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Who knows anything about carpal tunnel?

Queen of SwordsQueen of Swords Member Posts: 14,355
edited April 2005 in General Discussion
My problem began maybe six or eight months ago. I started to notice my tips of my 2 long fingers and my thumb to my right hand would sometimes become numb, pins and needles sensation. This always happened in the morning, mostly on workdays, and went away in about an hour. I attributed it to stress, too much caffeen.
Around February, one of my coworkers pointed out with a concerning degree of alarm that the fingertip of my index finger whas turning purple. Well, they proceeded to scare the heck out of me the rest of the morning with tales of diabetes, heart disease, and more, so much so that I sheepishly made an appointment with my doctor.
I felt really stupid, as I told the doctor when she examined me, coming to her with such a trivial complaint. She pronounced it as a suspected "boo-boo". She said that in the cold weather, oftentimes people will injure themselves when their hands are numb from the cold, and because their hands are numb, don't realize they have injured themselves. I stated that I did indeed smash it in the door. She wrote me up a script for an antibiotic, just in case it gets infected.
However, that was in February. In the meantime, I've tried several herbal remedies, cayane pepper, milk thistle but to no improvement. Now said index finger is cold most of the time, it will rewarm if I soak it in warm water, and I did "boo-boo" it 2 weekends ago, which healed nicely, so I'm still getting some circulation.
The reason why I wonder if I could have carpal tunnel is because I've recently noticed a snapping pain in my wrist that goes up to my elbow when I make a twisting motion with my wrist, like turning my keys in the ignition, or after a day of continuous driving ( I cover the entire county, averaging 3-4 hours behind the wheel/day). By the end of the day, my wrist just aches, but not so badly that I can't post you fine folks.

Does this sound familiar to anyone? Should I see a PT first, or a neurologist? Neurologist will probably want to do surgury immediately, but I've known too many people who have gone through carpel tunnel surgury, only to still deal with the pain.

Thanks, as always, for your input!

"Great spirits have always found violent opposition from mediocrities. The latter cannot understand it that the former does not submit to hereditary predjudices, but honestly and courageously uses his intelligence." - Albert E.

On my tombstone:"Keep you eyes on the road, your hands upon the wheel..."the Lizard King

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    sweaversweaver Member Posts: 973 ✭✭✭✭
    edited November -1
    Carpal tunnel is caused by a repetive motion, its why alot of computer folks get it. Typing and moving from the mouse to the keyboard really works on the wrist if you do it several hundred times a day. What you may have is tendinitis. I would suggest getting a tendinitis strap and put it halfway down your forearm and use it a couple of days. If it seems to get better then that's probably what you have. The correct strap will have an air or gel filled "bubble" in it. Place that bubble over the tendon in your arm that goes from your elbow to your wrist and tighten it snugly. What this is doing is changing the pivot point of your tendon and taking the stress off the area where it is attached to the bone. If this doesnt help any I would see a specialist. You can develop scar tissue and at that point its sugery time.

    Shane

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    n/an/a Member Posts: 168,427
    edited November -1
    Had it in my right wrist...had the surgery, did the therapy, ....absolutely fine...no pain, no tingling, no numbness...I highly recomend the surgery....



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    Lil' Stinker's Opinion
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    n/an/a Member Posts: 168,427
    edited November -1
    My docs think I have it...in both arms. My arms "go to sleep" from the elbows down, all night long. It keeps me awake at night. It doesn't matter what position I'm sleeping in. They gave me two arm braces, but they did not seem to help and they kept me awake too. I have an appointment with nuerology (sp?) coming up some time soon. I too have noticed that my hands, particularly my right hand, will get cold very easily...even in warm indoor temperatures. I thought it might be some kind of circulation problem. I guess I'll find out something after seeing the nuerologist.

    BR...could you explain what carpul tunnel syndrome is exactly???...in laymans terms? My doc did not really explain anything to me except that surgery might be required. Thanks![:)]

    Eric

    All American Arms Company

    www.galleryofguns.com
    VIP Code: AAAC

    Veteran Owned and Operated
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    Queen of SwordsQueen of Swords Member Posts: 14,355
    edited November -1
    Oddly, the computer doesn't seem to bother it because, I suppose, I can rest my wrist on the desk while I manipulate the mouse.

    Should I start looking for a neurologist?

    "Great spirits have always found violent opposition from mediocrities. The latter cannot understand it that the former does not submit to hereditary predjudices, but honestly and courageously uses his intelligence." - Albert E.

    On my tombstone:"Keep you eyes on the road, your hands upon the wheel..."the Lizard King
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    Fep1990Fep1990 Member Posts: 632 ✭✭✭✭
    edited November -1
    You might have CTS or one of the other repetive motion diseases. You try the band partially up your arm, or, if your hands go to sleep when you are sleeping, you can try the wrist splints that have the formed metal in them when you sleep.

    I have been working on getting my Carpal tunnel beter for the last 2+ years. I have had 2 endoscopies (sp) twice on each hand. Just had the open release surgery on my right hand, have a 9" scar. So far, so good(more or less). The ends of my index and middle finger turn blueish purple and are very cvold and very very painful. Was told that this is a result of the CTS. Waiting on the open on my Left. If I had the option again, I would never have had the endoscopy, but would have had the open release.

    I would see a orthopedic hand surgeon to have your hands checked out.If they suspect CTS or somthing similar, they will send you to a neurologist for the electrodiagnostic test. If you leave the CTS unchecked for a long period of time, the nerve damage can be permanent. I waited several years too long and now have nerves that have died off.


    Here is a good link for more info on CTS and treatment options:
    http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm

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    Fep1990Fep1990 Member Posts: 632 ✭✭✭✭
    edited November -1
    P.S. Good luck with your hands. I hope that you get a definitive answer to the causee and get treatment that helps you.[:)]

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    Queen of SwordsQueen of Swords Member Posts: 14,355
    edited November -1
    Good info, folks, gotta go as my wrist needs a rest...
    Keep it coming, though...

    "Great spirits have always found violent opposition from mediocrities. The latter cannot understand it that the former does not submit to hereditary predjudices, but honestly and courageously uses his intelligence." - Albert E.

    On my tombstone:"Keep you eyes on the road, your hands upon the wheel..."the Lizard King
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    1911a1-fan1911a1-fan Member Posts: 51,193 ✭✭
    edited November -1
    For now try a track ball mouse, they are hard to get used to but you can sit it where you need to for comfort
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    JorgeJorge Member Posts: 10,656 ✭✭
    edited November -1
    Eight bones compose the wrist. These are held together by a fibrous band of cartilage called the carpal ligament. Within it is a narrow tunnel where the median nerve and tendons run through on their way to the hand. Repeated motion or trauma may cause inflamation and swelling of the tendons which will in turn compress the median nerve. This will gradually cause burning, itching, tingling, and numbness. The problem usually starts at night and worsens throughout the day. The strenght, touch sensation, and grasp ability of the hand decreases eventually causing the muscles to waste away. Several factors contribute to the problem: trauma, increased pituitary gland activity, hypothyroidism, rheumatoid arthritis, mecanical problems in the joint, work stress, repeated use of vibrating tools, fluid retention during pregnancy or menopause, cysts or tumors within the tunnel, and most commonly repeated motion.

    Several conditions mimic carpal tunnel: bursitis, tendinitis, or even writers cramp. Diagnosis is made by evaluating the sensation of touch in the palmar surface of the hand and first four fingers. A simple test, the Tinnel test is made by repeatedly tapping the folds at the wrist to elicit a cramping sensation. Another test is the Phallen test in which the back of the hands are held together with the fingers pointing downwards and pressing the wrists against each other for one minute. More elaborate tests include electromyography, magnetic resonance imaging, and ultrasound. These evaluate muscle and nerve function, and joint anatomy.

    I advise my patients rest, ice, compression, and elevation of the affected wrist. Medications include non steroidal anti-inflamatory drugs taken by mouth, corticosteroids injected directly into the wrist, and diuretics (water pills) to reduce water retention within the joint. Accupuncture and other modalities of traditional Chinese medicine are also quite successful. As a last resort, surgery may be used to liberate the pressure within the tunnel.



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    "A fear of weapons is a sign of retarded sexual and emotional maturity."
    Sigmund Freud, "General Introduction to Psychoanalysis".
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    deadeye46deadeye46 Member Posts: 553 ✭✭
    edited November -1
    I have a friend of mine who is a chiropractor and he says that he could cure 70% of people without surgery and just the minipulation of the hand bones.He could be honest or just drumming up business,dunno,but it's a thought.
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    FrancFFrancF Member Posts: 35,278 ✭✭✭
    edited November -1
    quote:Originally posted by deadeye46
    I have a friend of mine who is a chiropractor and he says that he could cure 70% of people without surgery and just the minipulation of the hand bones.He could be honest or just drumming up business,dunno,but it's a thought.


    And he's right-

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    dolfandolfan Member Posts: 4,159
    edited November -1
    Boy, it sure is nice to have a doctor in the house. Thanks Polite Psycho, for sharing your expertise with us! Are you getting ready for hurricane season[?] I'm from So. FL, I am always ready!!!
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    JorgeJorge Member Posts: 10,656 ✭✭
    edited November -1
    As always, hoping for the best, ready for the worst.

    2002-05-21-shark.jpg

    "A fear of weapons is a sign of retarded sexual and emotional maturity."
    Sigmund Freud, "General Introduction to Psychoanalysis".
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    Ding-a-lingDing-a-ling Member Posts: 2,105 ✭✭✭✭✭
    edited November -1
    Had surgery done on both hands in 1999. Wish I had done it five years sooner. The Electromiligram showed 98% loss of the use of both hands.Six weeks after surgery, I only had 7% loss. I went to a neurosurgeon instead of an ortho. The incesion was less than 1 1/2 inches long and now they are impossible to see. I stayed awake during surgery, and the Doc let me see what the problem was. Had a bunch of yellow junk growing on the leader where it could not slide through the sheath. He trimed all of it off, and no more problems. One word of advice - have it done as soon as possible,But only do one hand at a time.Hope this helps.

    Ding-a-ling
    Some people get up and say"Good Morning Lord"

    Others get up and say "Good Lord,it's morning.
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    jl45jl45 Member Posts: 708 ✭✭✭✭
    edited November -1
    I use an air gun to put parts on 700 trucks a day. Carpal tunnel is a fact of life where I work. I have a good friend who went through the surgery a while back with little improvement to his hands or arms, so I've decided to tough it out (with the help of a lot of Advil) for a while longer.


    jl45
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    jjmitchell60jjmitchell60 Member Posts: 3,887
    edited November -1
    I had 2 surgeries on the left hand and one on the right back in the late 80s. If caught in time, the combonation of standard carpol tunnel release and PT can take care of it but the key is catching it in time. Mine was not! I was told mine was poor circulation thus mine got worse before it was figured out that it was carpol tunnel.
    My main bit of advice would be get at least 2 doctors opinions before any surgery. Good luck and I hope it turns out OK.

    Education is nothing if common sense and manners are not in the curriculum!
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    PointerPointer Member Posts: 939 ✭✭✭✭
    edited November -1
    RCRXC,OL. Kind of sounds like you have tendonitis or someting like that.I had the C.T surgery done 4 years ago in both hands 6 weeks apart.I worked in the construction/remodeling buisness for 25 years.I put up with C.T for years before i finaly got tired of not being able to sleep thru the night,(Numbness,tingling,pain up to elbows,swelling,ect.)Got to the point where i couldnt hold onto things for long,dropped stuff all the time and couldnt hold the throttle on my motorcycles for more than a few miles.Had the little shock test thingy to test for C.T and was told i put it off for so long that i had small amounts of nerve damage.Surgery was a major improvement,it got rid of the tingling/numbness,ect but i only have about 70% of the grip i had before.Dont put off the surgery to long,there realy isnt much to it.

    Ohio
    Constitution,Artical 1,Section 4

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    OklahomaboundOklahomabound Member Posts: 829 ✭✭✭✭
    edited November -1
    I've had exactly the same symptoms... went to the Doctor, said I could go the surgery route... opted to go with exercises, like getting a small ball and squezzing it, flexing each finger and thumb backwards and holding for 15 seconds, flexing each finger in groups of two, three, and four backwards and holding for 15 seconds; and went to the pharmacy and got wrist braces that I wear at night.. The wrist braces worked the best... And lastly, sleep on side or back only with a body pillow which keeps the higher arm elevated and not pinching nerves in my arm which causes my two fingers and thumb to "go to sleep-pins and needles feeling". I consider the surgery a last resort....

    976371019-1.jpg "Know the true value of time; snatch, seize, and enjoy every moment of it." Lord Chesterfield
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    Heavy ChevyHeavy Chevy Member Posts: 736 ✭✭✭✭
    edited November -1
    rcrxs old lady
    My wife had the same problems you are describing. She did the exercises, wore those damn braces to bed and so on. NO HELP.
    Had the surgery, same-day,out-patient type.
    She's never been happier, wishes she wouldn't have waited so long.
    Just don't do both hands at the same time, unless Hubby don't mind wiping your butt.
    Hope this helps, and GOOD LUCK
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    Queen of SwordsQueen of Swords Member Posts: 14,355
    edited November -1
    Been doing that myself just fine for 38 or so years, I have no plan to defer that duty to someone else just yet.
    Luckilly, it's only in my right hand.
    I remember years back hearing a woman I worked with complaining that aftert she had the surgury, she had to rely on her husband to do her hair in the morning. The prospect of Mike doing that alone is terrifying...

    "Great spirits have always found violent opposition from mediocrities. The latter cannot understand it that the former does not submit to hereditary predjudices, but honestly and courageously uses his intelligence." - Albert E.

    On my tombstone:"Keep you eyes on the road, your hands upon the wheel..."the Lizard King
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    dcon12dcon12 Member Posts: 31,954 ✭✭✭✭
    edited November -1
    I have had three tendons transplanted into fingers in my right hand. The tendons were attatched to the bone so my fingers can be manipulated by bending my wrist. I have the same pains and conditions you have described. I have always attributed it to my surgeries. I would like to know more about relieving the pain that I have come to expect. Don

    I respect the truth too much to bring it out on every occasion.

    The biggest regret of my life is the number of temptations I've resisted successfully.
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    Queen of SwordsQueen of Swords Member Posts: 14,355
    edited November -1
    Funny that a couple of you mention elevation. I've noticed that I do get some relief by doing just that, crossing my right arm over my chest and touching my left shoulder with my right fingers. Maybe Mike and I need to switch sides of the bed?

    "Great spirits have always found violent opposition from mediocrities. The latter cannot understand it that the former does not submit to hereditary predjudices, but honestly and courageously uses his intelligence." - Albert E.

    On my tombstone:"Keep you eyes on the road, your hands upon the wheel..."the Lizard King
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    anderskandersk Member Posts: 3,627 ✭✭
    edited November -1
    I had carpal tunnel surgery on the right wrist because of too much repetitive motion - hammering nails. It was an easy surgery and worked just fine.

    I just wish my knee replacement went as well![:(]
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    Fep1990Fep1990 Member Posts: 632 ✭✭✭✭
    edited November -1
    The Muscle Wonder from Novum Solutions works pretty good at taking the edge off the pain for me also. If you do the stretching and splints, if your problems are indeed CTS, adn have caught it in time, you may prevent the need for surgery. When my fingers start to ache and get cold to the touch, I spray the muscle wonder on the tops and bottoms and let it go to work. Also 2000-3000mg Glucosamine Sulfate at bedtime every night.

    vipersig.jpg
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