Treating Neuropathy and Nerve Painthe Feet
Let me start with I'm a diabetic. I developedneuropathy, which basically you lose all sensationthe feet, but it's over a period of time.It was very painful. I would have sensationsmy feet like I was standing on fire, walkingon glass. Last October it got so bad that I couldn't sleep at night. Then I met Bullard, because he's just a great physician. I wouldn't think twice, I'd recommendhim to anybody. Very compassionate, very thorough, I can't say enough about Bullard. He'sjust a great physician and I don't know if there's anything he couldn't do hecould probably move mountains if he wanted to!Glen, probably one of the biggest questions
people are asking you is what'd we do, what'shappened. Of course, you had a tremendous improvementyour pain and the tinglingand the numbness. Easiest explanation is, to tell everybody, that this big nerve here,which is on the inside part of your left foot, was getting strangled. There was a noose aroundit. What we did is we wentand loosened the noose, and that allows that nerve to beginto function and work like it's supposed to.Now, the sensation is coming back, it's something that's going to take time butI can feel more. My quality of life has greatly improved since I had the procedure done by Bullard. There's no other physician
that I would recommend.Glen,the next couple weeks, what we're going to do is make sure that the swellingis improving, hopefully begin to transition you out of your compression socks, becauseI know it's kind of hot right now, and then look at making sure that your shoe gear andthings like that are where they're supposed to be, fitting you well, protecting your feetand stuff. Ok? Very good. Thank you, I appreciate it, havea good weekend! You do the same. Alright, see ya.
UW Health Helps Brachial Plexus Patient
Music gt;gt; Dylan Rowlo is fortunate to be workingat a job he loves, working on big trucks. gt;gt; I like everything about it. As a kid growing up I alwayslike taking things apart. gt;gt; Maintaining these trucks isphysically challenging for Dylan because he still doesn't have fulluse of his right arm and hand. Butthe last year he'sseen a tremendous improvement. gt;gt; The paper wouldn't havebeen able to staymy hand.
My hand would have had so much hypersensitivityin it, that I wouldn't have been able to keep the papermy hand or had enough grip. gt;gt; When Dylan started working ontrucks he had full use of both arms but a motorcycle accidentin 2013 changed his life. He suffered a brachia plexus injury, that'sthe network of nerves that sends signals from your spine to your shoulders,arms and hand. After the accident Dylan had littleuse of his right hand or arm. gt;gt; I didn't do anything; I sat athome, satthe recliner here.
gt;gt; He had strength to go downbut he could do nothing up. Absolutely nothing up, it literally hung there. gt;gt; Everything that I did, I had tohave help with, which is challenging for me you know I didn't youknow, I was 22 years old you know, you don't want your mom helpingyou shower when you're 22. gt;gt; I think that worst thing wasto see the pain, the nerve pain. gt;gt; There was just a point where youknow I'm like, there has to be a way, you know there has to bea way to find something.
gt;gt; Dylan's road back to his job startedwith a journey to UW Madison, where he met Omged Hannahassumed spelling, a surgeon at the Brachia Plexus . gt;gt; We're trying to go out and explainto people why brachia plexus injury is because some people don't refer patientsat all and some people refer them to late; so if a patient is referredto us after three years from brachia plexus injury thereis nothing much we can do to them. So most injuries we would like to seewithin the first three months and if we had
to operate we want to be within 3 to 6 months. gt;gt; It was his confidence that madeus feel more relaxed about it. gt;gt; We walkedthose doorsand the s handed us this, all the s that I see havejust been tremendous from day one. gt;gt; Hannah and his team tooknerves from Dylan's neck, forearm, shoulder as well as the intercostal nervealongside his rib bone and transplanted them to his arm to replace the damaged nerves. gt;gt; When you take intercostal nerves forexample, these are breathing nerves.
So initially when people are trying to use thosenerves to move their arm, sometimes they have to breatheto get the arm to movebecause it's what those nerves do. You breatheand your arm moves untilthe brain rewires and you don't need to breathefor the arm to move. gt;gt; Come here. gt;gt; Since the nerve transfer, Dylan'slife has changed amatically. His brain has adapting to those nerves and withdiligent physical therapy he's doing things like zipping up a coat or cutting hisfingernails, simple things that many take
Nerves 5 Nerve Plexuses
Nerve plexuses arebasically braids or interminglingsof spinal nerves, with each other,to form peripheral named nerves, likethe sciatic nerve. If this is at all like, what the heck is shetalking about, let's orient ourselvesto the brachial plexus. This is the actual anatomyof the brachial plexus.
Don't panic yet. You can see somethinghere that's familiar. Right?What do you think these are? These are spinal nerves. They're actually, each one ofthese cords, right here, is actually the anterior ramusfor this spinal nerve. So this is the anteriorramus of C5, this is the anterior ramusof C6, and so on.
The brachial plexus is made ofseveral named nerves, that we'll look at, and theycome from C5 through T1. Those are all the spinal nerves that are contributing pathwaysto make up the brachial plexus. If we're good with that, thenthe concept of a plexus is like a netor a knot or a tangle, and I just want you,like, take a deep breath, because I just want youto get this conceptually.
Parts of the anterior ramusof C5 split off. Now check out the split,and combine with C6. Combine again, like differentparts, combine with C6. This part is actuallycombining with a piece of C7. Here we've got C6 combiningwith pieces of C7 and C8. Do you see how we could do a map of the brachial plexusand have to know all, like, which piece connectedwith which part.
You're not goingto have to do that. In fact, I'm goingto take a red pen, and I'm going to show you whatyou're going to have to know. I want you to knowwho is contributing fibers to the brachial plexus named nervesthat we're responsible for. I want you to knowthe musculocutaneous nerve, the axillary nerve,
the median nerve,the nerve, and the radial nerve. Are there more nerves that area part of the brachial plexus? Yeah. These are the onesthat we're going to know. Hopefully you lookat this and go, whoa, can we even seethatour cadavers, and the answer is yes. We will have a brachial plexusprosection