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Medical Forum / Diseases and Disorders / Arthritis / January 2005

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Problems with my arm

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delcorso - 16 Jan 2005 00:30 GMT
Well, so much for the good news about my arm surgery.  I'm now eating
those words.  My arm is killing me.  After getting the cast cut off
and a new longer and looser one, I'm still in pain.  And this pain is
the stuff that makes you grit your teeth and do breathing exercises to
get through it.  I'm not sure if this new cast is still not right or
what's going on.  The cast doesn't feel tight at all and I've been
elevating the arm constantly.  I'm hoping that by taking the percocet
and resting things will improve by tomorrow.  Otherwise, I may be
heading back to the surgeon's office on Monday.  This is such a
bummer.

Has anyone ever had this happen after surgery....things are going
really well then you get the cast and all hell breaks lose?  Can a
plate with screws loosen up or move?  YUCK!!

Anyway....if anyone has some prayers and good vibes to send my way,
I'd really appreciate it.  Hope you're all doing well.  I have to go
lie down.
Carol with the sick arm :-(

BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
going to take it to school for show and tell.  :-)
RoseB - 16 Jan 2005 01:06 GMT
>Anyway....if anyone has some prayers and good vibes to send my way,
>I'd really appreciate it.  Hope you're all doing well.  I have to go
>lie down.
>Carol with the sick arm :-(
Sorry to hear it Carol.
(I will do both, pray and send positive vibes.

I am sure that your students  (and staff) will be very impressed at
your Show and Tell.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
DeeTee and Bob Taggart - 16 Jan 2005 01:21 GMT
{{{{{{Carol}}}}}}   Good vibes in your direction.

DeeTee
________________________________
DeeTee and Bob Taggart
http://www.marykay.com/dtaggart3
http://mysite.verizon.net/vze8fwov/
________________________________
> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
> going to take it to school for show and tell.  :-)
Jo Firey - 16 Jan 2005 01:42 GMT
I'm so sorry you are going thru such misery.  Only hope your arm is just
pissed off by the trauma of a too tight cast and going thru the replacement.

Do not put up with the pain for too long as there are things that can be
wrong that can be corrected.

Hope it is just a case of some percoset and letting it rest a bit.

I'll bet the x-ray is cool.

Jo
> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
> going to take it to school for show and tell.  :-)
Gwen Love - 16 Jan 2005 01:43 GMT
Prayers on the way, Carol.
Gwen

> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
> going to take it to school for show and tell.  :-)
d'huit - 16 Jan 2005 02:32 GMT
((((((((((((((((carol))))))))))))))))))  yes.  i have.  trust your instincts
to make you more comfortable, carol, no matter how silly they might seem.
like, for example, if your instincts tell you, you need to warm the cast up,
then cover it with something like a towel still warm from the clothes drier
(cuz casts hold the cold longer, when they are exposed to cold
temperatures).   check your fingers to see if they are cold or warm.

unless you've fallen on it, or lifted something heavy, or pushed your body
weight up suddenly and joltingly (from a chair or table or the floor or
bathtub or whatever) with that hand, your plates and screws are right where
your surgeon put them and they're ok.  it takes quite a bit to rupture
plates and screws, especially when they are protected by a cast.

sometimes, the trauma of all the extra movement in re-casting sets the
surgery site off singing bigtime.  sometimes, not often though, specific
ortho-casting techs make more comfortable casts than other techs, might
position the limb better or just apply the casting materials better--it's
almost an art, in some cases and sometimes it depends upon how rushed they
were.   sometimes, the pain medication itself needs to be adjusted better or
changed by your doctor.  sometimes, the trauma of the surgery just catches
up with you---try to stay ahead of the pain with your pain meds, sweetie.
don't play catchup with the pain with them, carol.

hope you feel better soon, hon.  sending healing thoughts, prayers and lots
of love.

kate

> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
> going to take it to school for show and tell.  :-)
Sonatabv - 16 Jan 2005 19:07 GMT
(((((carol)>))))

love and prayer,

vickie B.
Janet R - 16 Jan 2005 04:21 GMT
Call your doc...you may have developed an infection.  My son had
surgical pins and his wrist started hurting...that was what was wrong.
He also had a cast made with a seam cut into on each side to allow for
swelling and wrapped with special covering.

Also he went to the physical therapist and she did alot for him to
reduce swelling and pain too.

Janet R

: Well, so much for the good news about my arm surgery.  I'm now eating
: those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
: BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
: going to take it to school for show and tell.  :-)
JLee - 16 Jan 2005 04:53 GMT
> Call your doc...you may have developed an infection.  My son had
> surgical pins and his wrist started hurting...that was what was wrong.
[quoted text clipped - 5 lines]
>
> Janet R

I second that.  When I had the plate and screws put in my ankle, the surgeon
told me to not tolerate anything beyond moderate discomfort.  Sure enough,
when my discomfort turned to pain it was a post-op infection which required
IV treatments at the hospital.  PLEASE don't wait.

Janet N.
Squirrely - 16 Jan 2005 09:42 GMT
Prayers and good thoughts coming your way. I wish the best for you.

Keep us posted to how it goes and if you go see the dr about it what he/she
says.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 18 lines]
> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
> going to take it to school for show and tell.  :-)
Pic - 16 Jan 2005 16:47 GMT
Carol..sorry to hear about the pain you're having....get it checked out
ASAP.....I'm sending prayers and good thoughts your way. Hope everything
works out for you.
(((((HUGS)))))  Pic

> Prayers and good thoughts coming your way. I wish the best for you.
>
[quoted text clipped - 24 lines]
>> BTW I did get a copy of my xray....with the plate and 8 screws.  I'm
>> going to take it to school for show and tell.  :-)
Karen Palmer - 16 Jan 2005 10:37 GMT
Carol,
I'm 5 weeks post-op after having my left elbow replaced. First of all the
odds of any of the hardware moving is pretty slim. I had in increase in my
pain level when I switched from myy cast to a solid straight splint.  The
splint just hit in the wrong places and really irritated the brusing.  Then
when you added the increased activity well there you have it.  An adjustment
of the splint and lots of icing took care of a lot of the pain.  So
hopefully the pain is just a rebellion to all that has happened to the poor
arm this week.

But increased severe pain is also a sign of infection, especially if it is
not really responding to pain meds. I was instructed to call with any
increase in pain levels.  So call your dr on Monday and let him lnow what is
going on.  If your fingers go cold, or swell or if you see any redness
either from above or below the cast call today.

Hoping you are feeling better
Karen
> Well, so much for the good news about my arm surgery.  I'm now eating
> those words.  My arm is killing me.  After getting the cast cut off
[quoted text clipped - 6 lines]
> heading back to the surgeon's office on Monday.  This is such a
> bummer.
Nann Bell - 16 Jan 2005 11:54 GMT
((((((((((Carol))))))))))  I've had no experience to help you, but if the
pain isn't better today, go ahead and get in touch with whoever's on call for
your surgeon.  Pain is a sign that something is WRONG and you don't want to
let it go.

still, I hope rest and percocet took care of it.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

delcorso - 17 Jan 2005 03:09 GMT
Thanks everyone for the information!!  And for the good thoughts and
prayers.  My arm is much better today, but I feel like crap.  I
haven't had to take a pain pill today, but I am achy all over and very
fatigued.  I slept on the couch last night til 2 AM, got up and went
to bed.  Then this morning I didn't get up til 10 AM, took a shower
and slept on the couch til after 5 this evening.

I'm going to call the doc tomorrow morning even though my arm is now
feeling okay.  I want to make sure this is not an infection.  I think
it may be my RA starting to flare up from being off the Enbrel for
almost a month.  I think the arm pain was probably from a combination
of the casting and messing with it, along with more activity.  The
nurse had thought the pain was due to the ulnar nerve being pressed on
from the tight cast.
The good news is that I'm not noticing any swelling in my hand or arm
nor any redness.  Last night my hand and arm were really cold, but
it's much better today.
I am almost out of pain meds and I want to see if they'll give me
something milder than percocet to take if I need it, especially at
night.
Thanks so much!!  You guys are always so helpful!
Carol
Nann Bell - 17 Jan 2005 05:27 GMT
> I am almost out of pain meds and I want to see if they'll give me
> something milder than percocet to take if I need it, especially at
> night.

my orthopod willingly switched me to vicodin after I complained that percocet
was making me too spacey!  I mean, I couldn't even read music in choir when
taking percoet and I learned to read music before I learned to read words!

I think it's a good idea to check in with your doc though, and hopefully
someone will understand that you need decent pain meds.  Oh, and remember not
to overdo it just bcause you're in the short cast!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

d'huit - 17 Jan 2005 06:35 GMT
> Thanks everyone for the information!!  And for the good thoughts and
> prayers.  My arm is much better today, but I feel like crap.  I
[quoted text clipped - 18 lines]
> Thanks so much!!  You guys are always so helpful!
> Carol

whew!  so far, so good.  i'm so relieved you feel better today.    what with
not having been on your enbrel for a month, the recasting and the surgery
itself, geesh your poor body must have been screaming at you.
((((((((carol))))))

good idea to call your doctor and let him know what's been going on and what
you need, and want, to be more comfortable.   ask him to refresh your memory
about what symptoms you need to be aware of, on guard for and alert him to.
sometimes, we forget a detail or two and sometimes, they forget to put a
detail or two on the discharge instructions.

you said your hand/arm was cold last night.  if your hand gets too cold,
carol, keep an eye on your fingers for blueness, which could mean the cast
is too tight somewhere.  otherwise, gently warming the case (like i
mentioned with the towel) will help with cold aches.  remember "gently
warming", not blasting it with heat (like sticking it in front of a blazing
fire in the fireplace), cuz that will be uncomfortable, too, in its outcome.
putting a sweater/fleece or something like that on after you warm the cast
will help.

when you go outside, please remember it is wintertime and that cast will get
much colder and quicker than your skin will.  the cast and the metal have no
vascular system to help regulate their temperatures, like your bones and
muscles do; and that metal is on the outside of your arm bone, where it
doesn't have a lot of tissue around it to help insulate it.  but it does
have the cold cast against it.  so protect it from the cold, hon---cuz once
the metal next to your bone gets just a little colder (like one degree,
even) than the rest of your body, it might painfully resonate with cold like
a high pitched gong ache.  (i had shin/tibia plates and screws that did
that---the outside tibia plate was awful when it got cold, from time to
time.).  you don't want that.

here's hoping your day tomorrow is a good one for you!

kate
Squirrely - 17 Jan 2005 20:00 GMT
Let us  know how it is going with the arm and what the dr says.

I am sorry you are not feeling good either. I hope they give you something
to help  you make it thru all this.

You are still in my thoughts and will be till you get recovered.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> Thanks everyone for the information!!  And for the good thoughts and
> prayers.  My arm is much better today, but I feel like crap.  I
[quoted text clipped - 18 lines]
> Thanks so much!!  You guys are always so helpful!
> Carol
delcorso - 17 Jan 2005 23:48 GMT
> Let us  know how it is going with the arm and what the dr says.

I called the doc today and talked to the nurse.  My arm is much
better, but I still feel crappy, although not as crappy as yesterday.
Talking with the nurse, we decided that the arm pain was probably due
to the tight cast putting pressure on the ulnar nerve and the RA
flare.  She said when a nerve is pressured it takes awhile to calm
down.  The doc was concerned and thought maybe I should come in to see
him, but with things being better, I told the nurse that I don't think
I need to.  I told her that I'd like something milder than percocet
for pain and she called in a script for vicodin.
It seems that the pain is worse in the mornings and late at night,
which is my typical RA symptoms.  So hopefully with the vicodin I can
get through til I am back on the Enbrel and can get the RA under
control....although...I now have a cough and cold, which means that I
may have to wait another couple of days to start back on it.

I've told myself that I am going to take more time off work.  I had
planned on going back next Monday the 24th, but I'm thinking that I
may take more time.  I am not going to go back to work if this arm is
still painful when I do anything more than lying around.  I have a ton
of sick days built up and the doc has left it up to me when I go back,
other than he doesn't want me going back to work until the RA is
controlled and I am to do NO lifting at all.  So, I'm telling myself
and my friends are telling me over and over again to not rush this and
not to worry about work.  Work is not the only thing in life and it's
better to wait to go back than to go back too soon and feel awful.
Man, that's really hard for me to admit, but I am going to do this!!
I am, I am, I am!!!

Thank you to everyone for all your good thoughts and advice!!!
Carol
Kelly - 18 Jan 2005 00:07 GMT
good decision about work Carol - especially when working around children.
They take energy and concentration for your sake as well as their own.

Glad the pain is going down a bit - hopefully things will calm down again.

Take lots of fluids and rest and get that darn cold better.

Kelly (who gets to take enbrel after being off 3 weeks - hurray! so I do
understand)
delcorso - 19 Jan 2005 03:25 GMT
Kelly, I'm so glad you're able to go back on the Enbrel!!  I envy
you.....I was all set to go back on it tomorrow but with this cold,
there's no way.
Carol

> good decision about work Carol - especially when working around children.
> They take energy and concentration for your sake as well as their own.
[quoted text clipped - 5 lines]
> Kelly (who gets to take enbrel after being off 3 weeks - hurray! so I do
> understand)
Kelly - 19 Jan 2005 22:40 GMT
I went back on this week and sure hope I can keep the sinus stuff at bay.
It just seems to keep coming back - enbrel really does  aggravate it for me.
I have never had sinus infections until the biologics.

I am praying you are back on it soon Carol.  Maybe the cold will be over
really quick.

kelly

> Kelly, I'm so glad you're able to go back on the Enbrel!!  I envy
> you.....I was all set to go back on it tomorrow but with this cold,
[quoted text clipped - 14 lines]
> I do
>> understand)
delcorso - 20 Jan 2005 03:53 GMT
I'm hoping that I can get back on it over the weekend, but I'm not
going to unless I'm totally over this URI.  I don't want to have to go
back off it.  I'm hurting, but the vicodin does help to keep the pain
level down.  I also wrote my principal an email today and told her
that I'm taking next week off and possibly longer.  I told her that my
surgeon was hesitant about letting me go back to work and I'm not
pushing this.  I have over 160 sick days built up and I'm going to use
them.

I'm starting to think that the Enbrel is beginning to aggravate my
sinuses too.  I've had more URI's this last year than I've had in
ages.  My GP put me on Zyrtec last summer and it does help.  I went
off of it in the fall and ended up with allergy symptoms again.  He
told me I should just stay on it all the time.  Have you considered
going on something like that to help the sinuses?
Carol

> I went back on this week and sure hope I can keep the sinus stuff at bay.
> It just seems to keep coming back - enbrel really does  aggravate it for me.
[quoted text clipped - 23 lines]
> > I do
> >> understand)
Kelly - 20 Jan 2005 16:28 GMT
I have Carol.  I am taking flonase twice a day every day all the time
(yuck - I hate remembering to do all this stuff), using eucolyptus oil in
the bath each night and tried doing the salt water saline idea (couldn't
find a neti pot up here but gently used a ear syringe.) The salt water
saline just plain hurt but maybe that was because the infection was really
active then.

I do know that I am going to be off enbrel at some point in the future so I
just need to hang in there.  It doesn't do as much as my rd would like it to
for me and we are talking about investigating another drug trial.  Should
know in April.  All I know is it is a drug for people who have failed enbrel
or remicade.  Although I haven't taken remicade I am not allowed on it in
BC.  In BC you must take it with arava or mtx and I can't take either.  My
rd also doesn't like it without one or the other.

I looked up zyrtec - a prescription is not needed here for that (reactine)
but it puts me instantly to sleep.  knew I recognized the name.

thanks Carol.
Kelly
> I'm hoping that I can get back on it over the weekend, but I'm not
> going to unless I'm totally over this URI.  I don't want to have to go
[quoted text clipped - 46 lines]
>> > I do
>> >> understand)
Rebecca Ford - 21 Jan 2005 01:24 GMT
Could be Humira, which has been approved in Canada, although it isn't on the
national formulary. Maybe Kineret?

Signature

Rebecca Ford

>I have Carol.  I am taking flonase twice a day every day all the time
>(yuck - I hate remembering to do all this stuff), using eucolyptus oil in
[quoted text clipped - 66 lines]
>>> > I do
>>> >> understand)
Squirrely - 19 Jan 2005 02:11 GMT
I am glad your arm is much better. I am sorry to hear that yo have the cold
that is going around. That is probably what made your pain worse too. I had
and still have it and it does cause a lot of flaring.

I am glad you are going to take off more time to heal better before giong
back. You take care. Hugs to you and lots of TLC

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> > Let us  know how it is going with the arm and what the dr says.
>
[quoted text clipped - 28 lines]
> Thank you to everyone for all your good thoughts and advice!!!
> Carol
Gwen Love - 19 Jan 2005 02:32 GMT
All you sick folks stop breathing on your monitors when you post, PLEASE.  I
really don't want to get sick now.
Gwen

> I am glad your arm is much better. I am sorry to hear that yo have the cold
> that is going around. That is probably what made your pain worse too. I had
[quoted text clipped - 35 lines]
> > Thank you to everyone for all your good thoughts and advice!!!
> > Carol
delcorso - 19 Jan 2005 03:32 GMT
Ya know Squirrely,  I almost think this cold is a blessing in
disguise.  It's forced me to really think about why I shouldn't be
going back to work yet.  My surgeon has been leary about agreeing to
let me go back....and now as I get closer to the day I had planned to
go back, I am realizing that I shouldn't be pushing it.  He told me if
I do go back I am not to do any lifting of any kind.  I'm not sure I
can even do that.  I have to remind myself not to lift stuff here at
home and I'm a lot busier at work.  Of all my surgeries this one was
probably the most invasive and I was off work for 8 weeks for my
ankle.  I had the knee done in the summer so work wasn't an issue.  I
know that I should put this healing first.  And I'm going to!  I don't
want to be flaring, but on the other hand the cold has forced me to
stay off the Enbrel which means I can't go back to work yet.  I'm such
a wimp when it comes to not letting work rule me.  UGH!
Carol

> I am glad your arm is much better. I am sorry to hear that yo have the cold
> that is going around. That is probably what made your pain worse too. I had
[quoted text clipped - 10 lines]
> > to the tight cast putting pressure on the ulnar nerve and the RA
> > flare.  She said when a nerve is pressured it takes awhile to calm

> > down.  The doc was concerned and thought maybe I should come in to see
> > him, but with things being better, I told the nurse that I don't think
[quoted text clipped - 21 lines]
> > Thank you to everyone for all your good thoughts and advice!!!
> > Carol
Caroline Marold - 17 Jan 2005 23:15 GMT
Phewwww... Had me worried for a moment. That over do
thing is getting me with my new knee. Sure doesn't hurt
when I am doing XXX but the muscles are not happy.  Ice
still really helps me. Glad things are better.
Duckie

> Thanks everyone for the information!!  And for the good thoughts and
> prayers.  My arm is much better today, but I feel like crap.  I
[quoted text clipped - 18 lines]
> Thanks so much!!  You guys are always so helpful!
> Carol

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