Re: Hand/Wrist Surgery - Wed., 12/23
Mixed feelings going into a hand surgery this coming Wed., what we hoped to be fixing = neuropathy (nerve/muscle/ligament damage in elbow/wrist/fingers), is now only doing a second wrist carpal tunnel surgery and a thumb fusion.
Now that all the diagnostics have been done re: assessment C-Spine and source of neuropathy (left arm nerve/muscle damage) had review and follow-up with hand . We were initially planning to do elbow ulnar release, wrist carpal tunnel 2nd release, gunyon's ulnar release.
With all information assessed from new MRI CT C-Spine, MRI Brachial Plexus and 2 EMG/NCS tests, and assessment by Neuro and Hand Surgeon, agree majority of my pain/disability with neuropathy in left hand/fingers is coming from my C-Spine 5/6/7/8 nerve compression, bone spurs and neural foraminal compression. So when I had hoped it was a double-crush, entrapment at elbow and wrist, which could be corrected, it is primarily only initial compression in C-Spine as "primary".
The surgery on Wed will be to hopefully gain some (little) improvement in wrist pain and two of the middle fingers. It was hard to hear my hand surgeon agree with the assessment by Neuro and in reviewing the reports, as well, the disability of my hand, pinkie and ring finger, middle finger is because of C-Spine. As well, it is not the answer I had hoped since my initial diagnosis and surgery needed by OS C-Spine (highly specialized c-spine complex surgeries) gave poor prognosis for successful outcome for neuro-damage symptoms in arm/hand. Getting second opinion assessment with recent diagnostics NS on Jan. 11.
So hoping to gain something (removing scar tissue and wrapping the nerve) and nearby median nerve, at this point I decided is worth all that is not done or can be done. Because it is total loss disability progressing on my hand.
Not what I had so much hope that nerve entrapment in arm/hand/wrist could be relived by hand surgeon being the better solution. Trusting my hand surgeon that we are "giving my 2 fingers a chance of improving some, and a thumb middle joint fused, more strength" (failed thumb surgery 5 yrs ago).
Not much, but at this point I'll take any, even if it is only slight improvement and hopefully from losing ALL of my hand function, which is where this is going.
p.s. Jan 11 NS final assessment = C-spine surgery/prognosis