Case Study: Radial Nerve Palsy

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Management in a Hospital Setting (2010-2012)

A 47-year-old male presented with acute onset radial nerve palsy affecting the right upper limb. The patient reported no prior medical history and was otherwise healthy and active.

History and Onset:

The condition developed after the patient overslept in a prolonged malposition, likely compressing the radial nerve. He woke with weakness in wrist and finger extension, commonly referred to as "wrist drop."

Assessment:

Clinical examination confirmed radial nerve involvement, with reduced motor function in the extensor muscles of the forearm and diminished sensation over the dorsal hand. No signs of trauma or systemic illness were observed. Electrodiagnostic studies were not initially required due to the clear clinical presentation and spontaneous cause.

Treatment Plan:

• Initiated electrical nerve stimulation targeting affected muscles to promote nerve reactivation and prevent muscle atrophy.

• Prescribed progressive strengthening exercises focused on wrist and finger extensors.

• Provided education on positioning and ergonomic adjustments to prevent recurrence.

• Advised activity modification and monitored for functional adaptation in daily tasks.

Progress and Outcome:

Over several weeks, the patient demonstrated gradual improvement in motor function and strength. Electrical stimulation was effective in maintaining muscle tone during the early recovery phase. Strengthening exercises were progressively intensified based on the patient’s tolerance and improvement. Full recovery was expected within the typical 6–12 week window for neurapraxia-type injuries.

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