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Thread: tendonitis? or carpal tunnel? or something else?

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    Featured Member georgiapeach's Avatar
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    Default tendonitis? or carpal tunnel? or something else?

    i've had chronic pain in my left wrist for about a year.

    it's sort of hard to describe, but it is sometimes like a shooting pain in the wrist when i twist or bend it in certain ways. and other times it will just radiate pain, even if i keep my wrist still. the pain extends into my hand, but not up to the forearm or elbow.

    if i press on my wrist, just above my palm and slightly off to the side towards my pinkie, i feel an intense, hot pain that shoots toward my pinkie a bit.

    so i know i need to rest it no matter what, but i'm not sure if i should also use anti-inflammatories or heat or ice or support wraps because i'm really not sure what the actual problem is.

    any ideas?

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    Default Re: tendonitis? or carpal tunnel? or something else?

    If it has been bothering you for a year, you should get it checked out by a doc. If something has been going on for a full year, it is not likely to go away by itself without some treatment. No one to tell what it is without seeing your wrist, but remember that carpal tunnel syndrome starts with numbness/tingling which progresses to pain, but the symptoms are in the thumb, index finger, middle finger, and half of the 4th finger. It doesn't effect the pinky.

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    Featured Member georgiapeach's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by Adrenaline View Post
    If it has been bothering you for a year, you should get it checked out by a doc. If something has been going on for a full year, it is not likely to go away by itself without some treatment. No one to tell what it is without seeing your wrist, but remember that carpal tunnel syndrome starts with numbness/tingling which progresses to pain, but the symptoms are in the thumb, index finger, middle finger, and half of the 4th finger. It doesn't effect the pinky.
    yeah, i don't think it is carpal tunnel. i haven't had any numbness at all. but the symptoms for tendonitis don't seem to quite fit either...i guess i will hve to suck it up and go to the doctor

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    Featured Member needtodance's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    I've had a LOT of hand problems. I'm no doctor, but after going through 10 years of ongoing hand issue diagnosis', this is basically my knowlege of all the different conditions! I've been diagnosed with all of these at some point, though they've later been revised. But these are all of my treatments. I AM NOT A DOCTOR, and with it bothering you this long, PLEASE do see a doctor!!!

    With the pain in your third-fourth finger and pinky area, that usually IS a problem with the median(?) nerve, which can develope into Carpal Tunnel. This pain may manifest as a shooting pain, a numbness, or electrical shocks, or general soreness. There may be a LITTLE swelling, but its a nerve issue, and the swelling is a result of changing your actions to accomodate the nerve pain. Also, if you hold your hands up in a "prayer" pose(hands pressed together, at a right angle to forearms), you'll feel pain in the fourth and fifth fingers.

    Tendonitis will have a LOT more swelling, and isn't a nerve issue, simply a tendon one. It can be caused by overwork, or a strain or other injury. Pain ISNT isolated to any part of hte hand, as Carpal Tunnel is. Sometimes it hurts the topsof my fingers, when I try to hold a pencil. Other times, its more of a "ghost" soreness not isolated to any one action or area. But there WILL usually be a degree of swelling, and the pain can be helped by altering your activities.

    Arthritis and Rheumatoid conditions are actually problems within the joints cartilage and bone density and all that. Not likely to show any swelling, and it will fluctuate just as much with weather as with activities. Usually to get a TRUE diagnosis for this, you need an Xray. ALso, this p ain usually wont be isolated to JUST the hands. You'll feel it elsewhere in your body as well.

    And the best part-treating these!

    Carpal Tunnel-Take anti-inflamatories to reduce swellign from strain or tendonitis in area, alternate heat and ice treatments, sleep wit h hands in brace at night, to avoid putting extra pressur on the nerve. BUT PLEASE SEE A DOCTOR if you think this is what it is! THe more you ignore it, the more that nerve gets frayed, the harder it is to treat, and eventually you may end up pretty much numb. They'll do an Electromyography(EMG) on you to test the nerve response. This is somewhat painful. Let me know if you want more of a description of that test.

    Tendonitis/overwork-Alter your activities, to avoid excess stress on teh tendons. For me, this means AVOID WRITING. For you it may be something different. But alternate heat and ice, to numb the area, and assist with swelling, and take anti-inflamatories. Wear a wrist brace on BOTH HANDS(Never just one) when you sleep. For me, a good strong masage ALSO helps to relieve pain, and begin gently stretching the area. There's also physical therapy excersizes I cant describe, though i'm sure an online search will yeild them.

    Arthritis-Take MSM, and Glucosamine, for joint health. Use anti-inflamatories as needed, and try to go about normal activities in minor pain-building stregnth actually helps it FEEL BETTER.

    Hope that helps, PM me if you have any more questions!

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    Veteran Member boxingdoc's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    Uh, anatomically speaking, if it is affecting your pinkie and part of your ring finger, that is the ULNAR nerve, not the Median nerve. Median nerve is involved in the carpal tunnel and aggravates your thumb, first and second fingers as mentioned above. You can get a carpal tunnel like syndrome with your ulnar nerve. You would be best served seeing a hand specialist as there are two different places that your ulnar nerve can get impinged....in the elbow and in the wrist (on the hamate bone). The ice, rest and anti-inflammatory advice is right on.

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    Featured Member needtodance's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    Thanks boxingdoc.

    I had htat diagnosis a few years ago and wasnt sure I was remembering the name of the nerve right.

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    Featured Member georgiapeach's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    thanks so much needtodance and boxingdoc! i don't know why i've put this off so long. it sort of comes and goes, so i guess i tend to think it's gotten better when it's not bothering me...

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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by boxingdoc View Post
    Uh, anatomically speaking, if it is affecting your pinkie and part of your ring finger, that is the ULNAR nerve, not the Median nerve. Median nerve is involved in the carpal tunnel and aggravates your thumb, first and second fingers as mentioned above. You can get a carpal tunnel like syndrome with your ulnar nerve. You would be best served seeing a hand specialist as there are two different places that your ulnar nerve can get impinged....in the elbow and in the wrist (on the hamate bone). The ice, rest and anti-inflammatory advice is right on.
    Pretty much right on. Ulnar neuropathy is most common at the cubital tunnel (in the elbow) and at Guyon's canal (between the pisiform and hamate bones). The majority of ulnar neuropathies are due to cubital tunnel syndrome or tardy ulnar palsy. Other causes of similar symptoms are from a thoracic outlet syndrome or a Klumpke palsy or a wrist flexor tendonitis. Actually, the proper referral would be to a Physical Medicine and Rehabilitation physician for work-up which should include electromyography and nerve conduction studies.

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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by needtodance View Post
    They'll do an Electromyography(EMG) on you to test the nerve response. This is somewhat painful. Let me know if you want more of a description of that
    Come on........ it's not that bad!!! A couple little shocks and needles in exchange for a lot of diagnostic information.

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    Featured Member needtodance's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    I didn't mind the needles, the shocks had me in HYSTERICAL PAIN.

    Literally, incoherent, gibbering PAIN! And i have a VERY VERY high pain tolerance. But literally, I couldnt do anyhting but cry and shake, and could barely speak.

    Shocked the hell out of my mom, when she took me to the appointment, since she's NEVER seen me in that much pain before!

    But the needles were absolutely fine. You could poke me for DAYS for the diagnostic info.

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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by needtodance View Post
    I didn't mind the needles, the shocks had me in HYSTERICAL PAIN.

    Literally, incoherent, gibbering PAIN! And i have a VERY VERY high pain tolerance. But literally, I couldnt do anyhting but cry and shake, and could barely speak.

    Shocked the hell out of my mom, when she took me to the appointment, since she's NEVER seen me in that much pain before!

    But the needles were absolutely fine. You could poke me for DAYS for the diagnostic info.
    Wow...... the majority of patients are totally fine with the electric shocks, but they get freaked out by the needles. When I first learned how to do the study, we would practice on each other. It wasn't too bad for me, except when the needle hits bone.... ugh.

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    Featured Member needtodance's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    They DID think it was weird that i responded that way-But i have NO problems with needles, never have...

    Either way, its no walk in the park... hehe....

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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by georgiapeach View Post
    thanks so much needtodance and boxingdoc! i don't know why i've put this off so long. it sort of comes and goes, so i guess i tend to think it's gotten better when it's not bothering me...
    Well you also need to look at your job, how often you work, and how often that hand has a decent support grip of your body. Keep in mind also, other things you may be doing in the day. You may just be dealing with an infliction that begins to heal, then you aggravate it again.
    People are not ruled by their memories.

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    Featured Member georgiapeach's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    ok, so someone massaged the hell out of my wrist the other night and my wrist feels a Lot better.

    i'd worked that night and my wrist was more painful then it has ever been before.

    when he was massaging it we could feel what seemed to be knot in the muscle in wrist and as he worked it out the pain improved immeadiately.

    so does this shed any light on the potential problem??

    (i know, i know...i Still need to see a doctor)

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    Featured Member georgiapeach's Avatar
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    Default Re: tendonitis? or carpal tunnel? or something else?

    Quote Originally Posted by Mastridonicus View Post
    Well you also need to look at your job, how often you work, and how often that hand has a decent support grip of your body. Keep in mind also, other things you may be doing in the day. You may just be dealing with an infliction that begins to heal, then you aggravate it again.
    it seems to be aggravated by holding my weight on my hand while the wrist is bent at a 90 degree angle and by pole tricks. especially the one that i believe is refered to as "peter pan."

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