DEAR DR. ROACH: Nine days ago, I had a medical procedure under general anesthesia. One of the lines was put in the artery in my left wrist. Aside from deep bruising that went halfway up my forearm, it seems that there is some nerve damage. I have constant pain from my thumb, through my wrist, and up to about 3 inches on my arm. Overnight, the pain becomes intense and radiates all the way up to my shoulder.
— B.F.
ANSWER: I suspect that the bruising on your forearm was caused by bleeding from the puncture site of the artery in your wrist. (This type of line is used to measure blood pressure accurately and instantaneously.) The hematoma (blood collection) inside the wrist might be compressing the median nerve in your carpal tunnel, which causes a neuropathy very much like carpal tunnel syndrome.
If I am right, then the condition should improve as your body absorbs the blood, which takes pressure off the nerve. However, there are case reports of permanent damage to the nerve from complications of an arterial puncture. In general, if the nerve compression is serious enough to cause weakness, it needs to be acted upon urgently.
DEAR DR. ROACH: I’m an active 60-year-old and took a soccer ball to the groin some time back. After a few months I noticed a change in my sexual organ. Narrowing and bending of my organ developed, and it seems to be getting worse.
My general doctor seems to think it’s Peyronie’s disease.
— G.
ANSWER: I suspect your general doctor is correct, and an evaluation by a urologist is certainly indicated. Peyronie’s disease is often triggered by trauma in a person who is genetically susceptible to the condition.
The diagnosis is made by an examination showing a bend in the penis, along with plaque that can be felt during an examination in most cases. Some men, but not all, will have pain.
Depending on your symptoms and degree of curvature, there are several options for treatment. Medication can be injected directly into the penis; men treated with this were found to have about a 34% improvement in curvature. Traction therapy is also frequently used.
In men with more severe disease that does not respond to the previous options, surgical treatment can be considered.
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