Thanks for your query on HCM
"As" per your clinical history is concerned please follow like this -
1) Do a clinical examination by your Doctor and do few investigations like [CBC with differential, ESR
, RF and uric acid test to rule out other pathological causes].
2) Use a [Wrist splinting] at bed time and take OTC painkiller like Ibuprfen with Pantoprazole
3) Discuss with your treating Doctor about [Corticosteroids] for swelling. Do follow lifestyle modifications like this -
1)Try to reduce your force and relax your grip.For prolonged handwriting, use a big pen with an over-sized, soft grip adapter and free-flowing ink. This way you won't have to grip the pen tightly or press as hard on the paper.
2)Take frequent breaks. Give your hands and wrists a break by gently stretching and bending them periodically. Alternate tasks when possible. If you use equipment that vibrates or that requires you to exert a great amount of force, taking breaks is even more important.
3)Avoid bending your wrist all the way up or down. A relaxed middle position is best. If you use a keyboard, keep it at elbow height or slightly lower.
4)Improve your posture. Incorrect posture can cause your shoulders to roll forward. When your shoulders are in this position, your neck and shoulder muscles are shortened, compressing nerves in your neck. This can affect your wrists, fingers and hands.
5)Keep your hands warm. You're more likely to develop hand pain
if you work in a cold
environment. If you can't control the temperature at work, put on fingerless gloves that keep your hands and wrists warm.
Hope that helps
Dr. Uday Nath Sahoo,
General & Family Physician