Minor correction, Wartenberg's Sign is due to an inability of the palmar interossei (not the lumbricals) to adduct the fifth digit against the extensor/abduction tonic activation of the extensor digitorum and extensor digiti minimi.
What to do if nerve damage is identified? I'm a patient with a combo of all of these from a poorly placed needle in icu. What can be done to fix this? I am getting no help from my medical provider. I can't find anything online for the "after," for patients.
excellent video, but one correction: when you explain the wartenberg sign you state that the lumbricals abduct or adduct the fingers, when in fact they are the interossei.
Out of curiosity, if a patient has a hard time making a fist, and registering burning pain in all fingers except the thumb, (the thumb being perfectly fine) what might this indicate. A trapped nerve in neck has been ruled out due to an MRI scan of the neck.
hi doctor i m actually suffering from this condition having wrist drop claw hand i cannot carry heavy or light or small things i went to several hospital but i got no answer from the doctors the what should i do ???? please reply
I had some kind of shoulder tear about 5 years ago. I kind of just ignored it, but i think it eventualy lead to what i have now. I feel a little authritis type feeling in elbow sometimes. But the big problem is that i cannot straigjten my hand up, as if to put my hand on someon elses heart. I can mostly open it up when going in for a handshake, but i kind og have to spread my pinky finger wide, as my middle finger is generally pulled. Index and ring are also weal, but the cord that connects that middle finger must have caught a snag somewhere. I can push up from under the palm and extend it like normal, so it seams the actual finger has mobility, but somewhere be it the wrist or elbow, i assume the muscle has atrophied and it just wont return to working order. I still have a strong grup with this hand, and its probably not even noticable unless i have to extend my hand and wrist. I can waive, but again, the middle finger is slightly pulled and flexing the wrist back from paralell to anywhere backwards makes all the fingers claw with the tips trying to curve towards the thumb...i try to fight thos with the pinky, extended as far as it will go, but its really no use.
I have a question my dad fell 7 years ago and he had neck injury slight Spinal cord his neck bone compressed the spinal cord after the surgery and Physo therapy he is back 60% normal but walks unbalanced and he has a weak hand and leg one side is weak he feels his hands and legs & numbness what do you recommend
I fell on my right elbow and my pinky ring and palm have been numb for days. My right hand also feels way weaker and I can’t do things I can do with my left hand anymore (like squeezing a bottle cap)
Please help me to solve this case A patient after a RTA comes with elbow dislocated on examination loss of extension at MCP joint and loss of extension and retro position of thumb wrist extension id preserved which nerve is damaged Median Ulnar Radial I’m confirming between radial and ulnar nerve
hello from Germany, help please! 4 weeks ago I head a "death hand". yoga, physio-exercises, E-acup. - feel much better now, but ULNARIS was involved heavy and still 4.+5.finger are deaf on the top (they were deaf totally and also 1/2 of the palm. NOW: palm on a table with adducted fingers I can´t open my fingers as much as I can with the other hand and I can´t lift my 4th finger, I can do it with the other hand. is this still from ULNARIS?
My palm near the base of my pinky is painful.. I tried the wartenberg sign test..I can bring the pinky in towards my 4th finger but it hurts.. is it a ulnar nerve issue?
Hi! Hard to say as pain is not a defining symptom with this test, just weakness. It could be ulnar nerve in terms of location but I would definitely recommend being properly assessed if you are concerned
Ive had pain by my ulnar nerve in my wrist, I can move my hands freely but occasionally I will feel it down my forearm and occasionally on my elbow even my bicep get tight. but I don’t thinks it’s an elbow issue as the pain is really at the wrist.
Sir you well explained my all problems BUT my hand is getting Thinner and power less and near the Thumb my hand loss more tissue so that my thumb is not working properly,and 4&5 no finger also🥺. PLEASE REPLY ANY MEDICINE....
The only thing that works for me is stretching the last two digits all the way back to the wrist and holding it there. I do that several times a day every day. I also practice grip strength techniques like squeezing the grip and using weights to build up the dying muscles in my hand. Does anybody know if this is considered a disability where I would be unable to work
Hello. Recently i got bite by a dog on my ulnar nerve (wrist) and after that i did all rabies shot , take medicine, but my hand is weak a little bit dur to the bite on ulnar nerve amd i visited a traumatologue every thing is good i was able to stretch and make fist on my hand perfectly and he told its fine and also i can do all activities like writing holding thing keys … i have all sensation however it still weak a little bit and i cant put my fifth and fourth finger together its like still sore . I saw progress it just take time How long it take to heal for a trauma nerve ( I’m in my 4th week)? And i am able to return to full activity ( strong finger and finger together)?
Hi! Yes absolutely we have resources on this on our website with webinars! Head to clinicalphysio.com/on-demand-webinars and search for Peripheral Nerve Injuries
I have it and yes, there are several hand muscles that no longer function at all. So the atrophy is significant and my right hand is much thinner. I also have permanent numbness on half the hand. Half of the ring finger and the entire pinky is completely numb at all times. My grip strength has decreased significantly also. I'm trying to find out if this is ever considered a disability or physical handicap
@@stephaniefrancis4640 I was carrying a large TV to a super bowl party and I fell down. I was holding the tv and my left elbow hit the curb. My hand turned into a crab hand. But, a year later it was all gone. I don't know how, but I can play my instrument. YaY
@@stephaniefrancis4640 Also, there was prayer. It was healing slowly, then a young person prayed for me at an event my friend took me to. I say, I don't know, because I don't know the full answer. After his prayer, I healed over a few days. Take that as you will.
thankyou at least i know its not ms. i just dont have use of my right pointer finger. i cant squeeze my fingers together on my right hand. no pain, just no strength.
Hi! Probably not in isolation… I.E. if the patient had Wartenburg’s sign only, I would be thinking principally about the ulna nerve, and not thinking about ALS necessarily
@@ClinicalPhysio actually I have chronic pain due to 2 huge neuromas., one on the ulnar nerve and the other on the median. Big life challenge. Music saved me from becoming crazy
I got shot in my right arm an have the first one you talked about. I'm soooo scared cause it's my right hand. I'm sooo scared man. Its been 2 months an I'm just scared
My right pinky and left index been numb for years, sometimes my hand curls up. I ask doctor before about surgery but they don't want to fix they only want to push medication for rest of our lives to get rich.
Minor correction, Wartenberg's Sign is due to an inability of the palmar interossei (not the lumbricals) to adduct the fifth digit against the extensor/abduction tonic activation of the extensor digitorum and extensor digiti minimi.
Was going to comment on that. Then found this
Is there a way to fix this?
I was going to say that
Causes and Remedies please.
What to do if nerve damage is identified? I'm a patient with a combo of all of these from a poorly placed needle in icu. What can be done to fix this? I am getting no help from my medical provider. I can't find anything online for the "after," for patients.
same here can you please update me about it is it cured ??? please replyyy me
excellent video, but one correction: when you explain the wartenberg sign you state that the lumbricals abduct or adduct the fingers, when in fact they are the interossei.
Out of curiosity, if a patient has a hard time making a fist, and registering burning pain in all fingers except the thumb, (the thumb being perfectly fine) what might this indicate. A trapped nerve in neck has been ruled out due to an MRI scan of the neck.
hi doctor i m actually suffering from this condition having wrist drop claw hand i cannot carry heavy or light or small things i went to several hospital but i got no answer from the doctors the what should i do ???? please reply
I had some kind of shoulder tear about 5 years ago. I kind of just ignored it, but i think it eventualy lead to what i have now. I feel a little authritis type feeling in elbow sometimes. But the big problem is that i cannot straigjten my hand up, as if to put my hand on someon elses heart. I can mostly open it up when going in for a handshake, but i kind og have to spread my pinky finger wide, as my middle finger is generally pulled. Index and ring are also weal, but the cord that connects that middle finger must have caught a snag somewhere. I can push up from under the palm and extend it like normal, so it seams the actual finger has mobility, but somewhere be it the wrist or elbow, i assume the muscle has atrophied and it just wont return to working order. I still have a strong grup with this hand, and its probably not even noticable unless i have to extend my hand and wrist. I can waive, but again, the middle finger is slightly pulled and flexing the wrist back from paralell to anywhere backwards makes all the fingers claw with the tips trying to curve towards the thumb...i try to fight thos with the pinky, extended as far as it will go, but its really no use.
I have a question my dad fell 7 years ago and he had neck injury slight Spinal cord his neck bone compressed the spinal cord after the surgery and Physo therapy he is back 60% normal but walks unbalanced and he has a weak hand and leg one side is weak he feels his hands and legs & numbness what do you recommend
I fell on my right elbow and my pinky ring and palm have been numb for days. My right hand also feels way weaker and I can’t do things I can do with my left hand anymore (like squeezing a bottle cap)
Tysm for such a informative video... Just one doubt about what happenss to the thumb in the hand of benediction?
Hi! The thumb would normally stay extended
Please help me to solve this case
A patient after a RTA comes with elbow dislocated on examination loss of extension at MCP joint and loss of extension and retro position of thumb wrist extension id preserved which nerve is damaged
Median
Ulnar
Radial
I’m confirming between radial and ulnar nerve
Thank you!
great teacher, thanks for sharing your worthy knowledge
So nice of you! Thank you!
This is Fahad from Bahrain and thank you for this information
Shukran Fahad! 😊 Ahlan wa Sahlan! 🙏🏼 Ana Bahraini ba3ad 🇧🇭
4 weeks ago I got a bad case of wrist drop in my left hand from sleeping on it. I have gotten most of my movement back, but it is still very weak.
Wishing you all the very best and hope further recovery is round the corner 🙏🏼
@@ClinicalPhysio Thank you. I'm still seeing doctors & physio regularly. They say I'm doing well.
Excellent explanation.
Glad you liked it! Thank you so much!
hello from Germany, help please! 4 weeks ago I head a "death hand". yoga, physio-exercises, E-acup. - feel much better now, but ULNARIS was involved heavy and still 4.+5.finger are deaf on the top (they were deaf totally and also 1/2 of the palm. NOW: palm on a table with adducted fingers I can´t open my fingers as much as I can with the other hand and I can´t lift my 4th finger, I can do it with the other hand. is this still from ULNARIS?
My palm near the base of my pinky is painful.. I tried the wartenberg sign test..I can bring the pinky in towards my 4th finger but it hurts.. is it a ulnar nerve issue?
Hi! Hard to say as pain is not a defining symptom with this test, just weakness. It could be ulnar nerve in terms of location but I would definitely recommend being properly assessed if you are concerned
Ive had pain by my ulnar nerve in my wrist, I can move my hands freely but occasionally I will feel it down my forearm and occasionally on my elbow even my bicep get tight. but I don’t thinks it’s an elbow issue as the pain is really at the wrist.
Wish you all the best with this Oscar - would be absolutely recommend you to see a local physiotherapist or doctor if you need some help
Perfect explanation 🦾
Glad it was helpful! Thank you for watching!
Sir you well explained my all problems BUT my hand is getting Thinner and power less and near the Thumb my hand loss more tissue so that my thumb is not working properly,and 4&5 no finger also🥺. PLEASE REPLY ANY MEDICINE....
In that case I would absolutely advise you to go and see your Doctor to have this investigated
@@ClinicalPhysio I'm poor i can't afford i choose die rather than treatment 😔
The only thing that works for me is stretching the last two digits all the way back to the wrist and holding it there. I do that several times a day every day. I also practice grip strength techniques like squeezing the grip and using weights to build up the dying muscles in my hand. Does anybody know if this is considered a disability where I would be unable to work
Hello.
Recently i got bite by a dog on my ulnar nerve (wrist) and after that i did all rabies shot , take medicine, but my hand is weak a little bit dur to the bite on ulnar nerve amd i visited a traumatologue every thing is good i was able to stretch and make fist on my hand perfectly and he told its fine and also i can do all activities like writing holding thing keys … i have all sensation however it still weak a little bit and i cant put my fifth and fourth finger together its like still sore . I saw progress it just take time
How long it take to heal for a trauma nerve ( I’m in my 4th week)?
And i am able to return to full activity ( strong finger and finger together)?
Very informative and well explained as always Khalid. Thank you for sharing your knowledge, it is very appreciated.
Thank you so much! 🙏🏼
Thank you!!!!! Great video
You are so welcome! Thank you for your kind words!
I have hand of blessing, is it serious? will I come back? thank you!
Please definitely see a Dr or physiotherapist if you are concerned!
Sir can you please make a video on how to treat these conditions also. It would be really helpful 🙏❤
Hi! Yes absolutely we have resources on this on our website with webinars! Head to clinicalphysio.com/on-demand-webinars and search for Peripheral Nerve Injuries
@@ClinicalPhysio thank you 😊
@@savarapukeerthikiran6852 no problem!
Is there hand getting Thinner in claw hand , provide some physiotherapy video please 🥺🙏🏻 love from India 🇮🇳
I have it and yes, there are several hand muscles that no longer function at all. So the atrophy is significant and my right hand is much thinner. I also have permanent numbness on half the hand. Half of the ring finger and the entire pinky is completely numb at all times. My grip strength has decreased significantly also. I'm trying to find out if this is ever considered a disability or physical handicap
Such a usefull and precious video
Thank you so much for your kind words 😊
@@ClinicalPhysio what is the remedy sir...
And if it has to be treated by surgery how much it may cost...
May I get againg my touch sensation back
Thanks bro. I had the ulnar claw, but it healed.
Very pleased to hear things went in the right direction for you! Good luck!
Plz how did your ulnar claw healed? Plz help me😢
@@stephaniefrancis4640 I was carrying a large TV to a super bowl party and I fell down. I was holding the tv and my left elbow hit the curb. My hand turned into a crab hand. But, a year later it was all gone. I don't know how, but I can play my instrument. YaY
@@xmateosx thank you
@@stephaniefrancis4640 Also, there was prayer. It was healing slowly, then a young person prayed for me at an event my friend took me to. I say, I don't know, because I don't know the full answer. After his prayer, I healed over a few days. Take that as you will.
Thanks Frome India 🙏
Thank you!
Excellent,and lucdly explained, my compliments
Many thanks! Very kind of you!
😮😊😊😊😊
Great work 👏
Thank you so much!
thankyou at least i know its not ms. i just dont have use of my right pointer finger. i cant squeeze my fingers together on my right hand. no pain, just no strength.
Can Wartenberg sign be an indicator for ALS?
Hi! Probably not in isolation… I.E. if the patient had Wartenburg’s sign only, I would be thinking principally about the ulna nerve, and not thinking about ALS necessarily
Ugh 😩 is it bad if I can’t do most of the movements 😢
Thank you so much
You're most welcome!
Really useful thanks!
You’re very welcome!
I had a Spaghetti wrist 13 years ago. With my hand all the tests come out in such a funny way!
Hope you are doing ok! 🙏🏼
@@ClinicalPhysio actually I have chronic pain due to 2 huge neuromas., one on the ulnar nerve and the other on the median. Big life challenge. Music saved me from becoming crazy
I got shot in my right arm an have the first one you talked about. I'm soooo scared cause it's my right hand. I'm sooo scared man. Its been 2 months an I'm just scared
Please make sure you see someone about it if you are concerned! 🙏🏼
💗 from India
Thank you so much!
Thanks. Sir
Parakalo!
Lumbricals don’t adduct the 5th digit.
This sht came up in my exams lol
Hope i nailed it
I hope you did too!
الدلة 😁😁❤️
🙏🏼
My right pinky and left index been numb for years, sometimes my hand curls up. I ask doctor before about surgery but they don't want to fix they only want to push medication for rest of our lives to get rich.
So sorry to hear that, wishing you all the very best
What about struggling to extend pinky finger fully from a fist
I can do it with the right hand not the left
👌🏼
Thank you!