Hand Nerve Issues After Humerus Fracture Surgery

Hand nerves

I previously had a humeral fracture and underwent surgery.
During my recovery period, I frequently consulted my attending physician.
I have lost sensation in the area of my palm, specifically from the ring finger to the little finger (including the fingers), and this part has become less mobile.
Additionally, the nerves around my elbow joint, which normally require tapping to induce numbness, have become very sensitive post-surgery.
A light touch on the area with no sensation causes a tingling feeling, and pressing on it makes the sensation more pronounced, even leading to a burning sensation and slight tremors in my fingers.
It has been over two years since the surgery.

Xiao Si, 20~29 year old female. Ask Date: 2020/02/21

Dr. Zhang Junwei reply Neurosurgery

It is possible that a humeral fracture may result in nerve injury; therefore, it is recommended to consult a neurosurgery outpatient clinic for evaluation and treatment.

Reply Date: 2020/02/21

More Info

After undergoing humerus fracture surgery, it is not uncommon to experience a range of nerve-related issues, particularly if there was nerve damage associated with the fracture or during the surgical procedure. Your description of numbness in the area from your ring finger to your little finger, along with reduced finger mobility, suggests that there may be ongoing nerve dysfunction, possibly involving the ulnar nerve, which innervates these fingers.

Understanding Nerve Issues Post-Surgery
1. Nerve Damage and Recovery: Nerve injuries can occur due to trauma, surgical manipulation, or compression. When nerves are damaged, they may take a significant amount of time to heal, and in some cases, they may not fully recover. The healing process can be slow, and it is not unusual for patients to experience numbness, tingling, or altered sensation for months or even years after the injury or surgery.
2. Symptoms of Nerve Dysfunction: The symptoms you describe—numbness, reduced mobility, heightened sensitivity, and burning sensations—are indicative of nerve dysfunction. The ulnar nerve, which runs along the inner side of the arm and into the hand, can be particularly susceptible to injury during humeral fractures and subsequent surgeries. The fact that you experience increased sensitivity in areas that were previously numb suggests that there may be a phenomenon known as "allodynia," where normally non-painful stimuli cause pain.

3. Physical Therapy and Rehabilitation: Engaging in physical therapy is crucial for recovery. A physical therapist can provide targeted exercises to help improve mobility and strength in your fingers and hand. They may also employ techniques such as desensitization therapy to help reduce sensitivity in the affected areas. Regular therapy sessions can help facilitate nerve regeneration and improve functional outcomes.

4. Timeframe for Recovery: Nerve healing can vary widely among individuals. While some may see improvement within a few months, others may take years to notice significant changes. In some cases, if the nerve was severely damaged, surgical intervention may be necessary to repair it. Since you mentioned that it has been over two years since your surgery, it would be advisable to consult with a neurologist or a hand specialist to evaluate the current state of your nerve function and discuss potential treatment options.

5. Lifestyle Adjustments: In addition to physical therapy, consider making lifestyle adjustments to support your recovery. This includes avoiding positions that may compress the ulnar nerve (like resting your arm on hard surfaces), using ergonomic tools, and practicing good hand hygiene to prevent skin issues that can arise from reduced sensation.

6. Psychological Impact: It’s also important to acknowledge the psychological impact of dealing with chronic pain and functional limitations. Engaging with a mental health professional or support groups can provide emotional support and coping strategies as you navigate your recovery journey.

Conclusion
In summary, nerve issues following humerus fracture surgery can be complex and multifaceted. It is essential to maintain open communication with your healthcare providers, including your surgeon and physical therapist, to ensure you are receiving appropriate care tailored to your specific needs. If you have not already done so, consider seeking a second opinion or further evaluation to explore additional treatment options that may be available to you. Remember, recovery is a journey, and it’s important to be patient with yourself as you work towards regaining function and reducing discomfort.

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