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Old 04-21-2003, 02:10 PM   #1
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Post Wrist Pain, What type of Doctor?

I hurt my wrist and my hand aprox three years ago and It still hasn't healed. I have been to an orthopedic and was told after many visits that he saw nothing wrong with my wrist. His diagnosis was tendonitus and put my in a brace. Still no effect, today I am still in pain. I am not imagining my wrist problems, but I do need to go to another type of Doctor. What type of Doctor should I go to for my wrist and hand problems?

 
Old 04-21-2003, 04:01 PM   #2
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Hi- I wouldn't give up on an orthopedist....just the one who hasn't helped you! Find someone else...You may even need some physical therapy which a good ortho person would refer you to, if needed.

 
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Old 04-22-2003, 06:21 AM   #3
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You should seek a second orthopedic opinion but be sure to take along your medical records and any x-ray results. You might also have some permanent damamge depending on what type of injury you had and this is what is causing your pain. My father smashed his wrist about 28 years ago and all the bones were floating in his arm. Surgery to help some was preformed but he has and will always have permanent pain in his wrist as well as limited range of motion etc. His only other option was to have them fuse it stiff which he refused. I mention this only to show that permanent damage might be part of your problem but see another ortho doc for a second opinion.

 
Old 04-22-2003, 06:47 AM   #4
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Thanks for the Advice. I am thinking of going to go consult a Hand Surgeon. This was a recomendation from the orthopedic that I had seen. I don't think there is much an orthopedic can really do for me. I recently suffer now from pains down my middle finger when I try grasp anything. I also have trouble squeezing items or picking things up. I think I need to focus on a doctor that works directly on the hand. I wouldn't be able to do Physical therapy because the injury never seems to heal completely and whenever I do anyhting strenuous, my wrist becomes unusable due to the pain. Does a hand surgeon sound right?

 
Old 04-22-2003, 09:33 AM   #5
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Hi- You probably have what they call DeQuervain Tenosynovitis (which is just another word for wrist tendinitis.)

DeQuervain tenosynovitis causes pain and swelling on the thumb side of the wrist. It may be difficult to open doorknobs, turn keys and grasp objects. The pain can radiate into the thumb and increases with twisting of the wrist.

This is caused by swelling of the tendons which extend the thumb. The tendons are irritated by movement and become even more swollen and painful with continued use.

Usually,Initial treatment consists of rest, modification of activity, thumb spica splint, nonsteroidal anti-inflammatory medication and a cortisone injection.Did you go through all that? This is USUALLYsuccessful in over 60% of patients. If this fails though,surgical release will alleviate the problem. At surgery, the roof of the first extensor compartment is opened to decompress the tendons. Additional separate compartments are also released. This allows the tendons to glide back and forth freely.This is performed under local anesthesia, as same day surgery. A small soft dressing or light splint is applied to the hand. So...bottom line is that a hand surgeon isn't a bad idea but don't forget that surgeons want to cut, that's what they DO. Is it possible you didn't give conventional tretment enough time? Maybe they gave you the wrong kind of splinting...or they weren't aggressive enough initially. If you really feel you gave conventional treatment enough of a chance, then by all means see a hand sugeon. Still, just to be absolutely SURE, I'd get a second opinion from another orthopedist before ever resorting to surgery

 
Old 04-22-2003, 10:07 AM   #6
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I would go see a Neurologist or a Neuro Surgeon. They will run a electro test to see how well your nerves and tendons respond. My dad had sister had the same thing. His and her liagaments and tendon were damaged. Fine after operation. Other then that I used a full size bowling brace after I hurt mine. Wore it for a week and it work well. Good Luck
MIKE

[This message has been edited by msiris (edited 04-22-2003).]

 
Old 04-22-2003, 10:19 AM   #7
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All this Help is greatly appreciated.

When I saw the Orthopedic about two years ago I was prescribed Naproxen. I received nothing else from him. I went and got X-Rays as well as an MRI of my Wrist. He told me that it was probally tendonitus and to rest my wrist and wear a brace for a month. After that time I went back to him and I told him that I still had pain in the wrist and I didn't have full range of motion without pain. He advised me to see a hand surgeon. So after all this you advice me to see another orthopedic. Its been so long since the original injury, I just don't see what an orthopedic can really do for me at this point.

I just read from another post to me, that someone recommened a Neurologist, I had seen a Neurologist and they sent me to get an EMG done. There were no problems with the EMG results. Everything looked normal. Is this someone I should see again?

Thanks for all the Help

Brian

[This message has been edited by bluibri (edited 04-22-2003).]

 
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