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Old 02-28-2013, 11:00 PM   #1
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ged12345 HB User
Ulnar problem

Hey all,

Well, I have a bit of a quandary. I used to do a lot of physical work, and 2 years back I was experiencing pain in my wrist. I got an MRI of my hands done and an EMG on the right one (where the pain was worse) but supposedly they were both clear. I do ulnar glides and stretch my hands throughout the day, no matter what I'm doing, just intermittently.

I still get pain in my hands, though. I noticed some problems playing guitar (stretching out my fingers) so I went to a physio. He said my grip strength was normal so I was probably lacking some 'fine motor control'.

So, being an internet boy, I wait a week or two doing the stretches he gives me with no change. Then I check out some interossei exercises and tests. One is to put a piece of paper between the fingers and try and hold onto it as it's pulled away. Very weak, couldn't really do it on the left at all. Then it says to spread out fingers and resist pushing them together. The middle and ring, and ring and little there was barely any resistance. That worried me, as I was training up for guitar a few years back and I remember doing something similar and being fine at the time. The hands look smaller as well but I've heard that can be difficut to be objective about.

I'm going to see a different physio on Tuesday but I wanted to get someone else's take on the problem.

Last edited by Administrator; 03-01-2013 at 03:03 AM.

 
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Old 03-13-2013, 02:21 AM   #2
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Join Date: Feb 2013
Location: Houston, Texas, USA
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Re: Ulnar problem

Quote:
Originally Posted by ged12345 View Post
Hey all,

Well, I have a bit of a quandary. I used to do a lot of physical work, and 2 years back I was experiencing pain in my wrist. I got an MRI of my hands done and an EMG on the right one (where the pain was worse) but supposedly they were both clear. I do ulnar glides and stretch my hands throughout the day, no matter what I'm doing, just intermittently.

I still get pain in my hands, though. I noticed some problems playing guitar (stretching out my fingers) so I went to a physio. He said my grip strength was normal so I was probably lacking some 'fine motor control'.

So, being an internet boy, I wait a week or two doing the stretches he gives me with no change. Then I check out some interossei exercises and tests. One is to put a piece of paper between the fingers and try and hold onto it as it's pulled away. Very weak, couldn't really do it on the left at all. Then it says to spread out fingers and resist pushing them together. The middle and ring, and ring and little there was barely any resistance. That worried me, as I was training up for guitar a few years back and I remember doing something similar and being fine at the time. The hands look smaller as well but I've heard that can be difficut to be objective about.

I'm going to see a different physio on Tuesday but I wanted to get someone else's take on the problem.
Sometimes the nerve can get entrapped from spine to the wrist. A supportive splint can be used at the elbow or wrist so that further any injury could be avoided, but you can continue with the physical therapies that could help in strengthening the muscles.

 
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Old 04-16-2013, 10:05 AM   #3
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Join Date: Jun 2012
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Sharim HB User
Re: Ulnar problem

Quote:
Originally Posted by ged12345 View Post
Hey all,

Well, I have a bit of a quandary. I used to do a lot of physical work, and 2 years back I was experiencing pain in my wrist. I got an MRI of my hands done and an EMG on the right one (where the pain was worse) but supposedly they were both clear. I do ulnar glides and stretch my hands throughout the day, no matter what I'm doing, just intermittently.

I still get pain in my hands, though. I noticed some problems playing guitar (stretching out my fingers) so I went to a physio. He said my grip strength was normal so I was probably lacking some 'fine motor control'.

So, being an internet boy, I wait a week or two doing the stretches he gives me with no change. Then I check out some interossei exercises and tests. One is to put a piece of paper between the fingers and try and hold onto it as it's pulled away. Very weak, couldn't really do it on the left at all. Then it says to spread out fingers and resist pushing them together. The middle and ring, and ring and little there was barely any resistance. That worried me, as I was training up for guitar a few years back and I remember doing something similar and being fine at the time. The hands look smaller as well but I've heard that can be difficut to be objective about.

I'm going to see a different physio on Tuesday but I wanted to get someone else's take on the problem.
You may be having any number of issues with nerve entrapment. You may have osteoarthritis at the cervical spine level which can trap the nerves that eventually make up the finger and hand nerves. Entrapment occurs anywhere nerves exit and enter bone, muscle, tendon. Having this assessed can help and is important to have someone look at this issue. I have OA in my spine, severe tendinitis at elbows and carpal tunnel. Also I have fibromyalgia which affects my muscles.
I have had two carpal tunnel releases, bilateral and ulnar nerve transposition at the elbows and decompression at the wrists. I still have symptoms of moderate to severe carpal tunnel and my elbows are horrible. I had surgery in January and they left me sleeping in recovery due to lack of bed. When they finally moved me to my room I awoke in the worst pain ever, my right elbow felt like they were cutting through it. I was screaming. Freaked everyone out. My history tells my story and in future I will know to tell them this will happen. EMG/NCV only tells part of your story and I do not place much store in them anyway. Go slow with this and really know what it is, ask questions and comply with PT, and you should be seeing a specialist in hand PT. They should have someone there who only deals with hands. Good luck.

 
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Old 04-16-2013, 10:07 AM   #4
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Join Date: Jun 2012
Location: Thornhurst, PA, USA
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Sharim HB User
Re: Ulnar problem

Quote:
Originally Posted by ged12345 View Post
Hey all,

Well, I have a bit of a quandary. I used to do a lot of physical work, and 2 years back I was experiencing pain in my wrist. I got an MRI of my hands done and an EMG on the right one (where the pain was worse) but supposedly they were both clear. I do ulnar glides and stretch my hands throughout the day, no matter what I'm doing, just intermittently.

I still get pain in my hands, though. I noticed some problems playing guitar (stretching out my fingers) so I went to a physio. He said my grip strength was normal so I was probably lacking some 'fine motor control'.

So, being an internet boy, I wait a week or two doing the stretches he gives me with no change. Then I check out some interossei exercises and tests. One is to put a piece of paper between the fingers and try and hold onto it as it's pulled away. Very weak, couldn't really do it on the left at all. Then it says to spread out fingers and resist pushing them together. The middle and ring, and ring and little there was barely any resistance. That worried me, as I was training up for guitar a few years back and I remember doing something similar and being fine at the time. The hands look smaller as well but I've heard that can be difficut to be objective about.

I'm going to see a different physio on Tuesday but I wanted to get someone else's take on the problem.
You may be having any number of issues with nerve entrapment. You may have osteoarthritis at the cervical spine level which can trap the nerves that eventually make up the finger and hand nerves. Entrapment occurs anywhere nerves exit and enter bone, muscle, tendon. Having this assessed can help and is important to have someone look at this issue. I have OA in my spine, severe tendinitis at elbows and carpal tunnel. Also I have fibromyalgia which affects my muscles.
I have had two carpal tunnel releases, bilateral and ulnar nerve transposition at the elbows and decompression at the wrists. I still have symptoms of moderate to severe carpal tunnel and my elbows are horrible. I had surgery in January and they left me sleeping in recovery due to lack of bed. When they finally moved me to my room I awoke in the worst pain ever, my right elbow felt like they were cutting through it. I was screaming. Freaked everyone out. My history tells my story and in future I will know to tell them this will happen. EMG/NCV only tells part of your story and I do not place much store in them anyway. Go slow with this and really know what it is, ask questions and comply with PT, and you should be seeing a specialist in hand PT. They should have someone there who only deals with hands. Good luck.

 
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Old 04-17-2013, 01:27 AM   #5
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shahila HB Usershahila HB Usershahila HB Usershahila HB Usershahila HB User
Re: Ulnar problem

always see a hand specialist instead of a physio. and then if he recommended physio see him/her/.

 
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Old 05-01-2013, 09:36 AM   #6
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Re: Ulnar problem

It usually goes without saying that you have seen the doctor before getting a script for PT. I don't know any physio that will see you walking in off the street. Maybe in some states this could be the case but in my experience you need a script for PT.
Treatment usually is no different my hand specialist at PT was great, she treated for all my hand and elbow issues even though the diagnosis was for post op ulnar nerves transposition and carpal tunnel, she was very mindful of my OA at the neck and always took that into account. Not only did she do that but when I was being treated there for post op lumbar decompression surgery she told the lumbar physio not to put me on the arm bike because my elbow OA/FM would be a problem. She was very good at what she did. The lumbar guy did not appreciate her input but I surely did. The arm bike is murder for someone with elbow OA/FM. And those stretch bands, raising and lowering big problem unless they first treat the neck and elbows with some heat and stop if there is even the slightest pain in the neck, elbow or wrist.

 
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