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Suggest Treatment For Kienbock's Disease In Both Wrists
Question: I have kienbock's in both wrists. I am a 52 year old female and have had pain for decades in both wrists. Every doctor I saw said it was probably a ganglian cyst or carpal tunnel and that when the pain became bad they would re-evaluate / send me to hand specialist. I saw a hand specialist at the XXXXXXX hand and wrist center and was diagnosed with kienbocks.
my question: Is there any treatment that actually CURES this disease? From what I can understand everything seems geared towards alleviating pain until the point that the lunate bone disintegrates and then they just immobilize the wrist. With both wrists involved, I am very hesitant to undergo any kind of invasive procedure that does not have a verifiable positive outcome.
my question: Is there any treatment that actually CURES this disease? From what I can understand everything seems geared towards alleviating pain until the point that the lunate bone disintegrates and then they just immobilize the wrist. With both wrists involved, I am very hesitant to undergo any kind of invasive procedure that does not have a verifiable positive outcome.
Brief Answer:
Wrist fusion helps in decreasing long standing pain.
Detailed Answer:
Hello,
Thanks for posting your query.
The treatment of kienbock's disease depends on the stage of the disease. If there is only a compromise of blood supply then a cast can be applied for immobilization that can help in improving the blood supply to some extent. In case the problem is a long standing one then osteonecrosis is likely in which case surgical treatment is the only option for a pain free life. Since you cannot take too many pain killers, lunate excision and wrist fusion will help in decreasing the pain.
Till then keeping the wrist immobilized and doing a hot compress in the area can help.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wrist fusion helps in decreasing long standing pain.
Detailed Answer:
Hello,
Thanks for posting your query.
The treatment of kienbock's disease depends on the stage of the disease. If there is only a compromise of blood supply then a cast can be applied for immobilization that can help in improving the blood supply to some extent. In case the problem is a long standing one then osteonecrosis is likely in which case surgical treatment is the only option for a pain free life. Since you cannot take too many pain killers, lunate excision and wrist fusion will help in decreasing the pain.
Till then keeping the wrist immobilized and doing a hot compress in the area can help.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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