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View Full Version : I am really worried about symptoms, surgeon, in regards to ulnar nerve compression..


cheyriver
02-13-2008, 08:40 PM
I am becoming concerned and worried.:( Sorry this is so long!

I had surgery for ulnar nerve compression, left elbow in April 2006. Nerve conduction test prior to surgery showed severe compression. Surgeon decompressed the nerve, has since retired.

Approximately 6-7 months after surgery, symptoms started to come back. I was told to wait it out. I did for awhile, symptoms were bothersome. Eventually I was sent for another NC test showed mild slowing of the nerve.

I had to go three doctors (not specialists) before one finally referred me to a plastic surgeon.

I saw the surgeon and I had surgery on my left elbow in September 2007. I also had a neuroma in my left wrist (thumb side) which was removed at the same time.

After surgery symptoms were not completely gone, but there was an improvement,know it takes time for everything to heal, wasn't worried.

Unfortunately in November 2007 I was injured. Since that injury been nothing but problems. Elbow where I had surgery bore the brunt of the injury, no broken bones, but a lot of bruising.

I experienced and still experiencing to this very day, burning pain in the palm of my hand below little and ring finger, increased numbness in pinky and ring finger.

I did see the surgeon for a follow up in December. She didn't seem sure as to what was happening, wanted to wait it out.

I came back in early January 2008 for another follow up. This time she decided to send me for a nerve conduction test. Mentioned to me she could do another surgery but won't guarantee it will help. Said depending on the test results or if symptoms are still the same, talk about it at next follow up.

NC test done near the end of January.

The NC test came back normal. Neurologist told me results after test- normal. Said maybe nerve is bruised. And yet I have all these symptoms.?? :confused:

So today I received a call from the surgeons main office (they told me it takes three to four weeks to get the results). Receptionist said test results showed normal and something to the effect of the surgeon said it's not what she thought it would be. I don't know the exact words said but couldn't quite understand what receptionist was getting at. Anyways I told her I have a follow up appt at the hospital with surgeon near the beginning of March and receptionist will send results over there.

I am worried. Why? If I don't need surgery that is okay. But because my test results came back normal, I am worried she may say everything is okay, goodbye.

In the past few weeks my hand has become worse. If I grip or bend my fingers, the burning pain in the palm of my hand increases badly.

Now I have pain (not burning) in my elbow incision area. Almost more sore like.

Also new is buzzing sensation in palm of hand below little and ringer finger. Sometimes I can actually see something moving up and down in the palm of my hand below these fingers which is new as well.

And nowthe base of my thumb, palm side, I can also see something moving up and down, pulsating. My wrist surgery was not where you have carpal tunnel surgery. It was the radial nerve area along side the wrist leading up to the thumb.

The pulsating sensations occur off and on. All of this is new within the last few weeks.

I have no symptoms, pain at the neck level or upper arm level.

The physiotherapist (hand therapist) said that NC tests are only a guideline, that most surgeons go by patient symptoms.

This surgeon is newly graduated and seems to go back and forth on things. I know the surgeon is new and still learning. I live in Canada and if I want a second opinion it will be a one year wait to see another plastic surgeon or hand surgeon.

So has anyone ever had normal results and then the surgeon said nothing is wrong, sent you out the door? Or did they come up with some ideas, solutions or do surgery?

Surgeon seems to change mind a lot from one appt to the next in regards to this problem so that is why I am worried may say goodbye with normal test results. Or maybe I am just overworrying.

cheyriver
03-04-2008, 04:40 PM
Update..

I had my appt today. I have no idea what to think about this..

She said "Your test results are normal. I don't think surgery will help. I don't know what to say."

She became abrupt with me when I asked her if she received the letter my other doctor wrote. She said "No, what does he want!?" I said " I don't know exactly what the letter says but he has some concerns about my arm, hand."

I explained my symptoms. She said "Maybe you have a neuroma underneath the skin, I could do exploratory surgery."

I am guessing maybe she didn't give me an answer because maybe she doesn't know what is going on and will not know until she opens me up?

Basically that is all that was said.

nide44
03-05-2008, 10:44 AM
Before any more surgery, I think it would benefit you to see a neurologist specializing in neuropathies.
This could very well be a neurological issue of the peripheral nerves, especially an after-surgery nerve problem.
It won't hurt to see one, and just may prevent an 'exploratory' surgery that may do more harm than good.

cheyriver
03-05-2008, 11:00 PM
Before any more surgery, I think it would benefit you to see a neurologist specializing in neuropathies.
This could very well be a neurological issue of the peripheral nerves, especially an after-surgery nerve problem.
It won't hurt to see one, and just may prevent an 'exploratory' surgery that may do more harm than good.

Thank you nide44 for your help. :) If this is a neurological issue of the peripheral nerves, is possible it could have been caused during surgery? As in maybe a nerve being disrupted or injured during the process? I don't have pains or discomfort in the neck, back or upper arm region. Just from elbow and downwards.

nide44
03-06-2008, 11:35 AM
i..... possible it could have been caused during surgery?....
Absolutely !
But I've never heard of a surgeon that would admit it.
Too much of a liability issue.
But there are many posts over the 10 yrs. I've been on these boards, that
have had post-surgical problems that were peripheral neuropathy (PN)
and have come here (and on other boards), to say so.

cheyriver
03-06-2008, 02:19 PM
i..... possible it could have been caused during surgery?....
Absolutely !
But I've never heard of a surgeon that would admit it.
Too much of a liability issue.
But there are many posts over the 10 yrs. I've been on these boards, that
have had post-surgical problems that were peripheral neuropathy (PN)
and have come here (and on other boards), to say so.


Thanks nide44 for the information. :) That is true about surgeons. I don't think many would admit something happened during surgery. I will look up some past posts and read about it. Thanks again for your help!

I could see my family doctor and asked to be referred to a neurologist or one that deals with peripheral neuropathy.

I am considering holding off on surgery and find out more about this. The last thing I need is more problems.

The surgeon did say at my last appointment that maybe a neuroma is developing or has developed in my elbow. I looked up neuroma on the internet and apparently they are usually caused if a nerve has been cut. I've never had any open wounds on my elbow from an injury. My elbow was injured a few months after surgery but I just had a large amount of bruising, no open wounds. I don't think that would cause a neuroma, unless a nerve that is bruised can be affected, grow a neuroma.

nide44
03-07-2008, 10:39 AM
IMHO - Watch out for a Dx of neuromas!!
It is a slippery way of getting out of a situation the doc has no experience with.
We've had members have surgery done for supposed neuromas,
and the Dx was wrong, and it created more problems.
See that neurologist-one who specializes in PN. One who has many PN patients
that are satisfied with their treatments. Ask for references.
Again..IMHO, Do not do anything until you are satisfied, that it is NOT PN ....first !