Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline

Q: Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline

Hello： 1. <br>You have already undergone surgery by physicians at another hospital, and there have been changes in your symptoms. <br>Your condition is relatively complex, and it cannot be assessed accurately with just a few sentences. <br>2. <br>It is recommended that the patien

After cervical cone surgery, the left hand improved while the right hand worsened?

Hello Dr.
Lai, I would like to ask about my condition.
I underwent surgery due to fractures in my sixth and seventh cervical vertebrae.
Before the surgery, I experienced numbness and weakness in my left hand, while my right hand was normal.
However, after the surgery, my left hand improved, but now my right hand has lost all strength and feels numb and sore.
Additionally, I can grip tightly with my ring and little fingers, but I cannot extend them, making it difficult to even hold a spoon.
Since I have severe ankylosing spondylitis, my attending physician opted not to perform minimally invasive surgery.
I asked the doctor about my recovery, and he mentioned that rehabilitation would help.
Dr.
Lai, is it true that I will improve? Is complete recovery possible? Please help me with your insights.
🙏

Mr. Lin, 50~59 year old female. Ask Date: 2020/12/21

Dr. Lai Zhaokang reply Neurosurgery

Hello: 1.
You have already undergone surgery by physicians at another hospital, and there have been changes in your symptoms.
Your condition is relatively complex, and it cannot be assessed accurately with just a few sentences.
2.
It is recommended that the patient bring the original hospital's examination results, including MRI and X-ray images, and make an appointment for an in-person consultation.
Only then can the physician conduct a thorough evaluation.
Best wishes.
// Neurosurgery Dr.
Lai Chao-Kang

Reply Date: 2020/12/21

More Info

Hello! Thank you for reaching out with your concerns regarding your post-surgery recovery. It sounds like you have been through a challenging experience with your cervical spine surgery and the subsequent changes in your hand function. I understand how distressing it can be to experience a decline in function, especially when you were hoping for improvement.

Firstly, it is important to acknowledge that nerve recovery can be a complex and gradual process. After surgery, particularly for conditions involving the cervical spine, it is not uncommon for patients to experience changes in sensation and strength in their extremities. The fact that your left hand has shown improvement while your right hand has declined can be attributed to several factors, including the nature of your injury, the surgical procedure performed, and individual variations in healing.

1. Will My Right Hand Improve?
Your doctor has indicated that rehabilitation will help, and this is indeed a crucial aspect of recovery. Physical therapy can play a significant role in regaining strength and function in your hand. The nervous system has a remarkable ability to heal, but this process can take time. Depending on the extent of nerve damage and the specific surgical interventions, some patients experience significant recovery, while others may see only partial improvement. It is essential to remain optimistic and committed to your rehabilitation program.

2. What to Expect During Recovery?
Recovery timelines can vary widely among individuals. Generally, nerve regeneration can take weeks to months, and in some cases, even longer. The first few months post-surgery are critical, and you may notice fluctuations in your symptoms as your body heals. It is essential to follow your rehabilitation plan closely and communicate regularly with your healthcare team about your progress and any concerns you may have.

3. Rehabilitation Exercises:
Your rehabilitation program may include a variety of exercises aimed at improving strength, flexibility, and coordination in your hand. These may involve:
- Range of Motion Exercises: Gentle stretching to maintain flexibility in your fingers and wrist.

- Strengthening Exercises: Gradually increasing resistance to build strength in the muscles that control hand movement.

- Fine Motor Skills Training: Activities that encourage the use of your fingers, such as picking up small objects or using therapy putty.

4. Managing Expectations:
While many patients do see improvement with dedicated rehabilitation, it is essential to have realistic expectations. Complete recovery may not always be possible, especially if there was significant nerve damage. However, many individuals can regain a functional level of use that allows them to perform daily activities.

5. Psychological Support:
Given your history of ankylosing spondylitis and the emotional toll of your current situation, it may also be beneficial to seek psychological support. Coping with chronic pain and functional limitations can be challenging, and talking to a mental health professional can provide you with strategies to manage stress and anxiety related to your recovery.

In conclusion, while the journey to recovery may be long and filled with uncertainties, it is important to stay engaged with your rehabilitation process and maintain open communication with your healthcare team. They can provide you with tailored advice and support as you navigate this challenging time. Remember, healing is a process, and with patience and perseverance, you may see improvements in your hand function. Stay hopeful, and take care!

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