Nerve Repair Surgery: Recovery and Rehabilitation Insights - Neurosurgery

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Arm nerve junction surgery


Hello, I was in a car accident on September 28, which resulted in my right hand fingers being unable to move.
I had surgery performed by Dr.
Chuang Chih-Ching at Chang Gung Memorial Hospital in Taipei on January 5, and it has now been a week post-surgery.
Currently, my right hand is experiencing significant pain and numbness.
I would like to ask: will my right hand fingers be able to move again, or will they be permanently immobile? What rehabilitation exercises would be beneficial? What should I eat to aid my recovery? I am really feeling down, and my family and friends are even more upset.
I am now afraid to ride a motorcycle.
I used to be a lively and cheerful person, but now I am living in fear, worry, and sadness.
Can you help me? I have a slight displacement of the second cervical vertebra, and the doctor said surgery is not necessary, allowing it to heal on its own.
Is it easy for the cervical vertebra to realign properly? I am currently wearing a neck brace to restrict lateral movement.
Can you please help me? I am truly feeling very sad.

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

Dr. Zhang Junwei reply Neurosurgery


Hello, what could be the reasons for the inability to move a finger? What kind of surgery was performed? Which area was injured? It's difficult for me to answer your questions like this!

Reply Date: 2016/01/10

More Info


I'm truly sorry to hear about your accident and the challenges you're facing with your recovery. It's completely understandable to feel overwhelmed and anxious during such a difficult time. Let's break down your situation regarding nerve repair surgery, recovery, and rehabilitation.

First and foremost, the ability of your right hand fingers to regain movement largely depends on the extent of the nerve injury and the type of surgical intervention you underwent. After nerve repair surgery, it is common to experience pain and numbness as the nerves begin to heal. This healing process can take time, and while some patients may regain full function, others may experience partial recovery or, in some cases, limited movement.

In general, the timeline for nerve recovery can vary significantly. For peripheral nerves, it is often said that they can regenerate at a rate of about 1 millimeter per day. However, this is a rough estimate and can be influenced by various factors, including the severity of the injury, the age of the patient, and overall health. Since you are only one week post-surgery, it is still early in the recovery process. It's important to remain hopeful, as some patients begin to notice improvements in movement and sensation within a few weeks to months after surgery.

Regarding rehabilitation, physical therapy is crucial in maximizing your recovery. A physical therapist can guide you through specific exercises designed to improve strength, flexibility, and coordination in your hand. These exercises may include:
1. Range of Motion Exercises: Gentle movements to maintain flexibility in your fingers and wrist.

2. Strengthening Exercises: Once your therapist assesses that it’s safe, you may begin exercises that focus on building strength in your hand and fingers.

3. Fine Motor Skills Activities: Engaging in activities that require dexterity, such as picking up small objects or using therapy putty, can help improve coordination.

In addition to physical therapy, nutritional support can play a role in your recovery. A balanced diet rich in vitamins and minerals can support nerve health. Foods high in Vitamin B12, Omega-3 fatty acids, and antioxidants can be beneficial. Consider incorporating the following into your diet:
- Fatty Fish (like salmon and mackerel) for Omega-3s
- Leafy Greens and Fruits for antioxidants
- Nuts and Seeds for healthy fats and Vitamin E
- Lean Proteins to support tissue repair
As for your cervical spine injury, it’s good to hear that your doctor has opted for a conservative approach. The healing process for cervical vertebrae can vary, but many patients do recover well without surgical intervention. Wearing a cervical collar as prescribed is essential to stabilize your neck and promote healing. It’s important to follow your doctor’s recommendations closely and attend any follow-up appointments to monitor your progress.

Lastly, it’s completely normal to feel a range of emotions during this recovery journey. It’s vital to communicate your feelings with your family and friends, as they can provide support. Consider seeking professional counseling or joining a support group for individuals recovering from similar injuries. This can help you process your emotions and connect with others who understand what you’re going through.

In summary, while the road to recovery may seem daunting, there is hope for regaining movement in your fingers and improving your overall condition. Stay committed to your rehabilitation, maintain a healthy diet, and lean on your support system. Remember, healing takes time, and it’s okay to seek help along the way.

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