I need sugggestion. Nerve Injury to the hand

[mahiaki]

Hi, I am giving electrical stimulation to my patient for posterior int. nerve injury in the left hand for 25 days and the injury is a month old. Very marginal improvement in the muscle power is there. Sometimes wrist flexors are responding when I am applying current for the extensor. My friends please guide me to serve better.

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[emad]

Mah,

However ,there is number of current researches supports the efficacy of Electrical Stimulation in nerve injuries , i believe no role of stimulation in nerve injury .

Never mind ,could you tell us more about the injury type history ,for example how it began !

I suggest for you encourging active motions of the hand and forearm .

Cheers
Emad

[sdkashif]

The management of Posterior Int. Nerve Injury is to do the passive movenments of the joints which cannot move as result of paralysis. The wrist should be splinted in neutral or slight extension by the Cock up splint. Electrical stimulation is performed to preserve the bulk of the muscles being paralysed. There is controversy whether electrical stimulation is useful or not in Nerve injuries as no study support its efficacy. Prognosis of lesion is better assessed by EMG and nerve conduction studies.