Twenty-two year old male, woke up with his wrist flexed down, un able to move his wrist. He also had numbness, tingling in left arm, hand and fingers. He could not touch his fore finger and thumb in the position of the "OK" sign. He could not give a "thumbs up" sign. He has reduced grip strength in the left hand. He denies any accident or trauma prior to the finding of the wrist. He has had a slight tremor in his hands since high school.
He had an MRI two days later, and it did not reveal anything unusual.
The doctor started him on an anti imflammatory drug and ordered physical therapy. He has two physical therapy treatments with the use of a tens unit. He has some movement back. He can flex his wrist level with his arm, but he cannot hold it there. He still can not flex the wrist in the cocked up position.
The doctor sems to think he might have damaged the axilla nerve bundle in his left armpit because he slees with his left arm up under his head.
I am concerned because of the sudden onset, it has not resolved itself and because he graduated from college two weeks ago, he is no longer covered by parents' insurance as of June 1.
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