pinched radial nerve

[kigot]

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Dear fellow doctors I have a serious concern and I need your opinion regarding my injury:
here it goes:
I got my neck hardly flexed and rotated during a game (fell down) and became numb in Rt hand. CT-scan was negative for herniated disk and dignosis was pinched nerve. Its been 40 days now and Im still weak in Rt hand.
Im wondering do I need an MRI or what should I do??? would MRI change any workup plans or they will send me to physical therapy anyways?
And how long would such a thing as pinched nerve take to heal? I get different answers from my MD friends and kind of confused and very concerned...
God bless you and thanx for your time in advance...
kk

 

[delicatefade]

More than likely, if you get an MRI they will send you to P.T. anyway to try to manage the problem conservatively rather than surgically. I used to see a lot of patients with herniated discs, cervical stenosis, foraminal narrowing, "pinched nerves", etc and that seemed to be routine practice. Try something conservative first and if that doesn't work...

That's the opinion of a PT. 🙂

 

[Claymore]

Well I probably wouldn't recommend anything without a good physical exam first, but my first thought would be an EMG might be more valuable than imaging at this point. The location of the lesion might be more evident and the doc might be able to determine if your pain is due to direct nerve damage vs. an impingement-type syndrome or inflammation. While it is likely that PT/OT might be in your future regardless, there may be some adjunctive therapy depending on the situation and the PT/OT may be more effective when geared towards a more localized lesion (ie, radiculopathy vs. plexus vs. distal nerve).