Medical Questions? Ask a Doctor Online!
what symptoms do you have?
Have you seen a rheumatologist?
symptoms are pain in right hand, extensor area of middle finger, but only on back of hand, not in fingers. and then as it's progressed I notice some irritation in the arm right beyond the wrist and closer to the elbow, then some minor irritation on the other hand(possibly due to compensation of right hand issues)
I have not seen a rheumatolgist. Just a doctor, chiropractor, and hand specialist.
I do have MRI scans though
I am going to have to opt out. I am not going to be online much this weekend and we keep missing each other.
please don't rate me. someone will be with you soon
They haven't said much, other than offering to refer me elsewhere. I'm thinking it's tendonosis, I've read gtn patches have had great results assisting recovery.
The commonest cause of such pains are compression of the spinal nerve roots as they emerge from the cervical spine,this radiculitis apparently has been ruled out by MRI of the cervical spine.The other common cause of such pain would include repititive microtrauma due to typing/computer mouse use for long hours.Tendinosis is caused by degeneration of the collagen in the tendon and should affect the muscle tendons affected by repititive microtrauma,these would include the .Does your work involve long hours at the computer or typewriter?The sites of pain as mentioned by you are usually seen in chronic computer overuse,the extensor carpi radialis brevis muscle is involved and causes problem at the outside of the elbow.Similarly the extensorsand flexors of the wrist and fingers will be involved due to hyperextension of the wrists while using the mouseRepeated trauma to these muscles will involve the wrist and the lower side of the palmar aspect of the hand.Some tips to reduce such pain will include-using wrist and elbow supports while using the mouse,taking frequent breaks(every 30-40 minutes) while using the computer,braces or splints at night for the forearm and wrist,seeking advice from a professional who specialises in hand problems, gentle stretching and strengthening exercises of the fingers,wrist and forearms,ergonometric review of the positioning of the chair/mouse/computer/keyboard at the work place.Use of NSAIDs like ibubrufen may help.
I only had mri on my hand so far. I had a neck xray that showed a forward curve with some stage 1/2 compression. I have had no luck with ibuprofen and cortisone shots, I read that do not help with tendonosis(I thought I may have this) and in fact may affect negatively.
No doctors seem to be willing to recommend disability, even though my job requires both hands they just say don't use the hand. Any particular branch of doctor more willing to do that?
The pain caused by computer overuse is a soft tissue injury caused by repititive strain while at work.You need to discuss this with your doctor and request for a EMG(Electromyography) test be done to check for nerve damage.Repititive Strain Injury(RSI) occurring need to be evaluated by your doctor and then reported to the employer.
http://www.wcb.ab.ca/providers/medref10.asp is a site of interest.
Well, I've done a lot of research on Tendinosis(I believe I have Tendinosis rather than Tendinitis after comparison of symptoms - Anti-Inflammitories/NSAID/Cortizone Shots have zero effect on my hands, and they do not hurt unless they are being used)
I linked a wrong article..Here's more:http://www.ncbi.nlm.nih.gov/pubmed/14623657
There are many modes of therapy which are considered for treating Tendinosis,many are still considered experimental though many trials and reports suggest that these methods have been found helpful.Nitric oxide by using GTN/Nitrate is one of these therapies. http://www.news-medical.net/health/Tendinosis-Treatments.aspx http://www.tendinosis.org/current.shtml You may consider using GTN along with the more conservative and established lines of therapy which include rest,physiotherapy modalities like Inferential current therapy and stretching/massage along with rest and bracing.Vitamin E therapy has also been around in Tendinosis for a long time.THe trreatment and recovery will take a few months and involve rest and physiotherapy,drug treatment is only partially effective.
Okay, I have an appointment with a hand specialist physiotherapist Tuesday. Also someone mentioned trying "Graston Technique"?I was trying some stretches earlier and noticed if I lay flat on my back on the floor, and my arms out straight palms up, my right hand/arm starts going to sleep after a minute, whereas my left arm does not. Also, my hands always seem to be much colder than the rest of my body, my core is usually burning up.