The wrist was cut by a metal piece, leaving only a small portion of the nerve intact?
I apologize, but I would like to ask about a family member who cut their wrist with a metal piece.
The doctor mentioned that one of the nerves is almost completely severed.
When we took him to the clinic for a dressing change, the doctor mentioned microsurgery.
I'm not sure if that is still an option for him since the injury occurred on July 13th.
Additionally, are there any supplements that could help with nerve repair?
Ying Ying, 20~29 year old female. Ask Date: 2018/07/16
Dr. Lai Zhaokang reply Neurosurgery
Hello: You should take your family member to the hospital to see a neurosurgeon for an assessment of the extent of the injury and to determine if microsurgery is necessary.
Best wishes, Neurosurgeon Lai Chao-Kang.
Reply Date: 2018/07/16
More Info
Microsurgery can indeed be a viable option for repairing a severed wrist nerve, especially if the injury is recent and the nerve ends are still viable. In your case, since the injury occurred on July 13, it is crucial to seek evaluation from a specialized hand surgeon or a neurosurgeon who has experience with nerve injuries. The sooner the surgical intervention is performed, the better the chances of successful recovery.
When a nerve is severed, the body has a limited ability to heal itself. Nerves can regenerate, but this process is slow and may not always restore full function. Microsurgery involves using specialized techniques and instruments to repair the nerve ends, allowing them to reconnect and potentially restore some degree of function. The success of this procedure depends on several factors, including the extent of the injury, the type of nerve involved, and the time elapsed since the injury occurred.
In cases where only a small portion of the nerve remains, as you mentioned, the surgeon may need to perform a nerve graft. This involves taking a segment of another nerve (often from a less critical area of the body) and using it to bridge the gap between the severed ends. This can provide a pathway for nerve regeneration.
Post-surgery, rehabilitation is crucial. Physical therapy can help improve strength and function in the affected area. The therapist may use various techniques, including exercises to enhance mobility and strength, as well as modalities like electrical stimulation to promote nerve healing.
In addition to surgical intervention, certain supplements may support nerve health. Vitamin B12 is known to play a role in nerve repair and regeneration. Other nutrients such as omega-3 fatty acids, alpha-lipoic acid, and antioxidants may also contribute to nerve health. However, it is essential to consult with a healthcare professional before starting any supplementation, as they can provide personalized recommendations based on your family member's specific condition.
Overall, the key steps to take are:
1. Consult a Specialist: Schedule an appointment with a hand surgeon or neurosurgeon as soon as possible to evaluate the injury and discuss potential surgical options.
2. Consider Microsurgery: If the surgeon deems it appropriate, microsurgery may be performed to repair the nerve.
3. Engage in Rehabilitation: After surgery, follow a structured rehabilitation program to maximize recovery.
4. Nutritional Support: Discuss with a healthcare provider about incorporating supplements that may aid in nerve healing.
It's important to remain hopeful, as many patients experience significant improvements after nerve repair surgery, especially when timely intervention is taken.
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