Therapy

Supinator Lodge Syndrome can be treated conservatively, for example with painkillers or physiotherapy, or surgically. Since the surgical treatment of supinatorlogen syndrome has no comparable high chances of success as the surgical treatment of a bottleneck in the context of carpal tunnel syndrome, conservative non-surgical therapy should be tried first. With the non-surgical approach, one tries to reduce the pain in the area of the forearm with the help of painkillers.

The so-called non-steroidal anti-inflammatory drugs are mainly used. Diclofenac or ibuprofen, for example, belong to this group. They not only relieve the pain, but also combat possible inflammation in this area. Drugs that serve to relax the muscles can also be used. Supinator Lodge Syndrome can also be treated with cold and heat applications or pure physiotherapy.

How can physiotherapy help?

Physiotherapy, as a conservative therapeutic measure, can be particularly supportive in the treatment of Supinator Lodge Syndrome. Here, the extent of the damage to the nerve is decisive. Adapted to this, physiotherapy can focus on a supportive build-up of the surrounding muscles and / or the self-affected muscles can be strengthened again through active exercises.

Special procedures such as lymph drainage or direct stimulation of the affected nerve (electrostimulation) can also be helpful.If the non-surgical treatments for the supinatorlogen syndrome do not respond or do not respond adequately, surgical treatment can be performed. Surgery should be performed quickly, especially if paralysis is evident. During surgery, an attempt is made to expose the deep, purely motorized branch of the radialis nerve.

Since this is very fine, special care is required. At the point where the radial nerve enters the muscle, it is covered by a connective tissue fiber. This can be very taut and thus pinch the nerve. During the operation, an attempt is therefore made to widen the entry point of the nerve into the muscle. The expansion is achieved by cutting through the constricting structures such as fiber lines or connective tissue.