, I would like to focus on some other products that help control the vise-grip of pain. To effectivley manage your pain, you can't just rely on medications; that would be like building a house with just a hammer.
One of my favorite tools against aching, all-over pain is the zero-gravity chair. In fact, I cried when I tried it because for the first time my pain melted down a couple notches. Time and time again, patients try the zero-gravity chair in my office and fall in love.
The key is your body's position that minimizes the effects of gravity. Your back is parallel to the floor and the hips are bent with the knees supported above your chest. It is the same position the astronauts are in before blast off. No ordinary recliner will do because the hips and knees must be bent to place the knees above the che...
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