Radial Nerve Damage - Radial Nerve Injury

A radial nerve injury involves damage to the radial nerve, which allows sensation and movement in part of the arm. The radial nerve attaches to the skin and muscles of certain areas of the arm, forearm, and hand. It is responsible for muscle movement and sensation in these areas. Someone with an injury to the radial nerve lose function in these areas.

In most cases, the radial nerve is damaged by trauma, repeated use of the nerve, or by the nerve being compressed by other structures. The injury may be permanent.

What are the causes and risks of the injury?

Radial nerve injury can be caused by a number of activities, including:

Rarely, no cause can be found for the nerve damage. In these cases, the injury may come from certain repeated motions of the arm, known as a repetitive stress injury.

A radial nerve injury may be permanent, causing lifelong weakness and numbness, and sometimes chronic pain. In some people, the muscles can shrink and cause the arm to become deformed over time. In other people, some or all of the arm's function may be regained over time.

What are the signs and symptoms of the injury?

Symptoms of a radial nerve injury depend on where the nerve injury occurs, but may include:

Symptoms may also result from the injury that caused the nerve damage.

How is the injury recognized?

A radial nerve injury can often be diagnosed with a history and physical exam. Tests may be ordered to help figure out the cause of the nerve injury. An x-ray of the arm is commonly done to look for a break or other bone injury. A test called a nerve conduction velocity (NCV) study may be done to determine the location of the nerve injury. This test involves attaching wires to the skin. Small shocks are used to stimulate the nerve and measure its function.

Blood tests or a nerve biopsy are sometimes needed in unusual cases. A biopsy is a procedure to remove a small piece of tissue from the body. A special tool or needle can be inserted through the skin and into the nerve. A small piece of the nerve can be removed with the tool. The piece can then be sent to the lab for further examination and testing.

What can be done to prevent the injury?

Most cases of radial nerve injury cannot be prevented. Avoiding injury, overuse of the arm, and improper use of crutches can prevent some cases.

What are the treatments for the injury?

When the radial nerve injury is caused by a broken bone, fixing the bone may reverse the nerve injury or make it better. This may involve surgery or the use of a cast. Other treatments may include:

What are the side effects of the treatments?

Surgery may cause bleeding, infection, or allergic reaction to anesthesia. Aspirin and other pain medications may cause stomach upset, allergic reactions, or kidney damage. Other side effects depend on the specific medication used.

What happens after treatment for the injury?

Treatment for a radial nerve injury may or may not be able to reverse the lost function in the person's arm. Someone who does not recover fully often benefits from long-term physical therapy and occupational therapy. Deformity of the hand and muscle shrinkage can occur in severe cases. Some people may recover completely and need no further treatment.

The healthcare provider can help people monitor the injury by measuring the strength and sensation in the affected areas. Some of the medications used to treat pain may also need monitoring, which can include blood tests. Any new or worsening symptoms should be reported to the healthcare provider.

Author:James Broomfield, MD
Date Written:
Editor:Duff, Ellen, BA
Edit Date:10/09/00
Reviewer:Adam Brochert, MD
Date Reviewed:07/01/01

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