Hey Brad! How are you? My name is Derek and I can relate to your situation. I was in a single car accident in San Antonio, Texas in 2006 when my SUV slid across black ice, hit the highway median and flipped over. I thought I had control of the vehicle even though I hit the median and have no recollection of flipping over. I had retired from the military just 6 months earlier and was rushed to a nearby military hospital. I didn't understand the gravity of the situation when I was told I may never be able to use my right arm. In my mind, I was telling myself I would recover over time. I had no family in Texas so when I was released from the hospital, my family came and took me to my hometown of Baltimore. There I continued treatment with the VA for about a year but nothing was improving my situation. They had me on codeine, morphine and pregabalin (Lyrica) that left me constipated and feeling anxious. I learned that the best treatment for avulsed nerves had to be done within a year of the injury and I was over that. I felt like I wasn't getting information fast enough from the VA and I felt they were incompetent and made me miss a possible chance of a better recovery. Finally, they had me see a neurosurgeon at John Hopkins. At the time, I could lower my right arm but I couldn't raise it. He decided to do a nerve transfer that allowed me to raise my arm to chest level but it took away the ability to lower it. The doctor said I could allow gravity to pull the arm down. This did provide me with more use of my right arm. Six months later I had a procedure on my right hand but I don't think it changed anything. I've always had some decent use of my right hand but I had severe pain in my thumb and the finger next to it. Over time, the pain has become less but at times I get a feeling of numbness and the hand will feel cold. I totally stopped taking the codeine and morphine. I felt addicted and it took me a while to get off that stuff. I am able to control my pain with just the Lyrica. And like you said, the muscle tone in my arm has wasted away because I really can't raise my arm at the shoulder. I was naturally right handed so it was a big problem. I had to learn to use my left hand and I did. Man, just hang in there. You can do this! This situation made me take notice of other people. I realized others are going through different things and I stop asking why me? This is a challenge for us and I am grateful it's not life threatening.