Distal Median Nerve Dysfunction

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Treatment

Treatment is aimed at correcting the underlying cause. In most cases, isolated median nerve dysfunction is due to entrapment or injury. In this case, identifying the site of entrapment is best done with EMG or in some cases, X-rays and MRI scans. If an entrapment is confirmed, medications and even surgery may be helpful, depending on the site of entrapment and severity of nerve injury.

If the median nerve is affected by carpal tunnel syndrome, a wrist splint can reduce further injury to the nerve and help alleviate symptoms. In some cases, no treatment is required and recovery is spontaneous. Over-the-counter or prescription analgesics may be needed to control nerve pain (neuralgia).

If other nerves are also affected, it is necessary to look for an underlying medical problem that can affect nerves. Medical conditions like diabetes, kidney disease and others can damage nerves. In these cases, treatment is directed at treating the underlying medical condition.

Physical therapy exercises may be appropriate for some persons to maintain muscle strength. Orthopedic assistance may maximize the ability to use the hand. This may include use of braces, splints, or other appliances. Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.