Separate names with a comma.
Discussion in 'Archived Threads 2001-2004' started by Paul_D, Mar 1, 2002.
What is it?
Anyone had it?
i don't know exactly what it is but i have some kind of hand pain that no doctor can figure out and i've had it for almost 2 years. i can't play golf, hockey, lift weights or play baseball anymore because the pain is so bad. i would love someone to tell me they had the same problem and had it corrected.
Your searches may come out better if you Spell it right..
I've had it, mildly. Excersize and ergonomic education are the answer. Surgery is not.
Mike, find another doctor. Particlularly a sports medicine doctor or a specialist in Repetitive Stress Injuries. RSIs are easily treatable. A regimen of stretching, anti-inflammatories, and education about ergonomic problems which cause the disorder is all I need (for the rest of my life). Everybody is different though so definitely see a doctor. RSI is in no way a mystery.
For 12 years I've been sitting at a desk, typing. Typing typing typing. Type type type. Move the mouse, type some more. Type.
My right wrist and arm go numb from the elbow down because the nerve presses against the bone.
To stop this, I wear a BRACE on my right wrist -- $20 at your local drug store -- with a metal strip that keeps your (my) wrist from moving around, keeps the nerve still and not pressing against the bone.
Viola! No more pain!
It has to do with your median nerves that run through you hand/wrist. The nerves run through the carpal tunnel, a space in the wrist also occupied by the flexor tendons for the thumb and first few fingers. Anything that causes the tendons to become inflamed, will in turn cause the tissue around the tendons to swell (called tenosynovium). This swelling puts pressure against the nerves, which can lead to pain and numbness of the hand.
Numbness in the thumb and first few fingers is often the first symptom, followed by pain in the same area. It can be caused by arthritis, prior fracture of the wrist, and any activity involving repetitive use of the hands.
If left untreated, the pain/numbness can spread to the arm, shoulder and even neck. The muscles will weaken, making it difficult to use the thumb for grasping type movements.
I knew a guy that got it from riding motorcycles in enduros. The constant cluch/brake/throttle work did it. His thumbs would go completly numb. Had surgery in both arms, and was good as new afterwords.
it's tough Phil, I have seen about 5 doctors and had surgery even and the pain still persists, i have most recently had a mri that showed nothing and was told nothing can help, so the doctor said try accupuncture which did crap. i am interested in what you had to say because i know that the injury happened because i play alot of hockey and used to lift religiously, that's when the pain became weakening. at first they thought i had a carpol boss so they took out the bone but most of the pain is on the top and left (pinky finger) side of the hand when i put pressure on it or grip something hard or torque it with a swing (hockey, baseball) or use a lifting motion as in with like a tricep exercise. it really sucks, literally has changed my life so far.
It's tough, evey body is different. In my family there are two of us, myself and my sister Lisa (I have 7 brothers and sisters) who seem to be very prone to this type of injury. We both have had similar RSI problems, and others in the family have not. Different people will have different levels of problems. Tendonitis is my big RSI problem, not so much CTS. The Sports Medicene people really know the most about this.
Jared, interesting post. RSIs are not new. Tailors and seamstresses have been having problems with them for centuries, including CTS.
I personally had this malady caused by years of enduro/dirt biking...... Mine was diagnosed and therapy/ restricted use was suggested BUT I wished to continue my hobbies so there became one option..... surgery.
That was 15 years ago and I WOULD do it again.....
My problem was due to scar tissue buildup in the wrist pressing on the nerve sheath and mostly affected the ring/pinky fingers causing them to freeze and hurt like hell... and sometimes a total arm numbness. It had began to curtail my hobby activities and that was just unacceptable.
I had the surgery that actually clipped the "funny bone" nerve... the only one of the three going to the hand that goes AROUND the elbow..... and repositioned it on the inner side of the elbow. Of course this caused the nerve to regenerate down the inside of my elbow at 1 inch per month so it was 18 months before we knew it was really a long term fix.... and it was....
I had instant pain relief though.... and when the stitches came out, I was back in the saddle......
I WOULD do it again. That long term treatment of wearing a movement restrictor was not a viable option for me and was not a fix at all.
Back in 1985, simple electric shocks were sent down the various nerves and the signal measured at the finger tips to see which were restricted. Then an MRI MAY show where the restriction is if it is due to swelling or scar tissue build up.
Good luck with this as I well know your pain.BUT, there is a fix.
I assume you have had a cortisone shot? My carpal tunnel was treated with rest and special wrist braces and is basically gone. My friend had it and the Doctor suggested trying a cortisone shot before surgery. He got the shot and hasn't had any pain since(4yrs ago). I know these shots don't work for everyone though but if you haven't had one maybe try asking your Doctor about it.
You may be beyond any of the conservative options to treat your condition so it would be best to visit with a doctor that specializes in this sort of thing, ie: a sport's medicine doctor, a doctor that specializes in hand/wrist injuries or a neurologist that can do specific tests, ie: and EMG to test the conduction of impulses through you wrist into your hand. It will tell you for sure if you have a nerve that is being affected by compression thru the carpel tunnel of the wrist or if it something like an ulnar/radial radiculopathy or what. If the nerve is being compressed and it seems like the best outcome would be surgery then I wouldn't hesitate having it done. If on the other hand some other form of conservative treatment would help then go with that before you let them cut on you.
Talk to your primary physician and ask him who he would recommend that you see for this type of thing. Also, don't be afraid to call your local hosptial and ask to talk to some of the nurses on the floor that deal with this sort of thing all the time. They will give you the best doctors to talk to as well as give you other options that you can try.