Brachial Plexus Surgery: Recovery and Rehabilitation Insights - Neurosurgery

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Brachial plexus reconstruction surgery


Hello, I would like to ask about my situation.
I had a car accident on September 28, where I skidded in the rain and crashed into a utility pole, resulting in multiple fractures.
I am currently recovering, but I am particularly concerned about my right hand, which is completely immobile.
My shoulder and elbow can still move, but I have been experiencing severe pain and discomfort in my right hand's nerves, making it difficult to sleep and manage daily activities.
I have seen a doctor who referred me to Dr.
Chuang Chui-Ching, a well-known neurologist at Chang Gung Memorial Hospital in Taipei.
Dr.
Chuang performed surgery on January 5, stating that there were two damaged nerves, and he conducted a nerve grafting procedure using nerves from my left hand to repair the right hand.
He advised me not to turn my head or look side to side, as it could jeopardize the repaired nerves, and provided me with a brace to limit head movement.

Now, it has been a week since the surgery, and my right hand still hurts a lot.
I would like to ask: 1.
Will my right hand recover? 2.
What should I eat to aid recovery? 3.
Is it true that I should not move my head? Will straining my neck affect the recovery? Does even a slight movement of five centimeters have an impact? What about hiccups? Can I move my head up and down? 4.
What rehabilitation exercises would be beneficial? 5.
How long will rehabilitation take for recovery?
I am feeling very down because I am currently a junior in college and a pitcher on the baseball team, highly valued by my coach.
Everyone is very upset about the accident, especially my family, relatives, grandmother, and friends.
I feel the most heartbroken for my mother, who quit her job to take care of me.
I am really struggling and lacking confidence.
As a Christian, I pray every day, and my family and friends are also praying for me.
I want to know if my right hand will ever regain movement in my fingers or if it will be permanently immobile.
I tend to have negative thoughts and overthink things.
Can you please help me? Thank you.

Xiao Senlin, 20~29 year old female. Ask Date: 2016/01/10

Dr. Lai Zhaokang reply Neurosurgery


Hello, you have already undergone surgery by Dr.
Chuang, so you should follow his medical advice.
Any concerns should be discussed with the surgical team, especially since you have just had reconstructive surgery.
Recovery takes time, so please trust that the physician who performed your surgery will take care of you.
Wishing you a speedy recovery.

Director of Spine and Neurosurgery, Changhua Hospital, Dr.
Lai Chao-Kang.

Reply Date: 2016/01/10

More Info


I'm truly sorry to hear about your situation following the accident. It sounds incredibly challenging, both physically and emotionally. Let's address your concerns regarding your recovery from brachial plexus surgery and the rehabilitation process.

1. Will my right hand get better?
The prognosis for recovery after brachial plexus surgery can vary significantly based on the extent of the nerve damage and the specific nerves involved. Since your surgeon performed a nerve graft using a nerve from your left hand, it indicates that the injury was substantial. Generally, nerve regeneration can take time, often several months to a year, as nerves grow at a rate of about 1 millimeter per day. It's important to remain hopeful, as many patients do experience significant recovery, especially with appropriate rehabilitation.

2. What should I eat?
Nutrition plays a crucial role in recovery. A balanced diet rich in vitamins and minerals can support nerve healing. Focus on foods high in protein (like lean meats, fish, eggs, and legumes), omega-3 fatty acids (found in fish, flaxseeds, and walnuts), and antioxidants (fruits and vegetables). Vitamins B12, B6, and E are particularly important for nerve health, so consider incorporating foods like nuts, seeds, and whole grains into your diet. Staying hydrated is also essential.

3. Can head movement affect my recovery?
After nerve surgery, it's crucial to follow your surgeon's instructions regarding movement. Even slight movements of the head can potentially strain the repaired nerves, so it's best to minimize unnecessary motion. Activities like coughing or hiccuping can create tension in the neck, so try to manage these reflexes as best as you can. If you feel discomfort or pain when moving your head, it’s essential to communicate this with your healthcare provider.

4. What rehabilitation exercises should I do?
Rehabilitation after brachial plexus surgery typically begins with passive range-of-motion exercises, which can be performed by a physical therapist. These exercises help maintain joint flexibility and prevent stiffness. As healing progresses, your therapist will guide you through more active exercises to strengthen the muscles and improve function. It's crucial to start slowly and gradually increase the intensity of your exercises based on your pain levels and the guidance of your healthcare team.

5. How long will rehabilitation take?
The duration of rehabilitation varies widely among individuals. Some may see improvements within a few months, while others may take a year or more to regain function. Consistent therapy and following your rehabilitation plan are key to maximizing recovery. Regular follow-ups with your surgeon and therapist will help track your progress and adjust your rehabilitation plan as needed.

It's completely understandable to feel overwhelmed and anxious about your recovery, especially given your passion for baseball and the impact this injury has on your life. Remember that healing takes time, and it's okay to have negative thoughts; acknowledging them is the first step toward addressing them. Surround yourself with supportive family and friends, and consider speaking with a counselor or therapist if you're feeling persistently down.
Your faith and the support of your loved ones can be powerful motivators during this challenging time. Keep focusing on small victories in your recovery, and don't hesitate to reach out for help when you need it. You're not alone in this journey, and many people are rooting for your recovery.

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