Medical Forum / Diseases and Disorders / Arthritis / January 2005
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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