Treatment:

In some cases, no treatment is required and recovery happens on its own.

If there is no history of injury to the area, medication, braces or splints, and physical therapy may be recommended for certain patients. Potent anti-inflammatory drugs (steroids) may be recommended for cases that are caused by inflammatory problems, such as brachial amyotrophy and brachial neuritis.

Surgery may be needed if the disorder is long-lasting, symptoms get worse, or there are severe movement problems or signs of nerve fiber loss. Surgical decompression (removal of structures that press on the nerve) may help some patients.

Common painkillers, like acetaminophen, aspirin, and ibuprofen may not help control nerve pain (neuralgia). Other medications may be used to reduce stabbing pains, including anti-seizure medications such as phenytoin, carbamazepine, and gabapentin. Tricyclic antidepressants, such as amitriptyline, may also provide pain relief. If pain is severe, a pain specialist should be consulted in order to make sure all options for pain treatment are considered.

Expectations (prognosis):

The probable outcome is variable depending on the cause. Recovery takes several months and may be incomplete. Nerve pain may be quite uncomfortable and may persist for a prolonged period of time.

Complications:

• Partial or complete arm paralysis
• Partial or complete loss of sensation in the arm, hand, or fingers
• Recurrent or unnoticed injury to the hand or arm due to diminished sensation
• Deformity of the hand or arm, mild to severe, which can lead to contractures

Calling your health care provider:

Call your health care provider if you experience pain, numbness, tingling or weakness in the shoulder, arm, or hand.