Traumatic nerve injury

About Traumatic nerve injury

Nerves can be injured during blunt trauma (MVA, fall) or penetrating trauma (gunshot wound, stab wound). If the nerve is only stunned it is called a neuropraxia, and full recovery can be expected. Blunt traumas are more likely to cause neuropraxia. Transected nerves from penetrating trauma cause immediate loss of function, both muscle and sensation, and do not return unless surgically repaired.

Symptoms

The area affected depends on which nerve is damaged. Symptoms include: weakness, paralysis, numbness, tingling, and/or a burning sensation.

Tests & Diagnostics

A history and physical exam will be performed. Additional tests to identify the injury may be done.

Common tests: MRI.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Treatment depends on the extent, location and type of injury. Observation is recommended in blunt trauma since the nerve function can return with time. Treatment often includes immobilization and nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve), pain medications such as acetaminophen (Tylenol). Penetrating trauma that involves a transection of the nerve will likely require surgical repair, when possible.

Medical specialties

Orthopedic Surgery · Neurosurgery · Hand Surgery · Pediatric Neurosurgery · Pediatric Orthopedic Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Traumatic nerve injury.