The injury resulted in an ulnar nerve palsy requiring surgical exploration, neuroma excision, and sural nerve cable grafting. X-ray and ultrasound are both inexpensive, accessible, and non-invasive imaging modalities. After 24 hours, you can remove thedressing. Factors predicting sensory and motor recovery in the repair of upper limb peripheral nerve injuries. I still get the feeling of it being in there. Park SY, Kang JW, Yang DH, Lim TH. Correspondence to How can you get a Nexplanon implant? The pain is localised, in fact it is right where on end is 'digging in'. However, fertility usually resumes much quicker after coming off of Nexplanon than it does after coming off of the Depo shot as it can take up to 18 months in that case for ovulation to start again! You are the only one that I have found to have the closest side effects as my self. However, serious complications, including neurovascular injury, can occur [1,2,3,4,5,6]. The Nexplanon® was removed using microsurgical instruments. After the numbing is complete, a special applicator will guide the implant under the skin of your arm. I got my nexplanon removed and now I feel like a lil knot in my left arm. Median and ulnar nerve injuries: a meta-analysis of predictors of motor and sensory recovery after modern microsurgical nerve repair. Dosage for Nexplanon. NEXPLANON must be removed no later than by the end of the third year. Nexplanon Implant Side Effects by Likelihood and Severity COMMON side effects. 1). Wechselberger G, Wolfram D, Pulzl P, Soelder E, Schoeller T. Nerve injury caused by removal of an implantable hormonal contraceptive. 2005;116:484–94. It is safe to treat this with your usual pain killers such as paracetamol. Inflammation Or Infection Of Vagina 6. If experienced, these tend to have a Severe expression 1. 1995;40:184–6. Hueston WJ, Locke KT. During the removal the doctor had to dig out the old one because it was really attached inside and I have nerve damage now. Implanon pain in arm after insertion. Out of 301 insertions of the NEXPLANON implant in a clinical trial, the mean insertion time (from the removal of the protection cap of the applicator until retraction of the needle from the arm) was 27.9 ± 29.3 seconds. 2016;124:188–9. When the ulnar innervated intrinsic muscles cannot fire, there is extension at the metacarpalphalangeal (MCP) joints and flexion at both the proximal and distal interphalangeal (IP) joints in the ring and small fingers (b), AP (a) and lateral (b) radiograph views of the left humerus show the radio-opaque implant located at the level of the proximal to mid humeral shaft, 16.5 cm proximal to the medial epicondyle. Swelling, tenderness, and bruising are normal after the removal of a Nexplanon implant. Since you’re under local anesthesia, the procedure will only hurt as much as the anesthetic injection. Bragg TW, Jose RM, Bland JW, Matthews RN, Srivastava S. Implantable contraceptive devices: primum non nocere. For many women, this will be because they wish to start a family. A US doctor answered Learn more. Birth Control - For all your questions, answers, and experiences. 1998;91:875–8. 4.2 475 implanon removal pain in arm. He B, Zhu Z, Zhu Q, Zhou X, Zheng C, Li P, Zhu S, Zhu J. the side effects may warrant the removal of the implant. A 21-year-old woman presented to our hand and peripheral nerve clinic 4 months after attempted Nexplanon® removal from her left arm. Contraception. | Yahoo Answers . Devices that are non-palpable, deep, or migrated should be imaged before formal surgical exploration and removal. Contraception. In conclusion, Nexplanon® related major peripheral nerve injuries are an uncommon but possible complication. MD. Weight Gain 10. Article  Springer Nature. I had my Nexplanon out on 9th May this year due to bad side effects so I am now hormone free. Shooting pain in arm after Nexplanon removal. Multiple case reports have described implant-related injuries to the median [2, 3], ulnar [4, 5], and medial antebrachial cutaneous nerves [6]. I've tried researching this but to no avail, nexplanon does not list this as a possible side effect on their site. Lefebvre, R., Hom, M., Leland, H. et al. Merck. The patient reported that neither she, nor her nurse practitioner (NP), was confidently able to feel the Nexplanon® before the attempted removal. If experienced, these tend to have a Severe expression . Immediately postoperatively, the patient had noted marked finger and hand weakness, sensory loss, and severe radiating pain. The upper extremity surgeons treated the neuroma-in- continuity with microsurgical resection, followed by reconstruction. Visible Water Retention 9. X-rays showed the radio-opaque Nexplanon® at the junction of the proximal and middle thirds of the humeral shaft with the most distal end 16.5 cm proximal to the medial epicondyle (Fig. 2017;96:439–45. Hi all. Using condoms. Always verify the presence of the implant in the patient’s arm immediately after insertion by palpation. Our patient’s limited recover 7 months after nerve reconstruction is unfortunately not uncommon: the prognosis for recovery after repair or reconstruction is particularly poor for the ulnar nerve [16, 17]. You may become pregnant if the implant comes out by itself. Mommers E, Blum GF, Gent TG, Peters KP, Sordal TS, Marintcheva-Petrova M. Nexplanon, a radiopaque etonogestrel implant in combination with a next-generation applicator: 3 year results of a noncomparative multicenter trial. After insertion, 300 out of 301 (99.7%) NEXPLANON implants were palpable. 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