If you run out of time, ask to speak with a nurse or have your doctor call you later.The research team found that plerixafor can help immune cells get into pancreatic and bowel cancers. Be sure to ask your doctor about all the possibilities available to you or your child. Children and adults with brachial plexus injuries have several options for restoring lost function. Make a list of all medications, vitamins and supplements that you're taking.Write down all your symptoms, including how you were injured, how long you've had your symptoms and whether they've gotten worse over time.Other suggestions for getting the most from your appointment include: Someone who accompanies you may remember something that you forgot or missed. Sometimes it can be difficult to absorb all the information you're given during an appointment. If possible, take along a family member or friend. For instance, you may need to stop taking certain medications for a few days or avoid using lotions the day of the test. When you make your appointment, be sure to ask whether you need to prepare for these tests. Request an Appointment at Mayo Clinic Clinical trialsĮxplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.Ī number of tests may be used to help diagnose the type and severity of brachial plexus injuries. If medications can't control the pain, your doctor might suggest a surgical procedure to interrupt the pain signals coming from the damaged part of the spinal cord. This pain resolves for most people within three years. Pain from the most severe types of brachial plexus injuries has been described as a debilitating, severe crushing sensation or a constant burning. Muscle transfer is a procedure in which your surgeon removes a less important muscle or tendon from another part of your body, typically the thigh, transfers it to your arm, and reconnects the nerves and blood vessels supplying the muscle. This provides a bypass for new nerve growth. When the nerve root has been torn from the spinal cord, surgeons often take a less important nerve that's still working and connect it to a nerve that's more important but not working. This provides a bridge for new nerve growth over time. In this procedure, the damaged part of the brachial plexus is removed and replaced with sections of nerves taken from other parts of your body. This procedure consists of freeing up the nerve from scar tissue.
PLEX TREATMENT SKIN
This skin flap can help the surgeons monitor whether the muscle is getting enough blood after it has been transferred to its new location. A section of skin and tissue attached to the donor muscle may also be removed. The most commonly used donor muscle is in the inner thigh. If your arm muscles have atrophied from lack of use, a muscle transfer may be needed. This test is sometimes performed when MRIs don't provide adequate information. CT myelography adds a contrast material, injected during a spinal tap, to produce a detailed picture of your spinal cord and nerve roots during a CT scan.
PLEX TREATMENT SERIES
Computerized tomography uses a series of X-rays to obtain cross-sectional images of your body. Computerized tomography (CT) myelography.New methods of high-resolution MRI, known as magnetic resonance neurography, may be used. It often can show the extent of the damage caused by a brachial plexus injury and can help assess the status of arteries that are important for the limb or for reconstruction of it. This test uses a powerful magnetic field and radio waves to produce detailed views of your body in multiple planes. This provides information about how well the nerve is functioning. These tests are usually performed as part of the EMG, and they measure the speed of conduction in your nerve when a small current passes through the nerve. You may feel a little pain when the electrodes are inserted, but most people can complete the test without much discomfort. The test evaluates the electrical activity of your muscles when they contract and when they're at rest. During an EMG, your doctor inserts a needle electrode through your skin into various muscles. An X-ray of your shoulder and neck can tell your doctor if you have fractures or other associated injuries. To help diagnose the extent and severity of a brachial plexus injury, you may have one or more of the following tests: To diagnose your condition, your doctor will review your symptoms and conduct a physical examination.
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