Radial Nerve Palsy, injury - WRIST DROP . Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describing the condition known as radial nerve palsy.
The radial nerve originates from the posterior cord of the brachial plexus. Radial nerve injury results from acute trauma or compression of the radial nerve.
Condition is often referred to as
•Saturday night palsy: alcohol is sometimes a factor as person falls asleep with the back of their arm compressed by a chair back, bar edge, etc.
•Honeymoon palsy: from another individual sleeping on one’s arm overnight, compressing the nerve.
•Crutch palsy: compression on nerve from walking with crutches.
The radial nerve supplies the extensor muscles allowing for extension of the wrist and fingers in addition to supplying the triceps that extends the elbow. If the muscles are not working properly, the patient will experience the condition known as “wrist drop”.
A radial nerve injury classically occurs by fractures involving the distal third of the humeral shaft. The patient will be unable to perform the “hitch hike” sign.
If the nerve is compressed at the axilla, the triceps muscle will be affected. Patient will not be able to extend the elbow in addition to wrist drop.
Treatment of radial nerve palsy
•Brace, cockup splint
•Physical therapy to help maintain the muscle strength and avoid contracture.
•EMG and nerve studies:
Brachioradialis is the first muscle to recover.
Can be done as early as three weeks and follow the progress.
•Nerve exploration, repair or graft: nerve exploration:
Nerve exploration is indicated in open humeral fracture with radial nerve palsy or in conditions that have had sufficient time without nerve recovery.
•Tendon transfer if nerve cannot be repaired or the function cannot be restored.
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Thank you! Spread the word
It is my pleasure, please share the videos with your friends and family!
Thank you so much for these videos. Your videos are very helpful as an OT student. I appreciate that you include physical therapy in your recommendations for treatments of a variety of conditions; however, it would be amazing if you could also mention the importance of occupational therapy in treating these conditions, especially upper extremity conditions. I think OT is often overlooked and it is a vital part of a patient's recovery. Thanks again for everything!
Thank you for sharing.
Thank you.
Thank you for sharing! Spread the word and keep watching for new videos!!
@mdyounus5228
2 жыл бұрын
Sir please number me
@Tebraheim thanks
Thanks
Thank you so much for the brief, but very informative overview!!
Excellent!!! Wish all teachers were like this
After four monts I lost the wrist drop. I can move my wrist up now. I imagine I will have a full recovery within the next two months.
@sailormoon9480
3 жыл бұрын
Congrats hope I recover soon, what were the signs of recovery or just randomly came back?
@jasonaquino8232
3 жыл бұрын
@Sailor Moon No it will not be sudden. Signs of recovery will depend on your habits. I use a computer all the time, so typing and using a mouse has become easier. From a mental perspective, you need to accept the fact this is going to take a long time to heal. Nerves are a bitch if they get bruised. Or if you have a bone fracture in your radial nerve area that is suppressing the nerve, meaning the nerve is bruised. Another sign, which will sound weird, but if you scratch the side of your head with the hurt hand, it should feel really weak, and difficult. Signs of improvement will show that you can do this more normally and with more strength. Cutting fruit is also a sign of improvement if you feel you have more power to cut said fruit, like a lemon or orange. Either Way, assuming the nerve was not severed by a bad cut, or some other trauma you WILL HEAL. Like I said I can finally move my wrist up, and that is the sign to full recovery. I don't have wrist drop, but I am not fully recovered. My hand is still fairly weak. Meaning I could not lift a weight without a wrist splint yet. The bad news, this could take up to six months to heal, the good news you will heal. I like this channel, so I can tell people they are not screwed. When I first went through this, it was scary, so I want to tell people not to freak out. Others on this channel have reported full recovery as well. Hang in there, wear your wrist splint all the time. And try to use your hurt hand as much as possible for normal activities. and I do not advice seeing a doctor anytime soon. I did, because I was scared and they did nothing for me, they did not even know what they were looking at. Then I got slapped with a $3,500 hundred dollar bill for nothing. This heals on it's own. Just get a couple of good wrist splints. And use your hurt hand as much as possible, to a comfortable degree. Last thing I will say, if you have numbness on your thumb, upper hand or anywhere due to the injury, do not worry it goes away. That scared me alot.
@sailormoon9480
3 жыл бұрын
@@jasonaquino8232 thank you I have had wrist drop for 7weeks now after a humerus fracture but I have had some minor improvements compared to my first week so that's a good sign...also the burning pain I had in my hand is gone just the tightness and numbness is what I feel around the fingers. I use a splint and I have therapy balls I got off Amazon. My strength is pretty weak though.
@elsajimenez3914
3 жыл бұрын
Thank you for this information.
@lukemills5210
3 жыл бұрын
Thanks for the info. It's been almost 3 months for me and still not much improvement. But I'm confident it will come back.
keep at your therapy, Thanks for sharing
@papagallavasudev9936
3 жыл бұрын
It's better forhandpisioteraphyeqipment
@papagallavasudev9936
3 жыл бұрын
How do Igetthiseqipmentplease .
thanks for a great video. i have been trying to explain to family what I'm experiencing with the hope that would offer compassion not disdain ans suspicion. This is the 2nd time in last 8 months I have wrist drop.
Excellent!!! Wish all teachers were like this...
@MrRiders6 thank you this is in B Plexus program .i am finishing it
Thank you, my mother just got this today from working too hard as a masseuse and she's freaking out.
Thank you for making this understandable.
Thanks for the reply, glad you're nearly all better. Here's a little tip I found has really helped me since starting it yesterday for anyone suffering from it. Most mobile/cell phones you can set multiple alarms for. Set an alarm every few hours throughout the day and evening to do some wrist exercises and get in to a routine.
very great lecture video! :D Thank you...DR
I'm a week into this passed out at the computer. They have me on steroids and a split. It's very stressful since my work is now limited. Praying we can all give each other night fives and a thumbs up soon.
@Canubis2k
10 жыл бұрын
same boat brother... 100 words per minute down to 1....
@EastSideRider718
6 жыл бұрын
My mouse hand is fucked due to passin out on a comp lol fucking gamers nightmare
@Jointanatomy
4 жыл бұрын
how are you guys today? Fully recovered right?
@zac3740
3 жыл бұрын
@@Jointanatomy took 6 months for me to regain use, but i'm 100% recovered now after a serious pinch to my radial nerve. terrifying stuff initially. hoping these words help someone in the same situation! 🙏
@jasonaquino8232
3 жыл бұрын
I don't suggest taking steroids. just time and a couple of wirst splints.
I got this after falling asleep in my office one night. Woke up, and had to deal with this for almost 8 weeks.
Tendon transfer is not the only option. A nerve transfer is an option. Two branches of the median nerve to radial nerve. FDS to ECRB wrist extension, and FCR to PIN finger extension.
Mine develpoed as a post operative condition following carpal tunnel repair on the radial nerve using a radial axillsry block as anesthia. I woke up in severe pain in the recovery room. My surgeon had already gone and left me in his partners care. I was in so much pain they could not release me from the hospital and it was supposed to be an outpatient procedure. No one seemed to know what was wrong. When my durgeon returned to work he knew immediately what was wrong. The pressure of the wrist drop was pulling on the axillary section of the radial nerve causing severe pain. He orderedca brace to be put under the cast my wrist was in and the pain stopped almost instantly. It took almost a year of intensive therapy to regain 90% use of my hand . There are still certain movements I can't make, like the boy scout salute or counting to 3. This can be a debilitating nerve injury and should be monitored if it doesnt heal after a few days.
thank you for this information !!!!!
@MsMedic1972 check if the EMG HAS ANY RECOVERY IT SOUNDS LIKE YOU NEED TENDON TRANSFERS
Thank you
Three weeks ago, I had a horrible snowboarding accident that lead to a broken humerus. After a 3.5 hour surgery, I was unable to feel or move my wrist and fingers. The doctor diagnosed it as radial nerve palsy. I’ve been going to physical therapy and doing exercises every day. The feeling and movement in the wrist are slowly coming back, but the fingers… not so much. i can’t make a thumbs up, or extend my fingers at all. It’s been hard, and there’s been some depressing moments. Reading the comments in this section makes me realize that I’m not alone. Just gotta keep working hard and being patient.
@lacascadaobregon
Жыл бұрын
Hey Luke, I'm in a similar boat. I fell asleep on a computer chair with the arm rest jammed into my arm pit. I woke up with my right arm feeling numb. I was unable to move my wrist upwards or extend my fingers. Yeah it's been insanely depressing man. It's been a month and I can now extend my fingers. My wrist still has the characteristic "wrist drop". I've been doing physical therapy twice a week. The neurologist is like 3 months out. I have been trying to find an answer online to no avail. How is your hand now? It's been like 7 months since you posted
@alecumihnea
Жыл бұрын
How are you now?
@alecumihnea
Жыл бұрын
@@lacascadaobregon hey, how are you now?
@John-oz3bq
5 ай бұрын
Any update ?
@Rehan.c99
Ай бұрын
Me too 😢
Good video, simple and clear
Wanted to share that I got Saturday night palsy. Can initially be scary when you read online it takes months of recovery in even mild cases. Not necessarily true, there is a huge variance in recovery times. For me it took 4 weeks for full recovery. Was dominant hand and I live in China so couldnt eat with chopsticks or cook for a week and a half. But gets better!
thank you for your video..very educational..keep on!
@MrVickydoc thanks
Great video, very informative!
Great videos for anatomy preparation 👍
It is not proper to diagnose or treat via the internet. If you can visit Toledo, Oh, I would love to take a look and see what your options are.
@chikali63 it can happenen without broken bones checkemg and nerve study
really it was difficult for me to understand nerve injuries as a medical student and you made it so easy , so I wanna thank you for this great videos and I hope you make a video about nerve examinations like card test in ulnar n. inj., pen touch test in median n. inj. , ..... etc. thank you again
@naomi13jf great ,check shoulder dislocation a new and very good for the students and residents
Wonderful Video. I like it! Even honeymoon nerve palsy!
I was passed anatomy exam easyly because of the ur video sir,it was easy to understand short and sweet. Write a book sir
thank you very much for this very useful video!
@saefrdf you may need tendon transfers
@MrDoctorArif thanks
Your video was extremely helpful
hey guys, to anyone freaking out from sleeping or pressing on the nerve.. CHEER UP. GOOD NEWS! It goes away! It did take six months for me though and it was hell! Bless! There is a light!
@fikrihelminugraha
5 жыл бұрын
Zac what kind of treatment you did?
@Jointanatomy
4 жыл бұрын
I didn't have to go to work for 8 weeks so for me it was a miracle. lol
@Nada-wq7tb
3 жыл бұрын
Hello, when did you start seeing first sign of healing? I’m on week 7 but no progress. It happened from humerus fracture
@zac3740
3 жыл бұрын
@@Nada-wq7tb i started seeing results around the 3 month mark i believe it was. Make sure to take b vitamins (spirulina is a good option) and also if you can , use electric stimulation on it! I had just severely pinched my nerve - not a full blown sever. Stay optimistic! Everyone's journey is different! It's one of the hardest things you'll go through! I have 100% full function of my wrist again.
@zac3740
3 жыл бұрын
@@fikrihelminugraha I'm sorry, just now seeing this. I used multi B vitamins and electric stimulation EVERY DAY! Mind you, i just severely pinched the nerve, not severed. 6 months later i had a usable wrist and now several years later i am back to 100%.
جزاك الله خيرا يا دكتور
@naomi13jf who teaches you ortho ? i may be able to help your medical school i studied the island it is as good as cyman island or even better thanks
I had this at the end of january after probably passing out in my own bed after too much alcohol. The first doctor gave me a brace, and told me I would get up to 90% of the functionality back in 6-8 weeks. I think it took 13 weeks. Everyday tasks sure became much more troublesome.
hi , I wanted to share my bitter experience. I had suffered from radial nerve palsy after I fell down from my motor bike and broke my right hand humerus. It was in Last august 2014. It was so painful both physically and mentally as doctors have not given any time frame of recovery. I was worried, and thinking what if I can not recover. This video here gave my insight about my injury and the comments the hope to fght back. I had gone through physio therapy for 3 months and finally recovered from it and able to work normally. I even started driving my bike in due course. I really feel grateful for my physio for his help and positive talk. I had to use dynamic cockup splint though it looked very awkward when I was using for typing on keyboard and doing exercise . Advise all the fellow injured to keep your spirits up and believe that you can recover fully from this.
@basavarajkatti8025
8 жыл бұрын
How long did it take for complete recovery?
@krishSundar
8 жыл бұрын
Hi Basav, it can be anywhere between 2 months and 6 months depending on the extent of nerve injury. Also I came to know that one will recover completely even if the nerve is damaged about 70%
@basavarajkatti8025
8 жыл бұрын
Hi Krishna, I have already crossed 4 and 1/2 months, only able to move my wrist up and down (70% compared to healthy hand). But no fingers extension yet. Thanks for your words. Hoping for the complete recovery.
@Nada-wq7tb
3 жыл бұрын
Hello, when did you start seeing first sign of healing? I’m on week 7 but no progress. It happened from humerus fracture
@kazmyldz5689
2 жыл бұрын
@@mr_ah9d iyileştinizmi nasıl yaralanmıştınız
its to good to understand the wrist drop.
@Tublokque you need to see pain mangement
You should have a EMG nerve studies completed.
In high lesions, such as in fractures of the humerus (particularly mid-shaft fractures where the radial nerve lies in the spiral grove), or due to prolonged tourniquet pressure, there is weakness of the radial extensors of the wrist numbness over the anatomical snuff box. They are also seen in patients who fall asleep with the arm dangling over the back of a chair ('Saturday night palsy').
great video!
you are amazing, thankyou. learned alot!
excellent sir
Anybody watching dis n having doubts keep pushing I made a full recovery frm dis only thing I can say now is my arm get tired real fast then normal, n for the people who freshly broke it keep to ur rehab everyday put ur wrist over a chair n try to lift it everyday u will see progress it may hurt at first dem sharp pains u gon feel frm ur nerves feel like ur arm on fire but keep fighting, it started wit my thumb which came back first then so forth
I had this April last year and was on a splint for almost 3 months. The nerve will be repaired after 3 to 6 months.
@smokinthepot not sure of the complete answer some of the info is true
I got a touch of that Saturday night palsy. Only been about 4 days. Ordered a splint and am doing exercises. Trying to use the affected arm often. It’s also my dominant hand, makes things quite difficult.
@sailormoon9480
3 жыл бұрын
How are you now
GOOD LUCK
@normansgal thanks
@chikali63 need to see a doc
Thank you very much doctor 🧡🧡🧡🧡🧡
@naomi13jf where is Seychelles sorry fo the question
@naomi13jf thanks are you student ? or orthopedic resident ? this is a geat goup of videos ,our residents are very smart
It is controversial subject on whether or not the nerve will recover on its own. After three weeks you should have an EMG (nerve conduction study). If the nerve is not cut, there is a good chance of recovery.
@kazmyldz5689
2 жыл бұрын
Kesilirse iyileşmezmi
It's amazing
A year ago I had this accident wherein I broke My left Ulna. Two weeks later I got this Radial Nerve palsy. I can't move any of My fingers and at the same time I had this wrist drop. My doctor said I need a surgery to have titanium plate in My broken bone and suggest to have a NERVE EXPLORATION to fix My radial nerve palsy. Months after My surgery I still had this Radial nerve palsy despite of having Nerve Exploration procedure. But with the help of My friend who is a Physical therapist I got My wrist and fingers back to normal. Thank God. 😊
@kazmyldz5689
2 жыл бұрын
Sinir kesilmişmiydi
Yes thank you for your story. I have been experiencing wrist drop for 2 weeks now and it is scary.
@iridium5122
4 жыл бұрын
Did it go away?
@wajid.ali.555ali8
4 жыл бұрын
Hi sir i have also sem problem my wrist drop how can I recovere my hand please sajust me
@wajid.ali.555ali8
4 жыл бұрын
Hi
@sailormoon9480
3 жыл бұрын
@@wajid.ali.555ali8 how are you now
few more weeks if the wrist extensors recovered then the finger extensors will recover
thanks
get the EMG AND WAIT IT SHOULD RECOVER
@sajjadkambho1022
3 жыл бұрын
@nabil ebraheim who should I consult for this issue my son have this problem from last week and I am very worried about this.
Good, thanks
Thankyou doctor❤️👍
VERY NICE !!!!!!!
thank you nice video
@drrobgreig THANKS
thanks!
@slatkey2003 thanks
@MsMedic1972 where do you live
@pudduxita thanks
greetings from malaysia, thank you so much.
This just happened to me two weeks ago after waking up in the middle of the night in my computer chair. I have right wrist drop and have gone for CAT scan and MRI. Dr. has scheduled me for an EMG and physical therapy. Your video was extremely informative and I appreciate the time and effort and of course your experience and knowledge. Thank you very much.
@Hello-ig1px
2 жыл бұрын
damn same exact thinh happened to me! i spoke to a doc on the phone first (cuz COVID) and he told me i had to go to an ER for brain scans or possible nerve/muscle dmg. i saw my co-pay was $150 + $200 deductible, so i was like f***. then i decided to just go to urgent care and surprisngly i saw a doc like 2 hours later. the doc i saw said the same as on the phone and sent me to a specialist. the specialist's nurse gave me x-rays (they say they have to do x-ray before MRI). 2 minutes after my x-ray, the specialist walks in and immediately tells me i have Radial Nerve Pallsy and give me a wrist brace/ splint. The fact that your doc's didn't catch this before you had a CAT & MRI scares me
@Hello-ig1px
2 жыл бұрын
btw he said ill be good in a week and it has been like 3 days and i already am like 50% recovery!
@GrimeSpreeStudios
2 жыл бұрын
same thing happend to me. I can feel my fingers ect but cant extend fingers or lift wrist up.... did u recover
@krystalhernandez4692
2 жыл бұрын
Did it come back I’ve been lik this since my coma n woke up in September
@rohitsingh4500
2 жыл бұрын
Hey bro...i just damaged my radial nerve .. can u suggest me what therapies did u take?
@Coeusful great
This happened to me April 13th, as of today june20th, about 9 weeks I can extent my hand with fingers straight parallel with arm but I still have no strength to my wrist. I've read that the full healing starts at about 3 to 4 months
thank you for the video, what happens if its a low lesion? would the patient get wrist drop? and what about the interrosei nerve that branches off at the elbow, would that not allow a patient to retain function?
@itsbeckybtw 4 to 5 month
Im glad to hear this should go away. Been 2 weeks for me now having this problem . I thought it wasnt going back to normal ever. Glad to hear other people have it return to normal. praying mine does too soon!
@sailormoon9480
3 жыл бұрын
How are u now
I had this for a little over 3 months, all better now! Don't worry, it goes away 99% of the time!
@MBE_KB
4 жыл бұрын
Should I go to the hospital?
@jasonaquino8232
3 жыл бұрын
Really? I got drunk and fell on my hand..and I may have slept on it wrong..did you have wrist drop? Did you have numbness? I have this. Its been about a month now. A doctor told me I should be ok. But did you see signs of recovery before the 3 months? I know alot of questions...but I want to talk to someone who has actually experienced this....did you just wear a wrsit splint like I am?
@zac3740
3 жыл бұрын
@@jasonaquino8232 Hey bro, sh*t happens! lol.. our stories are very similar! 😅 All in all it was 6 months of recovery for me until I could "use" my left hand again.. a few more weeks until it was 100% I started seeing improvements around the 3 month mark. Make sure you take a multi B vitamin! it's no fun, but it WILL get better as long as you just pinched the nerve. Severe pinches may take up to a year to recover fully! Let us know how you're doing!
@zac3740
3 жыл бұрын
@@MBE_KB for anyone reading this, YES! you should seek a medical professional! this injury can range from a simple pinch to permanent damage to your nerve. they can run tests to see how your radial nerve is doing.
@jasonaquino8232
3 жыл бұрын
@@zac3740 Thank you very much for your reply. Its nice to actually talk to someone who has this condition. Doctors don't know anything. In a week or so, I will hit the three month mark. The numbness seems to be going away, but honestly no real improvement yet. Yeah I expect this to take six months at this point. All keep in touch. Thanks again, means a lot.
@saefrdf tendon transfer find a center near you
Long back I've seen this video. And now ive got the same problem. Can you please suggest me what step should I've to take next. Should i need to take surgery for it??? Please do answer
Any medicine or treatment can cure this ??? my brother suffer this disease he cannot stand his hand after his serious accident
may need tendon transfer
Sorry but it is not appropriate to diagnose/treat over the internet. Each person's healing time is different.
Got this August 14th, last week was the first time i noticed any improvement and could slightly move my fingers up. Seems to get slightly better as each day passes. It sucks, but things could be worse.
@tomgears6508
9 жыл бұрын
Hey wondering how your recovery has gone? It happened to me last week Jan 11th, 2015. I have regained most finger function still cant extend them all fully. But I can all ready lift my wrist slightly. Is that the first stage of recovery? Just gradually gets better over time? Or did it reconnect "spontaneously" with a more sudden usage ability? Thanks for your time.
ya sir excellent
I’m experiencing this right now, I don’t drink but fell asleep on my desk chair for hours and woke up with a left arm wrist drop and went to the ER the day after Easter. I’m also left handed so hopefully wearing the brace and self therapy helps with recovery.
@ashleylowe2555
Жыл бұрын
hey, I’m actually experiencing the same thing, from the same reason. How long did it take you to get better?😢
@lacascadaobregon
Жыл бұрын
@@ashleylowe2555 Hey What's going on. Similar story. I woke up with my right arm feeling numb. Went to ER, told it was Saturday Night Palsy. at first, I was unable to move my wrist upwards or extend my fingers. It's been a month and I can now extend my fingers! My wrist still has the characteristic "wrist drop" though. I'm being told that after the nerve decompresses I will see signs of recovery in my wrist. Are you unable to move your wrist/fingers too?
@user-gj3lk8il3r
Жыл бұрын
@@lacascadaobregon how are you now
@user-gj3lk8il3r
Жыл бұрын
@@ashleylowe2555 how are you now
Thank u
i am diagnosed wrist drop by my orthopedics surgeons. he prescribed me some medicine i.e. inj. methycobile, syngap and cockup splint. after 2 weeks passed no improvement found at yet. should i go for surgery or wait. please anybody help me out.
Mine lasted 6 weeks before the nerve compression healed thank God
@zaker.o
Жыл бұрын
hey man, how did you find out that it was nerve compression and not nerve damage? I had a surgery 19 days back and got a wrist drop. i can now slightly lift my wrist but no strength on the fingers. Tell me about your experience.
@alecumihnea
Жыл бұрын
@@zaker.o if you can move your wrist upwards it means that the nerve is not cut, and this means that you will heal
@zaker.o
Жыл бұрын
@@alecumihnea hey, by moving my wrist upwards I mean I can move from dropped position to a position that is not a "traffic police stop" sign. Like my hand's upper part is in same position as my forearm with fingers still dropped. Do you think it will heal? I just got back from NCV test and it says my radial nerve is not responsive in my upper limb and forearm. So I'm still worried.
@alecumihnea
Жыл бұрын
@@zaker.o any movement is good
@na2939
Жыл бұрын
@@zaker.o hi..any improvement ? im so worried ..i got radial nerve palsy 4 weeks back....there is no strength in right arm anf cant move my middle finger...plz tell me yr course of treatment