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Medical Forum / Diseases and Disorders / Arthritis / January 2006wrist pain
I've always suffered wrist pain but in the last few weeks it's gotten increasingly worse. Even when I'm sleeping I wake up with pain shooting from mid-palm to the right side of my right wrist. It doesn't get any better during the day either. I do get some relief when I take my Celebrex and Plaquenil combined. I have a couple sets of splints but they don't seem to help anymore..... Does anyone have any suggestions on what I can do for relief especially at night? thanx bev May your dreams come true > I've always suffered wrist pain but in the last few weeks it's gotten > increasingly worse. Even when I'm sleeping I wake up with pain [quoted text clipped - 7 lines] > > May your dreams come true Hi Bev,,, Plaq us the mildest of DMARDS and your inflam.arth. may not be controlled and Celebrex will not even slow down inflam.arth. Please make sure your RD knows what your day is like and about your wrists. Harv Hey Bev, Boy, can I relate. I have had three cortisone shots in each wrist over the past 1.5-2 years. They have really helped a lot, and I usually get at least 6 months of relief from each one. If you do get them done, bring your braces with you and wear them as soon as you can after the shots. This will help to keep the cortisone in your joint, and not let it escape into your body. Then, hopefully the relief will last longer. Also, a note on the splints. Were these made for you, or are they generic ones from the drugstore or something? I only ask because, to me, there was a huge difference between the ones fitted to my hands, and the generic ones. When my wrists are acting up (especially at night), I have found no other solutions at all, other than the good splints and shots. No pain pill or NSAID has stopped them from hurting. Good luck to you, Char see your doctor and get him to pin down just what is causing the pain. a referral to PT and/or PT might be in order, depending on what is going on, to make better splints for you, or to give you exercises or teach to to do things differently to help ease the pain. And as has been mentioned, if the pain is from your arthritis, it's probably time for a medication change. Oh, and you are wearing the splints at night for sleeping, aren't you? That's when we are most likely to do things that aggravate wrist problems. BTDT.  SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare thanx to you all.... next RD Dr. appntmnt is on Jan.30 and I will definitely take all this up with them. I have wore my braces for nights and they are the generic type. The plaquenil I only restarted after a year 3mths ago would this already need to be changed? The celebrex been on that for about 1 1/2 yrs.... Last time i saw my RD he talked about methodextrate but says things aren't bad enough for the possible side effects. Maybe this will change things now. It definitely is possible that the Plaquenil is no longer working as well as it once did. Many of us are on a sort of 'cocktail' of drugs. It could also be that your arthritis is progressing and you need something else or something in addition to the Plaquenil. For me, I have had a number of drugs just flat out stop working. Good luck to you, Charlene I will definitely have to take this up with my RD on Jan30th. Thanx All > It definitely is possible that the Plaquenil is no longer working as > well as it once did. [quoted text clipped - 4 lines] > Good luck to you, > Charlene yeah, in fact plaquenil worked well for me for about 6 months, then dramatically faded out on me. Be prepared for the possibility that your RD will change your meds. You might also try wearing your braces more during the day until you see your RD to help with the pain - assuming that they feel better with the braces on. I know mine sometimes aggravates teh wrist pain for some reason. Oh, and one of those capsacin creams might help some in dealing with the pain for now. Some of us have found them to help with our arthritic joints. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare Bev, Have they checked you for carpal tunnel at all? I found that I was having pretty severe wrist, elbow, and mid arm pain, which turned out to be pretty severe carpal tunnel problems with some synovitis thrown in for good measure. Had the carpal tunnel surgery back in april, and the amount of pain reduction was actually quite surprising to me as well as quite impressive. Sometimes our RA can wreak havoc on things that we aren't even aware of! Hope you can find some answers and relief soon!!! Donna G >Bev, > [quoted text clipped - 8 lines] > >Donna G Carpal tunnel can and frequently is caused by inflammation in your wrist due to RA. If you can get your RA under control it may take care of the surgery. It's important to find out what is causing the carpal before attempting to cure it through surgery. Thumper Thumper, I think you must have misread or misunderstood my previous post to Bev. I was not encoraging Bev to run out and get carpal tunnel surgery. on the contrary, I was simple encouraging Bev to explore all avenues including looking at the possibility of carpal tunnel being part of the pain she is experiencing. Yes, I had the carpal tunnel surgery done along with a partial syncovectomy, but many people can and do live with managing carpal tunnel by using splints, getting their RA better controlled, etc. My situation had gone on far too long and had far too much damage to not do the surgery, but I would always encourage others to try other methods before jumping into any kind of surgery. Donna G >Thumper, I think you must have misread or misunderstood my previous post >to Bev. [quoted text clipped - 8 lines] >much damage to not do the surgery, but I would always encourage others >to try other methods before jumping into any kind of surgery. A few years back, surgery was the rage. Every time Carpal Tunnel comes up it seems that the person I'm talking to has had surgery or knows someone who has. Most of the time it seems it failed. A study I read last year blamed a good portion of Carpal problems was caused by pinched nerves in the neck. Those surgeons sure like to cut though. Thumper >Donna G > A few years back, surgery was the rage. Every time Carpal Tunnel > comes up it seems that the person I'm talking to has had surgery or [quoted text clipped - 3 lines] > though. > Thumper my ct releases were great successes, 99% improvement on the left, 75% on the right - until i tore up that wrist. but i'd had an emg and some chiro work to rule out the neck as the source (having had a couple of bouts of pinched nerves prior to the ct probs). after 2 years of splints 22 hours/day, i was desperate for some relief and have been overjoyed at my results. i knew one person who waited almost a decade before having surgery and by then had permanent nerve damage that couldn't be reversed. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare > my ct releases were great successes, 99% improvement on the left, 75% on the > right - until i tore up that wrist. but i'd had an emg and some chiro work [quoted text clipped - 4 lines] > i knew one person who waited almost a decade before having surgery and by > then had permanent nerve damage that couldn't be reversed. I am right now wearing a splint for wrist pain. It's not carpal tunnel, but instead Dequervain's tenosynovitis. I've been going to PT diligently twice a week for a few weeks, and wearing this splint, taking off a few times a day to exercise, then back into the resting splint, all in the hopes of avoiding surgery. I hate surgery. I hate the thought of it. I hate the IV's and sedation and lack of control and hospitals, etc. I know that as far as surgeries go, a tendon release is a minor operation. I just hate the thought of it. I'm going the "conservative" route. But, with my hand, my Dupuytren's contracture, previous surgery, and now the Dequervain's, I have a feeling that I'm just holding off the inevitable. <sigh> SignatureDi zinkadoodle at gmail dot com www.pbase.com/di www.dustydoggie.blogspot.com (WARNING: Very Political) Thanx all and when I see the RD on Jan30th i will discuss the problem with him.....Here's hoping for the best..... > But, with my hand, my Dupuytren's contracture, previous surgery, and now > the Dequervain's, I have a feeling that I'm just holding off the > inevitable. <sigh> well, it still gives you time to come to terms with it. and it's easier to face surgery if you wait until you are really fed up with the situation! SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare > well, it still gives you time to come to terms with it. and it's easier > to > face surgery if you wait until you are really fed up with the situation! > Nann That is true in a small way and it depends on the amount of time involved. How many people have we talked to that walked on a bad hip or knee until they almost ruined the chance for a replacement? The joint can become so damaged that the doctor has nothing to work with and its time for a cadaver piece to be added . A person needs to get a good answer from their doctor on,,,,,, am I making it worse than a doctor can fix???? Harv >A few years back, surgery was the rage. Every time Carpal Tunnel >comes up it seems that the person I'm talking to has had surgery or >knows someone who has. Most of the time it seems it failed. I have had both wrists done, I had to as it was interfering with my work as a nurse. Both surgeries were 100% successful. --- Joan > I have had both wrists done, I had to as it was interfering with my work > as a > nurse. Both surgeries were 100% successful. > > --- > Joan That is what a person hopes for and many people have this type of success but some do not. The thing is that if pressure on a nerve or nerves can not go on forever and the damage done can not be reversed that I know of. A person has to find out what is involved and take steps to remove pressure from nerves,,,, neck, wrist, elbow,,, where ever...... or pay the price and time does count. Harv |
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