A brachial plexus is a group of nerves that starts from the cervical spinal cord and neck and travels down to the shoulder, arm, wrist, and hand. These nerves are part of the peripheral nervous system, which comprises motor and sensory nerves that connect the brain and spinal cord to the rest of the body.
Prof. Dr. Robert Hierner is a leading doctor and clinical scientist in the field of Brachial Plexus and peripheral nerve lesions. He is one of the pioneers in the development of a holistic diagnostic and treatment approach
Why does nerve damage occur?
Peripheral nerves can damage due to:
- Injury from cut, contusion, or acute and chronic (carpal tunnel syndrome) compression.
- Metabolic disorders/diseases such as diabetes, kidney failure (dialysis patients), mucopolysaccharides, or due to pregnancy.
- Autoimmune diseases (Guillain-Barre syndrome, lupus, rheumatoid arthritis and Sjögren’s syndrome)
Chronic compression syndromes are the most common for causing peripheral nerve damage. Carpal Tunnel Syndrome is the most common peripheral nerve entrapment syndrome. The syndrome usually occurs on both sides, with more than 50% requiring carpal tunnel treatment.
Nerve compression syndrome – also known as bottleneck syndrome – is a chronic nerve lesion. It occurs where peripheral nerves pass through anatomical narrowings bounded by rigid structures. Factors such as metabolic disorders (diabetes, pregnancy, mucopolysaccharidosis) or toxic factors (dialysis) favour the occurrence of compression syndromes.
Patients often have a radicular lesion (“double crush syndrome”) in addition to peripheral compression syndrome.
What nerve compression syndromes are there in the hand area?
The most common nerve compression syndromes in the arm area are:
Posterior interosseous nerve syndrome
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What are the consequences of nerve compression syndromes for us?
The compression syndromes can cause chronic lesions. The hand’s functional disturbance depends on the constriction extent and duration. It can range from slight discomforts such as numb hands and sleeping hands to slight motor weakness (increasing clumsiness) to complete (sensorimotor) paralysis. Nighttime pains are also typical, waking the patient up and causing him to shake their hands or hang them down from the bed.
How can you treat carpal tunnel syndrome?
In principle, the treatment will include both conservative and surgical therapy. The conservative treatment could e physiotherapy, non-steroidial injections, or bracing and splinting. Whereas, for extreme cases, Prof Dr Robert Heirner will indicate hand surgery. Prof Dr Robert is one of the most renowned hand surgery specialists in Dubai, whose surgery approaches heavily rely on an in-depth diagnosis.
Special consultation : "Peripheral Nerves & Brachial Plexus"
To help patients with peripheral nerve disorders quickly and comprehensively, we have set up a special consultation, “Peripheral Nerves & Brachial Plexus”. Only a detailed doctor/patient discussion forms the basis for a successful individual treatment.
This patient information only gives a general introduction for a better understanding of aesthetic and medical surgeries. It cannot replace the personal and detailed doctor-patient discussion. To answer your questions about your personal, individual situation, arrange your non-binding personal consultation appointment.