Eskimo
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Hi Eskimo
Thanks.
I don't understand your description of the Tinel's sign, and I cannot quite figure it out using google.
We need the motor neurons to regenerate and make contact to the target muscle.
How would you feel any tingling sensation with motor neurons?
Do motor neurons feel sensations as well as sensory neurons?
Or can one infer motor neuron recovery from sensory neuron recovery?
Thanks again!
Let's say a nerve is injured at the level of your knee but needs to grow back to the level of the mid-calf to re-innervate a muscle. In Tinel's sign you tap along the path of the nerve. Once you reach the end of the regenerating axons the patient gets a tingly feeling. You can then see how fast the nerve is regenerating by charting out where Tinel's sign is elicited presently compared to the last time it was assessed.
In terms of sensation from motor nerves, nerves actually have a bit of their own sensory system (nervi nervorum). So the sensation isn't coming from the tip of the sensory nerve but from a nerve supply embedded in its surrounding connective tissue.
In general motor and sensory nerves don't recover at the same rate. Typically sensory nerves recover later and less completely than motor nerves. It is also true that sensory nerves are also more susceptible to damage by trauma or compression than motor nerves.
I don't think I need to answer the last question because I think the point is moot based on the first explanation.