Radial Nerve Palsy

The radial nerve runs down the length of the arm. It is one of 3 nerves that carry signals from the brain down the arm to the hand. It controls movement of the triceps muscle at the back of the upper arm. It also controls movement and feeling in the wrist and hand. Radial nerve palsy (also called wrist drop) is caused by damage to the radial nerve. Symptoms include:

  • Weakness of the wrist and fingers

  • Muscle shrinkage in the arm or hand

  • Pain in the arm, wrist, or hand

  • Inability to straighten the wrist or fingers

  • Numbness or tingling of the hand

Injury to the radial nerve may be caused by:

  • Direct blow to the nerve

  • Cut or other wound that affects the nerve

  • Fracture of the arm or elbow 

  • Unrelieved pressure on the radial nerve (from things such as sleeping with the arm trapped under the body)

  • Injury that results in swelling around the nerve

  • Use of crutches resulting in compression of on the nerve

  • Long-term constriction of the wrist (for example, from a tight watch or bracelet)

  • Repetitive twisting motions of the forearm

In some cases, no cause can be found.

The treatment depends on the cause of the nerve damage. In some cases, the problem will go away on its once pressure to the nerve is relieved. Your healthcare provider may do electromyography (EMG) and nerve conduction studies (NCS) to determine the extent of damage done to the radial nerve. This will allow your provider to know a rough estimate of the time needed for you to get better. Splinting the wrist to limit movement may help with healing. If the problem is due to trauma or injury, physical therapy may be prescribed. Corticosteroids injections into the area may reduce swelling and pressure on the nerve. Surgery to repair the nerve may be needed for chronic symptoms that don't respond to simpler treatments.

Home care

  • Rest the wrist and arm until normal feeling and strength return.

  • If you were given a splint or sling, wear it as directed.

  • Don't lean on your elbows.

  • If medicines were prescribed for pain or nerve sensations, take them as directed.

Follow-up care

Follow up with your healthcare provider or as advised by our staff.

When to seek medical advice

Call your healthcare provider right away if you have any of the following:

  • Increasing arm swelling or pain

  • Worsening numbness or weakness of the arm

  • Symptoms spreading to other parts of the body

  • Slurred speech, confusion

  • Shortness of breath or trouble breathing

  • Trouble speaking, walking, or seeing

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