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Old 05-09-2013, 07:48 PM   #196
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Re: Ulnar shortening

I have shoulder hypermobility and tend to get tendonitis/bursitis/trigger point knots at times. With wearing the wrist splints and casts for 10-11 months over the last couple years, my shoulder was very unhappy. I was finally cleared last month from the wrist doctor to begin PT on my shoulder.

I started last week. I had my 4th appointment today and realized I have pain in my arm, around the area of the osteotomy. When I was in wrist therapy, they just had me doing exercised directly in the wrist area and not for my arm. I asked my PT. He pointed out that one arm is a bit larger than the other in that area. Since I've been protective the arm for a while, I hadn't realized how weak it had become. Makes me realize that I'm in the middle of a long journey.
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Old 05-13-2013, 07:10 AM   #197
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Re: Ulnar shortening

So sorry to hear your news, after all you have been through you really did not need this on top. So what therapy from here on ? I had my MRI , ultra scan, X-rays and Emg conducted today on left wrist so now have to wait until I see hand specialist to get full results but have had confirmed same issues as right. So next week I will find out surgery details etc. Had a few issues with my arm swelling around the plate area which has caused a bit of pain , so hoping that will settle down soon as makes the split hard to wear at times, did this happen for you ?

 
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Old 05-13-2013, 07:24 PM   #198
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Re: Ulnar shortening

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Originally Posted by BurtG View Post
So sorry to hear your news, after all you have been through you really did not need this on top. So what therapy from here on ? I had my MRI , ultra scan, X-rays and Emg conducted today on left wrist so now have to wait until I see hand specialist to get full results but have had confirmed same issues as right. So next week I will find out surgery details etc. Had a few issues with my arm swelling around the plate area which has caused a bit of pain , so hoping that will settle down soon as makes the split hard to wear at times, did this happen for you ?
I talked to my PT some more about my new pain near the osteotomy site. He had me hold up my arm and showed me that my right one (that had the surgery) was a bit thinner than my left. Even though I use my right arm a lot, I guess I've been very protective of it for some things and I do have muscle to re-build up. It has been over 2 years since my original wrist injury so I know I shouldn't expect 'normal' too quickly. Anyway, he said that some pain is OK as I develop the muscles. If it gets worse, he will re-evaluate and change up my exercises so I'm not putting as much stress on the area.

Unfortunately, it appears I may be developing tendonitis in my left hand now. I'll keep icing and keep an eye on it, but I'm not happy about it after all this.

Keep us posted on your testing results and what your next steps are.

I really can't answer your question about the swelling very well. I had the plaster cast/splint on for 2 weeks after my surgery, then switched to a fiberglass cast. I know I had a lot of swelling that went down prior to the cast. I also know that I needed a new cast after about 1 1/2 weeks because so much more swelling had gone down that the cast was too loose. I'd guess you are around that same point in your healing by now. I will say that I used a lot of ice throughout the healing process, even over the casts. It made me feel better, even for a bit.

Take care.
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Old 05-15-2013, 08:13 AM   #199
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Re: Ulnar shortening

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Originally Posted by MountainReader View Post
I talked to my PT some more about my new pain near the osteotomy site. He had me hold up my arm and showed me that my right one (that had the surgery) was a bit thinner than my left. Even though I use my right arm a lot, I guess I've been very protective of it for some things and I do have muscle to re-build up. It has been over 2 years since my original wrist injury so I know I shouldn't expect 'normal' too quickly. Anyway, he said that some pain is OK as I develop the muscles. If it gets worse, he will re-evaluate and change up my exercises so I'm not putting as much stress on the area.

Unfortunately, it appears I may be developing tendonitis in my left hand now. I'll keep icing and keep an eye on it, but I'm not happy about it after all this.

Keep us posted on your testing results and what your next steps are.

I really can't answer your question about the swelling very well. I had the plaster cast/splint on for 2 weeks after my surgery, then switched to a fiberglass cast. I know I had a lot of swelling that went down prior to the cast. I also know that I needed a new cast after about 1 1/2 weeks because so much more swelling had gone down that the cast was too loose. I'd guess you are around that same point in your healing by now. I will say that I used a lot of ice throughout the healing process, even over the casts. It made me feel better, even for a bit.

Take care.
Hi MountainReader

Sounds rather nasty you are trying to sort one thing and develop something else on top. This all must be very hard for you working as well . Is this covered under insurance for you ? Mine is all work insurance covered and know it is very costly as mine has been caused through work injury, and because of my work place with safety I can not return unless I am 100% which is driving me crazy. They have me working light duties else where part time but not the same.
So with the exercises to rebuild your arm do you go to the gym to do this or just at home ? Does your PT say how long to expect for the muscle to return to normal ? I have had all my test done this week but still have to get my MRI down as both appointments been cancelled due to machine break down so going to the other side of the city on Friday to get it done now. The X-ray shows ulna bone to long, ultra sound of the nerve showed a little thinning but the MRI is the best result. Have me PT this Tuesday so can't wait as I hate the waiting game.
My swelling has gone down a lot I think my split is causing the issues so will get it re fitted again on Tuesday as well. I will let you know how I get on after seeing my PT.
look forward to hearing from you
Kind regards
BurtG

 
Old 06-22-2013, 04:40 PM   #200
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Re: Ulnar shortening

Thought I'd got rid of my wrist brace but have had to start wearing it again. Wrist pain is back and my arm hurts. Sometimes when I've lifted something my arm and wrist feels like its goin to give way. I have also noticed that when I've got my arm resting on something and I'm moving it about the bone cracks and then my wrist will hurt again.

I've stil got numbness on the top part of my scar and surrounding area. Getting fed up now thought it'll be ok now everything's been done.
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Old 06-22-2013, 07:16 PM   #201
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Re: Ulnar shortening

Oh Booboo, I'm so sorry to hear that.

I agree with you. I was supposed to be able to bowl last June. It has been over a year and I still haven't been able to pick up my bowling ball. I still have some residule tenderness from the last cortizone shot too.

I know that the ulnar shortening helped some, but didn't solve my original problem completely. My second surgery helped address it more.

I forget about my wrist most of the times. I still have times when something triggers the 'zing' of pain though. I was at the shoulder doc recently and he was doing an assessment. He had me put my arms out in front of me and he pushed down on my arms. Boy was that a reminder that my wrist will never fully be normal again.

I'm wondering what else you have going on with your wrist. Have you considered getting another opinion from a different hand specialist to see if something was missed?

As of yesterday, I'm now the proud owner of a splint on my left wrist. I've never had problems with the left one before. I didn't injur it either. I just started in with pain similar to the right and it has gradually gotten worse. I went to the clinic and they put me in a splint and told me to wear if for a month and to check back if it was still sore. That was until I pointed out I'd had right wrist problems. Now, he said if it hurts after 2 weeds in the splint that I should seek out my hand specialist.
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Old 06-23-2013, 03:47 AM   #202
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Re: Ulnar shortening

Oh dear. I'm goin to go to my drs as they've got all the info on their computer system and talk to them about it. Goin to try and get a double appointment to see someone tomoro as I need to see them about my jaw as that's not getting any better either.

Will let you know if I do get to see someone tomoro.

Hope your left wrist gets better soon
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Old 06-23-2013, 03:21 PM   #203
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Re: Ulnar shortening

I've been in treatment for my tmjd for 3 years now. (One year in splint therapy, 22 months in braces and elastics, and periodic PT.) While I still have a ways to go, my symptoms are much much better than they used to be.

I hope your appointment goes well tomorrow.
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Old 06-23-2013, 03:41 PM   #204
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Re: Ulnar shortening

Thanks will let you know how I get on
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Old 07-02-2013, 03:51 PM   #205
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Re: Ulnar shortening

Were braces covered for your tmjd?
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Old 07-02-2013, 05:51 PM   #206
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Re: Ulnar shortening

None of my tmjd treatment has been covered by my medical or dental insurance. My MRI was the only diagnostic thing covered. My braces were 100% out of pocket. They were quite expensive because of the expertise of my orthodontist.

It is crazy how things such as my wrist problems and my jaw problems are connected so directly with minor hypermobility issues.
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Old 08-11-2013, 05:13 PM   #207
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Re: Ulnar shortening

Just thought I'd let you know how I'm getting on.

Being refered to hospital for my jaw I've got have cortisone injections in both sides.

Wrist and arm are not bad, still numb from some of the scar to past the bit that sticks out. My wrist still cracks hurts from time to time.

Also been refered to hospital for a scan on my right knee. As keep getting stabbing pains in it.
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Old 08-11-2013, 10:36 PM   #208
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Re: Ulnar shortening

I seem to be in a similar boat as you. With new things that keep popping up to deal with.

Have you had any PT or chiropractic manipulation? Honestly, I found out that when my jaw was off, it led to my entire body being out of balance. I had shoulder, hip, foot and knee that were all of alignment. Regular manipulation did help. I really needed the manipulation and PT on my shoulder and neck after all the months in casts and splints on my wrist.

Also, the same hypermobility that has led to my wrist issues has also led to other joint issues. Very similar to yours.

Right now, I'm having issues with my right foot and left wrist.

Thankfully, I get my braces off in September and will get some dental work to finish balancing my bite. My jaw is now 3 mm forward from where it was 3+ years ago when I started treatment.

Good luck with your treatments.
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Old 08-12-2013, 05:19 AM   #209
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Re: Ulnar shortening

Thanks ill let you know how I get on.
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Old 08-23-2013, 02:10 PM   #210
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Re: Ulnar shortening

No I wouldn't. I have had shortenings on both arms and I now face bone grafts in each arm. It's really been difficult. My first shortening was last October (L); then February (R). In March, plate suddenly came loose in my left arm and had to be removed. The right is now coming loose. The left has a huge callous but has not grown bone. And yes, I have changed surgeons.

I've been tested for bone and parathyroid issues and my bones are healthy. For some reason, the blood supply to the ulna is vicarious and I am very petite. My Vitamin D levels are normal but my surgeon wants me to wait until it is high before the grafts.

As my new surgeon says...Good surgeons should use surgery as a last resort.

 
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