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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...
“Sciatica” is an old world term that refers to leg pain felt down the back of the thigh into the calf and foot. What about thigh pain? What about buttock pain? Unfortunately, “sciatica” has been wrongly applied to all types and locations of leg pain. In 1948, the use of the word “sciatica” was declared “unhelpful” by a leading orthopedic specialist because it is limited to a certain location and really does not address the origin of the pain. Over the years, many older medical terms like sciatica have become archaic as the newer research technologies give doctors clearer definitions and a better understanding of the human body. Leg pain that comes from the low back is most accurately categorized as referred pain or neurogenic pain. These terms apply to all locations and address the origin of the pain. With these newer terms, the antiquated word, “sciatica”, has no place in the modern world. Sally has been waking up with right ...
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