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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33094
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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with a HX of torn ligaments 9 years ago. casted for one month

Customer Question

with a HX of torn ligaments 9 years ago. casted for one month approximate. 2re-injuries one four years prior and one two years ago and a splint on the two year injury. I am having reoccurance of pain in the middle forearm radiating down the wrist and to the palm without any significant reinjury what can I do at home I know rice any other method or what should I do?
Submitted: 3 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 3 years ago.

Hello Jessica,
I am Dr. Arun and will be helping you today.

Did the ligament tear occur in the elbow?

Customer: replied 3 years ago.
no the wrist
Expert:  Dr. Arun Phophalia replied 3 years ago.
Hello Jessica,

Are your wrist movements painful and restricted?
Is there any specific point of tenderness in forearm, wrist or palm?
Is there any numbness or tingling?

Dr. Arun
Customer: replied 3 years ago.
painful not restricted. there is two tender points the inner wrist. and inner middle point of the forearm. tingling and occasional numbness bit numbness does not occur often
Expert:  Dr. Arun Phophalia replied 3 years ago.

Hello Jessica,

Following may help you;

1) Wrist brace; this can be bought at health store. Use it only in day time. Remove it when you are sleeping.

2) Avoid working too much on computers (mouse and key board work can aggravate it).

3) Ice compresses.

4) Local analgesic cream or spray.

5) Advil / Aleve; this reduces the tissue inflammation.

6) Avoid lifting weight / avoid heavy work.

7) Very mild massage at tender points twice a day.

This can be;

1) Wrist sprain
2) Tendonitis
3) Bursitis
4) Carpal tunnel syndrome.
5) Myofascial pain syndrome

 

MRI and ultrasonography scans are able to differentiate the conditions. Though a clinical diagnosis by a physical examination by an orthopedic doctor also would be usually conclusive.

 

Treatment also entails;

 

1) A specific and goal-directed Physical Therapy program; supervised stretching exercises have significant role

2) Transcutaneous electrical nerve stimulation (TENS) can be considered in resistant cases.

3) Iontophoresis and phonophoresis

4) Short wave diathermy

5) Anti-inflammatory analgesics

6) Local analgesic cream / ointment / patch / spray


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

 

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