Neuritis Discussion

Neuritis is a difficult problem for which there may be no satisfactory surgical solution. Recovery depends on the exact type and degree of the underlying problem. If there is a minor irritation, there may be profound dysfunction followed by full or near full recovery. However, if there is any mechanical injury, recovery is entirely unpredictable. Electrical nerve tests or surgical exploration may be indicated if nerve damage is strongly suspected. Nerve exploration and decompression may reduce symptoms, but even with technically perfect surgery, sensation and strength may not recover, although improvement often occurs. Nerve recovery is slow, and several years are usually needed before there is a final plateau in improvement. With recovery, patients may develop progressively worsening tenderness or unpleasant sensations referred to as reinnervation hypersensitivity. This usually responds to therapy of sensory reeducation and desensitization techniques, but occasionally may require additional surgical intervention. Nerve injuries in childhood are usually followed by some degree of growth retardation in the area supplied by the nerve. Because of numbness, the area is subject to injury from heat, cold and sharp or abrasive surfaces. Chances of persistent problems are greater in older patients, those with long standing symptoms, those with a compensation related diagnosis, or in the context of metabolic or multiple level nerve irritation.

Discussion Home Page