Skip to content

Patients › Elbow

Pagkalabas ng Radial Tunnel

PDF

Radial tunnel release relieves pain from PIN compression – distinct from tennis elbow, and how surgery helps.

Updated May 2026
Ilustrasyon ng isang hand therapist na humihila ng forearms at wrist ng isang tao sa isang treatment table.
Ang radial nerve ay umiikot sa labas ng siko at nahahati sa forearms. Ang radial tunnel release ay nagpapalaya sa malalim na sanga nito kung saan ito maipipiga sa pagitan ng mga layer ng supinator muscle. Kieran Hirpara 4.0

Ang pahinang ito ay isinalin ng makina at hindi pa nasusuri ng isang doktor. Ang bersyong Ingles ang siyang opisyal.

Bakit ito ang inirekomendang operasyon

Ang operasyong ito, tinatawag na radial tunnel release, ay isang pagsusurgery upang palayain ang radial nerve mula sa masisikip na mga tisyu sa iyong itaas na braso. Posibleng inirekomenda ito ng iyong doktor dahil mayroon kang radial tunnel syndrome na hindi gumagaling sa mga non-surgical na paggamot tulad ng pahinga o therapy. Bagama't ang non-operative na pag-aalaga ang unang hakbang para sa kondisyong ito, nananatiling isang viable na opsyon ang surgery kapag tumatagal ang mga sintomas.

Ang layunin ng prosedurang ito ay bawasan ang pressure sa nerve upang mabawasan ang sakit at mapabuti ang function. Gamit ng iyong doktor ang isang bukas na incision upang ma-access nang maingat ang lugar at palayain ang masisikip na tisyu sa paligid ng nerve. Layunin ng pamamaraang ito na ibalik ang normal na galaw ng nerve at tulungan kang muling gamitin ang iyong braso.

Bago ang operasyon

Kailangan mong mag-ayos ng sasakyan pauwi at dalhin ang listahan ng mga kasalukuyang gamot na iniiinom. Maaaring mag-order ng X-ray, blood test, o pagsusuri ng anestesiya ang iyong surgeon upang suriin ang iyong kalusugan bago ang operasyon. Mangyaring mag-fast (huwag kumain o uminom) sa loob ng oras na itinakda ng iyong surgeon at itigil ang anumang gamot na hinihingi nitong itigil. Magsuot ng komportableng damit sa ospital. Ang operasyong ito ay gumagamit ng isang bukas na hiwa sa lugar kung saan nahuhulog ang nerbiyo. Maingat na ilalantad ng iyong surgeon ang nerbiyo sa pamamagitan ng hiwang ito upang mabawasan ang presyon. Kailangan mong sundin ang mga hakbang na ito upang siguraduhing handa ka para sa prosedura.

Sa araw ng operasyon

Dadating ka sa ospital at tatagpo ang iyong anestesiyologo upang talakayin ang iyong plano ng pag-aalaga. Ang operasyong ito ay isinasagawa sa ilalim ng pangkalahatang anestesya. Ikaw ay lubos na matutulog habang ginagawa ang operasyon. May ilang pasyente na maaari ring makatanggap ng regional nerve block para sa pagpapagaan ng sakit pagkatapos ng operasyon; ang anestesiyologo ang magpapatibay nito sa araw ng operasyon batay sa iyong indibidwal na sitwasyon.

Kapag handa ka na, dalhin ka sa operating theatre. Gagawa ang iyong surgeon ng isang hiwa sa ibabaw ng lugar na kailangan ng paggamot upang ma-access ang nerbiyos. Pagkatapos matapos ang gawain, gising ka sa recovery area kung saan susubaybayan ng mga staff ang iyong kaginhawaan at paggaling.

Mga ginagawa sa operasyon

Gagawa ang iyong doktor ng isang hiwa sa ibabaw ng iyong siko upang maabot ang radial nerve. Ang bukas na pamamaraang ito ay nagbibigay-daan upang makita at paluwagin ang bawat punto kung saan pinipisil ang nerve. Maingat na lilayasin ng doktor ang nerve mula sa makitid na tunnel ng tissue na nakapipigil dito.

Kung mayroon kang stiffness sa siko o fracture, maaari ring gawin ng iyong doktor ang preventive nerve release. Sa ilang kaso, maaari nilang ilipat ang nerve sa mas ligtas na posisyon o ilipat ang tendon kung matagal nang nasira ang nerve. Ang layunin ay lubos na linisin ang daan sa paligid ng nerve upang muling gumana ito nang normal.

Kapag naluwag at protektado na ang nerve, isasara ng iyong doktor ang hiwa gamit ang mga tahi. Ang eksaktong paraan ng pagsasara ay nakadepende sa kung paano gumagaling ang iyong balat, ngunit nananatiling pokus ang proteksyon sa nerve na bago lang naluwag. Karaniwang inialok lamang ang prosedurang ito sa mga kaso kung saan hindi nakatulong ang mga non-surgical na paggamot.

Pagkatapos ng operasyon

Gising ka sa recovery ward. Ang iyong surgeon ay gumagamit ng isang bukas na incision sa itaas ng operative site upang i-release ang radial nerve. Mayroon kang dressing at malamang na sling o brace sa iyong braso. Ang sakit ay pinamamahalaan gamit ang standard na gamot. Karaniwan itong day case, kaya inaasahan mong makakauwi ka sa parehong araw, bagaman minsan ay nananatili ang mga pasyente sa loob ng isang gabi. Kailangan mong may kasama kang tao na mananatili sa iyo sa loob ng unang 24 na oras upang tumulong sa paggalaw at pag-aalaga sa sugat. Magsimula ka ng paggalaw ng iyong braso nang dahan-dahan sa sandaling komportable ka na.

Pagbawi

Maaaring maranasan mo ang ilang sakit at pamamaga sa iyong forearms at siko sa unang ilang araw. Normal ito habang ang iyong katawan ay nagpapagaling mula sa iisang hiwa na ginawa sa lugar ng operasyon. Maaaring rekomendahan ng iyong doktor ang simpleng gamot para sa sakit at pagtaas ng iyong braso upang mapagaan ang hindi komportableng pakiramdam.

Magdudulot ka ng sling o brace upang protektahan ang iyong braso habang ito ay nagpapagaling. Gabay ng iyong pisikal na terapeuta ang iyong mga banayad na ehersisyo upang panatilihin ang paggalaw ng iyong balikat at mga daliri. Habang bumababa ang pamamaga at bumabalik ang paggalaw, magsisimula kang gumamit ng iyong kamay nang mas natural. Maaari kang bumalik sa mga pang-araw-araw na gawain sa bahay habang umuunlad ang iyong hawak nang walang sakit.

Ang iyong pagbawi ay natatangi. May mga taong mabilis na nakakabalik ng kakayahan, habang may iba naman na mas matagal. Gabay ng iyong doktor at pisikal na terapeuta ang iyong pag-unlad base sa kung paano tumutugon ang iyong nerbiyos at kalamnan, upang matiyak na ligtas ang iyong pag-unlad.

Maaaring mangyari

Karamihan sa mga pasyente ay magaling, ngunit minsan ay maaaring magkaroon ng mga problema. Ang iyong surgeon at ang koponan ay mahigpit na susubaybayan ka upang maagang matukoy ang anumang isyu.

Maaaring mapansin mo ang biglang kahinaan sa iyong pulso o mga daliri kung apektado ang radial nerve. Ito ay isang kondisyon na tinatawag na nerve palsy. Kung nararamdaman mo ito, ipaalam agad sa iyong surgeon. Ang maagang aksyon ay tumutulong upang mas mabuti ang paggaling ng nerbiyos.

Minsan, maaaring magkaroon ng iritasyon ang nerbiyos dahil sa operasyon mismo. Maaaring mararamdaman mo ang pansamantalang kawalan ng pakiramdam o pangangati sa iyong kamay o forearms. Karaniwan itong mawawala nang sarili sa loob ng tatlo hanggang limang buwan. Kung hindi ito magbubuti, banggitin ito sa iyong susunod na review.

Sa bihirang mga kaso, maaaring magkaroon ng pamamaga ang isang superficial vein sa iyong forearm. Maaaring magmukhang ito na isang masakit at pulang hibla sa ilalim ng balat. Minsan ay maaari nitong mahawakan ang isang maliit na sanga ng nerbiyos. Kung makikita mo ito, kontakin ang klinika para sa payo.

Kung mayroon kang naging fracture repair, ang deep infection ay isang panganib. Maaaring mapansin mo ang pamumula na kumakalat mula sa sugat, lagnat, o sakit na hindi nababawasan ng simpleng gamot pang-alis ng sakit. Pumunta sa emergency department kung lumabas ang mga senyales na ito.

Maaaring maging seryoso ang mga komplikasyon mula sa reconstructive surgery. Maaaring harapin mo ang malalim na kapansanan kung lumuwag o mabali muli ang joint. Ang infection at mga fracture ng buto malapit sa joint ang pinakamabigat na mga problema. Iulat agad ang anumang bagong sakit o kawalan ng katatagan.

Ang talahanayan ng mga komplikasyon sa pahinang ito ay naglalaman ng karaniwang mga rate kung gusto mo ng mga detalye.

Kailan tawagan ang aming klinika

Tawagan kami kung may lagnat, lumalalang pamumula, o paglabas ng likido mula sa sugat. Pumunta sa emergency room kung biglaang mararamdaman ang matinding sakit, pamamaga ng binti, o hirap sa paghinga. Agad na kontakin ang iyong doktor kung mapansin ang bagong pagkawala ng pakiramdam o hindi mo na makagalaw ang iyong braso o kamay. Ang mga senyales na ito ay nangangailangan ng agad na pagsusuri upang mapanatili ang iyong paggaling.


Creative Commons BY-NC 4.0

CC Creative Commons licence
BY Attribution — you must credit the source
NC NonCommercial — not for commercial use

Attribution-NonCommercial 4.0 International


Creative Commons Corporation ("Creative Commons") is not a law firm and does not provide legal services or legal advice. Distribution of Creative Commons public licenses does not create a lawyer-client or other relationship. Creative Commons makes its licenses and related information available on an "as-is" basis. Creative Commons gives no warranties regarding its licenses, any material licensed under their terms and conditions, or any related information. Creative Commons disclaims all liability for damages resulting from their use to the fullest extent possible.

Using Creative Commons Public Licenses

Creative Commons public licenses provide a standard set of terms and conditions that creators and other rights holders may use to share original works of authorship and other material subject to copyright and certain other rights specified in the public license below. The following considerations are for informational purposes only, are not exhaustive, and do not form part of our licenses.

Considerations for licensors: Our public licenses are intended for use by those authorized to give the public permission to use material in ways otherwise restricted by copyright and certain other rights. Our licenses are irrevocable. Licensors should read and understand the terms and conditions of the license they choose before applying it. Licensors should also secure all rights necessary before applying our licenses so that the public can reuse the material as expected. Licensors should clearly mark any material not subject to the license. This includes other CC- licensed material, or material used under an exception or limitation to copyright. More considerations for licensors: wiki.creativecommons.org/Considerations_for_licensors

Considerations for the public: By using one of our public licenses, a licensor grants the public permission to use the licensed material under specified terms and conditions. If the licensor's permission is not necessary for any reason--for example, because of any applicable exception or limitation to copyright--then that use is not regulated by the license. Our licenses grant only permissions under copyright and certain other rights that a licensor has authority to grant. Use of the licensed material may still be restricted for other reasons, including because others have copyright or other rights in the material. A licensor may make special requests, such as asking that all changes be marked or described. Although not required by our licenses, you are encouraged to respect those requests where reasonable. More considerations for the public: wiki.creativecommons.org/Considerations_for_licensees


Creative Commons Attribution-NonCommercial 4.0 International Public License

By exercising the Licensed Rights (defined below), You accept and agree to be bound by the terms and conditions of this Creative Commons Attribution-NonCommercial 4.0 International Public License ("Public License"). To the extent this Public License may be interpreted as a contract, You are granted the Licensed Rights in consideration of Your acceptance of these terms and conditions, and the Licensor grants You such rights in consideration of benefits the Licensor receives from making the Licensed Material available under these terms and conditions.

Section 1 -- Definitions.

a. Adapted Material means material subject to Copyright and Similar Rights that is derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor. For purposes of this Public License, where the Licensed Material is a musical work, performance, or sound recording, Adapted Material is always produced where the Licensed Material is synched in timed relation with a moving image.

b. Adapter's License means the license You apply to Your Copyright and Similar Rights in Your contributions to Adapted Material in accordance with the terms and conditions of this Public License.

c. Copyright and Similar Rights means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized. For purposes of this Public License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights.

d. Effective Technological Measures means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.

e. Exceptions and Limitations means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.

f. Licensed Material means the artistic or literary work, database, or other material to which the Licensor applied this Public License.

g. Licensed Rights means the rights granted to You subject to the terms and conditions of this Public License, which are limited to all Copyright and Similar Rights that apply to Your use of the Licensed Material and that the Licensor has authority to license.

h. Licensor means the individual(s) or entity(ies) granting rights under this Public License.

i. NonCommercial means not primarily intended for or directed towards commercial advantage or monetary compensation. For purposes of this Public License, the exchange of the Licensed Material for other material subject to Copyright and Similar Rights by digital file-sharing or similar means is NonCommercial provided there is no payment of monetary compensation in connection with the exchange.

j. Share means to provide material to the public by any means or process that requires permission under the Licensed Rights, such as reproduction, public display, public performance, distribution, dissemination, communication, or importation, and to make material available to the public including in ways that members of the public may access the material from a place and at a time individually chosen by them.

k. Sui Generis Database Rights means rights other than copyright resulting from Directive 96/9/EC of the European Parliament and of the Council of 11 March 1996 on the legal protection of databases, as amended and/or succeeded, as well as other essentially equivalent rights anywhere in the world.

l. You means the individual or entity exercising the Licensed Rights under this Public License. Your has a corresponding meaning.

Section 2 -- Scope.

a. License grant.

1. Subject to the terms and conditions of this Public License, the Licensor hereby grants You a worldwide, royalty-free, non-sublicensable, non-exclusive, irrevocable license to exercise the Licensed Rights in the Licensed Material to:

a. reproduce and Share the Licensed Material, in whole or in part, for NonCommercial purposes only; and

b. produce, reproduce, and Share Adapted Material for NonCommercial purposes only.

2. Exceptions and Limitations. For the avoidance of doubt, where Exceptions and Limitations apply to Your use, this Public License does not apply, and You do not need to comply with its terms and conditions.

3. Term. The term of this Public License is specified in Section 6(a).

4. Media and formats; technical modifications allowed. The Licensor authorizes You to exercise the Licensed Rights in all media and formats whether now known or hereafter created, and to make technical modifications necessary to do so. The Licensor waives and/or agrees not to assert any right or authority to forbid You from making technical modifications necessary to exercise the Licensed Rights, including technical modifications necessary to circumvent Effective Technological Measures. For purposes of this Public License, simply making modifications authorized by this Section 2(a) (4) never produces Adapted Material.

5. Downstream recipients.

a. Offer from the Licensor -- Licensed Material. Every recipient of the Licensed Material automatically receives an offer from the Licensor to exercise the Licensed Rights under the terms and conditions of this Public License.

b. No downstream restrictions. You may not offer or impose any additional or different terms or conditions on, or apply any Effective Technological Measures to, the Licensed Material if doing so restricts exercise of the Licensed Rights by any recipient of the Licensed Material.

6. No endorsement. Nothing in this Public License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).

b. Other rights.

1. Moral rights, such as the right of integrity, are not licensed under this Public License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.

2. Patent and trademark rights are not licensed under this Public License.

3. To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties, including when the Licensed Material is used other than for NonCommercial purposes.

Section 3 -- License Conditions.

Your exercise of the Licensed Rights is expressly made subject to the following conditions.

a. Attribution.

1. If You Share the Licensed Material (including in modified form), You must:

a. retain the following if it is supplied by the Licensor with the Licensed Material:

i. identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);

ii. a copyright notice;

iii. a notice that refers to this Public License;

iv. a notice that refers to the disclaimer of warranties;

v. a URI or hyperlink to the Licensed Material to the extent reasonably practicable;

b. indicate if You modified the Licensed Material and retain an indication of any previous modifications; and

c. indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.

2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this Public License.

Section 4 -- Sui Generis Database Rights.

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:

a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only;

b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.

Section 5 -- Disclaimer of Warranties and Limitation of Liability.

a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

Section 6 -- Term and Termination.

a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.

b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

2. upon express reinstatement by the Licensor.

For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.


Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

Creative Commons may be contacted at creativecommons.org.