Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Hey y'all, Today I went to an orthopedic surgeon to see what I could do about the increased pain I've been having in the thumb of my left hand. I was diagnosed with bi-lateral carpal tunnel after having annoying problems with my hands and elbows two years ago. I've worn j-cock splints on them at night and taken to wearing one on the left hand in the past few months because the pain in the thumb area of that hand had become increasingly more severe. It's gotten to the point that I can't open a door, twist off a cap, lift anything, button clothing, tie shoes, etc.,, without experiencing sharp jabs of pain that lingers. The meds I have for my CP do nothing to help this pain, so I started taking Advil about two weeks ago and found that DID help most times, but only temporary. So it was time to talk to a professional about the carpal tunnel surgery, which is a simple procedure with a high success rate and only a brief few days of recovery time. The plan was to talk to the surgeon, let him look at the hand, and schedule surgery for after the holidays, since I use my hands so much more this time of year putting up decorations, making decorations, sewing, wrapping packages, arranging flowers, baking, rolling dough, etc. The surgeon listens to my symptoms, reviews the report from the previous doctor, looks at the results of the EMG and other nerve stimulus tests and manipulates my hand into different positions that are meant to help diagnosis the problem. The fleshy part at the base of my thumb was swollen slightly and I told him that the thumb and first finger were the only parts of the hand that ever hurt. He verified that I had Tinel's syndrome, which had been on my report, but didn't get the expected reaction of pain with some of the other hand maneuvers. He told me that while the carpal tunnel existed in a mild form, that that wasn't what he believed my problem was. He said that I had a bad case of basal joint arthritis in my thumb! He wanted to verify his dx. by having some x-rays done, which were done immediately, and yup.....that's what it was! You could see the fluid and where my thumb joint was completely out of alignment. " Immediate, temporary remedy for this is a shot of cortisone " , he said, telling me that the bad news was that this cortisone shot was one of the most painful shots of all shots to administer. He said that I wasn't at the point where he felt surgery for CTS was necessary, if fact, he felt that if the thumb problem could be allieviated, that it might be years before the CTS progressed to the surgery point, and he certainly wouldn't do any surgery for it now. Did I want to try the cortisone? He told me again that it was bitterly painful and the choice was up to me. Length of time of relief " could " be a very long time.....everybody's different.....another one of those YMMV things, I guess. I've got a really high threshold for pain, (don't we all?), so I said to go ahead....let's just get it over with. My lord, it was the MOST PAINFUL thing I've ever had!!!! The 20 seconds it took seemed like 20 minutes, and it got worse as he injected more cortisone. I was laying down and my legs jerked up off the table, and I was howling so loud they heard me out in the lobby.....which fortunately, was empty !!!! I had to have anti-couagulant shots in my abdomen with a needle bigger than a pencil, (it seemed), when I was younger and had thlebitis, and I thought those were the worst thing I'd ever experienced, but those paled in comparison to this shot in the base of my thumb. WOW!! Now tonight the whole area is swollen and hurts like sin! I'm typing one- handed because I can't use the left hand at all. The numbing agent wore off much too quickly for my satisfaction and I'm just praying that I'll be able to get any sleep. I have to figure out a way to protect that hand from any weight, contact or pressure because it hurts just to touch it. My hope is that within a day or so the 2 cc's of medicine will start doing what it's supposed to and relieve the original pain - that's what it's supposed to do, anyway. I've heard of other people getting cortisoine shots, but never heard anyone say that they were painful......why didn'y somebody say anything, cuz this ain't fun tonight. So if I seem grouchy, useless or short tempered with y'all tonight or tomorrow, you'll know the reason why.......(wink). It takes so long to type with one hand I know I'll have to curb my usual longevity. My desire to always fill up a blank canvas will just have to go unfulfilled until my hand gets back in working order, and you'll just have to forgive my grouchiness and uselessness until it does. (smile) With love, hope and prayers, Heidi Heidi H. Griffeth www.pancassociation.org/anthology#Heidi.html Bluffton, SC SC State & SE Regional Representative Pancreatitis Association, International Note: All comments or advice are based on personal experience or opinion only, and should not be substituted for professional medical consultation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Heidi, there is a special massage for this, that people have had great results with if the therapist is skilled. It's called NMT (neuromuscular therapy)out of ST. 's. http://www.stjohnseminars.com/ Helped mine a lot. Eileen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2005 Report Share Posted November 5, 2005 Eileen, Thanks for the info. I am scheduled to see a therapist this week and will find out if she knows about this. The surgeon said she's really fantastic with BJAL, so I'm hopeful that she'll help. With love, hope and prayers, Heidi Heidi H. Griffeth www.pancassociation.org/anthology#Heidi.html Bluffton, SC SC State & SE Regional Representative Pancreatitis Association, International www.health.groups.yahoo.com/group/pancreatitis/ Note: All comments or advice are based on personal experience or opinion only, and should not be substituted for professional medical consultation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2005 Report Share Posted November 6, 2005 >Hi Heidi- Your experience sounds positively gruesome but I believe you will find relief shortly, if you have not done so already. Those shots can work miracles, from what I have heard. So sorry about your ordeal but am wishing you a pain free, flexible and productive thumb > Hey y'all, > > Today I went to an orthopedic surgeon to see what I could do about the > increased pain I've been having in the thumb of my left hand. I was > diagnosed with bi-lateral carpal tunnel after having annoying problems with > my hands and elbows two years ago. I've worn j-cock splints on them at night > and taken to wearing one on the left hand in the past few months because the > pain in the thumb area of that hand had become increasingly more severe. > It's gotten to the point that I can't open a door, twist off a cap, lift anything, > button clothing, tie shoes, etc.,, without experiencing sharp jabs of pain that > lingers. > > The meds I have for my CP do nothing to help this pain, so I started taking > Advil about two weeks ago and found that DID help most times, but only > temporary. So it was time to talk to a professional about the carpal tunnel > surgery, which is a simple procedure with a high success rate and only a brief > few days of recovery time. The plan was to talk to the surgeon, let him look at > the hand, and schedule surgery for after the holidays, since I use my hands so > much more this time of year putting up decorations, making decorations, > sewing, wrapping packages, arranging flowers, baking, rolling dough, etc. > > The surgeon listens to my symptoms, reviews the report from the previous > doctor, looks at the results of the EMG and other nerve stimulus tests and > manipulates my hand into different positions that are meant to help diagnosis > the problem. The fleshy part at the base of my thumb was swollen slightly and > I told him that the thumb and first finger were the only parts of the hand that > ever hurt. He verified that I had Tinel's syndrome, which had been on my > report, but didn't get the expected reaction of pain with some of the other hand > maneuvers. He told me that while the carpal tunnel existed in a mild form, > that that wasn't what he believed my problem was. He said that I had a bad > case of basal joint arthritis in my thumb! He wanted to verify his dx. by having > some x-rays done, which were done immediately, and yup.....that's what it > was! You could see the fluid and where my thumb joint was completely out of > alignment. > > " Immediate, temporary remedy for this is a shot of cortisone " , he said, telling > me that the bad news was that this cortisone shot was one of the most painful > shots of all shots to administer. He said that I wasn't at the point where he felt > surgery for CTS was necessary, if fact, he felt that if the thumb problem could > be allieviated, that it might be years before the CTS progressed to the surgery > point, and he certainly wouldn't do any surgery for it now. Did I want to try the > cortisone? He told me again that it was bitterly painful and the choice was up > to me. Length of time of relief " could " be a very long time.....everybody's > different.....another one of those YMMV things, I guess. > > I've got a really high threshold for pain, (don't we all?), so I said to go > ahead....let's just get it over with. My lord, it was the MOST PAINFUL thing I've > ever had!!!! The 20 seconds it took seemed like 20 minutes, and it got worse > as he injected more cortisone. I was laying down and my legs jerked up off > the table, and I was howling so loud they heard me out in the lobby.....which > fortunately, was empty !!!! I had to have anti-couagulant shots in my abdomen > with a needle bigger than a pencil, (it seemed), when I was younger and had > thlebitis, and I thought those were the worst thing I'd ever experienced, but > those paled in comparison to this shot in the base of my thumb. WOW!! > > Now tonight the whole area is swollen and hurts like sin! I'm typing one- > handed because I can't use the left hand at all. The numbing agent wore off > much too quickly for my satisfaction and I'm just praying that I'll be able to get > any sleep. I have to figure out a way to protect that hand from any weight, > contact or pressure because it hurts just to touch it. My hope is that within a > day or so the 2 cc's of medicine will start doing what it's supposed to and > relieve the original pain - that's what it's supposed to do, anyway. I've heard > of other people getting cortisoine shots, but never heard anyone say that they > were painful......why didn'y somebody say anything, cuz this ain't fun tonight. > > So if I seem grouchy, useless or short tempered with y'all tonight or tomorrow, > you'll know the reason why.......(wink). It takes so long to type with one hand I > know I'll have to curb my usual longevity. My desire to always fill up a blank > canvas will just have to go unfulfilled until my hand gets back in working > order, and you'll just have to forgive my grouchiness and uselessness until it > does. (smile) > > With love, hope and prayers, > Heidi > > Heidi H. Griffeth > www.pancassociation.org/anthology#Heidi.html > Bluffton, SC > SC State & SE Regional Representative > Pancreatitis Association, International > > Note: All comments or advice are based on personal experience or > opinion only, and should not be substituted for professional medical > consultation. > Quote Link to comment Share on other sites More sharing options...
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