Entrapment neuropathies of the arm nerves: Clinical symptoms and therapeutic approaches

Entrapment neuropathies are a common group of peripheral nervous system disorders that develop due to compression of nerve trunks as they pass through anatomically narrow canals. The article discusses the main types of compression neuropathies of the arm nerves, clinical symptoms, diagnostic tests and therapeutic approaches. Clinical manifestations of entrapment neuropathies fluctuate based on the level of compression and the degree of nerve injury. Diagnostic tools include electroneuromyography and visualization methods such as ultrasound and MRI, which are particularly valuable for differential diagnosis and detection of structural changes in the nerve itself and its surrounding soft tissues. Treatment of entrapment neuropathies depends on the stage of the disease. Initial treatment is conservative and may include orthotics, local administration of corticosteroids and modification of physical activities. If conservative therapy is ineffective and patients show movement disorders, persistent neuropathic pain, surgical treatment aimed at decompressing the nerve trunk is recommended. It is advisable to include highdose B vitamins in the complex therapy of entrapment neuropathies at any stage of the disease, as they have neurometabolic effects and promote the regeneration of injured nerves. The prognosis of the disease is based on timely diagnosis and adequate therapy. Early treatment allows complete nerve function recovery, while prolonged compression can lead to irreversible changes, including persistent motor impairments and muscle atrophy.

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