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Wrist pain on moving the thumb - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
Doctor :   Hi
User :   Hi
Doctor :   Dr XXX here
User :   Hello
Doctor :   How can i help you today?
User :   this is regarding my wife's problems
Doctor :   Ok please proceed
User :   Actually she has pain in wrist while moving thumb
User :   it started in january this year
Doctor :   ok
User :   we guess because of excessive writing
User :   then we went to doctor, he pressed that point on wrist where it was paining
User :   and said for injection
Doctor :   ok
User :   he infact gave one injection in the bone
Doctor :   i guess she has symptoms of carpal tunnel syndrome
Doctor :   and she is having inflammation of the tissues, around the median nerve
User :   ya she has read about it .and knows her problem pretty well but the thing is she is not able to find the solution
User :   as she has already taken physiotherapy for 5 days but there was no relief
Doctor :   the solution is about providing rest to the affected part
Doctor :   i mean the forearm and hands, which is very hard to do in fact,
Doctor :   but wearing wrist guards and splints can help up to an extent
User :   she wears wrist band most of the time
Doctor :   but if the pain is severe and not tolerable, then surgery to release the pressure on the nerve helps,
User :   actually she works on computer and also house hold swork
Doctor :   have any MRI done ?
User :   No MRI has been done yet
User :   and the pain is not severe
Doctor :   does she take any meds ?
User :   it only happens when she tries to move her thumb in the upward position
User :   She took it for 2-3 days
User :   pain relief
Doctor :   has the doc, actually diagnosed the condition ?
Doctor :   is it diagnosed as trigger finger ?
User :   not exactly
Doctor :   or carpal tunnel syndrome
User :   she has been asked to do physiotherapy for few days
Doctor :   ok,
User :   Actually she thinks she has carpal tunnel syndrome.
User :   because the symptoms seem alike
User :   but the pain is not severe
User :   it happens on and off
User :   it's on right hand
User :   is there any other way to treat it ... other than surgery
Doctor :   i think, it needs a specific diagnosis, so that specific info can be given
User :   she is just 25
User :   we have consulted 3 doctors and all of them gave different opinions
Doctor :   in case of trigger finger, the issue is inflammation , which can be handled, with steroid injections, and NSAIDs
Doctor :   does she have pins and needles sensation around the 3 and half fingers of the hand
User :   No
User :   the pain is basically on the joining bone of wrist and hand where the thumb ends
Doctor :   and does the pain, increase when she bends the forearm ?
Doctor :   i dont think, its carpal tunnel
User :   No
Doctor :   as her symptoms, are not that of CTS
User :   ok
User :   then what else could be the problem
Doctor :   I would consider her to have tendinitis
User :   what is that
Doctor :   or arthritis, of the scaphoid bone
User :   Actually we still don't know what is it
User :   but how it can be cured
Doctor :   which the symptoms are specific
Doctor :   warm compresses, steroid injections, wrist band, splints are helpful in this condition
Doctor :   be patient, and once the condition is healed, (which incidentally takes time) her symptoms will resolve
User :   It has been 10 months...
User :   and there is no relief
User :   she can't do her routine work
Doctor :   i understand
Doctor :   but as long as she tries to do the work, the condition will not subside and will progress to deteriorate
User :   then what should she do
User :   what i feel it started with excessive writing and there was no need to give injection that doctor gave
Doctor :   Wear splints most of the time, and try to avoid working with the affected hand
Doctor :   no, injections are very helpful, and the condition is not due to the injections
User :   actually, few days back she had given some blood for her tests
Doctor :   ok, so what were the results?
User :   that was for something else
User :   symptoms were for polycystic disease
User :   she gave blood from wrist
User :   and from then onwards she is having pain in that hand too
Doctor :   ok
User :   so left hand also started paining
User :   upper side of wrist*
User :   she feels streching of nerves
Doctor :   the pain , could be due to thrombosis due to inflammtion of the blood vessels, and will wear off
User :   how much time it would take
Doctor :   THE pain in the other hand, will reduce by 1 week to 10 days (maximum)
Doctor :   she can take some brufen for the pain
User :   but she had tests more than 20 days ago
User :   but the pain is still there
Doctor :   then i guess, it needs to be examined, why she still has the pain..
Doctor :   usually the pain should not last so much
Doctor :   if some one has blood drawn, he has pain, not more than 1 hour or max 1 week
User :   ok.. so we should consult some doctor here locally
Doctor :   yes, just consult a doc, get the part examined, and see if any infection is there
User :   ok
User :   well she thinks she will never be alright ... Right Hand .. thumb move problem..
Doctor :   if she does not rest, then it becomes an issue
User :   ok...
User :   any thing else you would like to suggest
Doctor :   nothing much, than what i have told earlier
Doctor :   rest, warm compresses, steroid shots, and NSAIDs for the hand
User :   Ok.. thank you for your consultation
Doctor :   you are welcome
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