***WRIST INJURY *** HELP NEEDED

  • Posted by a hidden member.
    Log in to view his profile

    Feb 27, 2013 10:15 PM GMT
    hello

    two months ago I fell down the stairs and injured my wrist. It's been two months now and no relieve , pain stiff the same:
    - right wrist hurts each time I twist it 180 degrees
    - wrist hurts when I press palm, or when I pu heavey plate on my palm
    - wrist hurts when 3-4 movement of hand are done and when I press palm, or carry a bag or want to do curls at gym, the rest movements is painless

    wondering if someone experience the same case and how it lasted

    saw 4 doctors - idiots!, didn't get any help and advices, X ray shows everything OK, but I measured my wrist and bone sticks out 5mm!
    physiotherapist gave me silly exercises, but they dont help, one doctor said it's tendinitis (but pain is more then 8 weeks and doesn't subside) other doctor said its subluxation of the distal radio ulnar joint and today saw another idiot who said something else.

    I am worried and thats why asking if someone had the same symptoms, as not sure how long I have to stay away from gym and what it might be exactly

    fact its more then 8 weeks of pain, pain still the same, bone sticks out 5mm comparing to the other wrist

    thanks
  • Lukehiker

    Posts: 161

    Feb 27, 2013 11:20 PM GMT
    You're explaining my left wrist...

    Go back to your doctor, have him/her to a Carpal Tunnel X-ray; its a seldom used X-ray because it only shows a few bones, but odds are, if you have pain in your wrist from movement, its related to them. Fractures in these bones can only be seen from certain angles, a traditional flat hand x-ray will hide them.

    Back in 2000 I broke my wrist, Dr. did the standard X-ray, said "no break, just bruise" put me in a sling and sent me home. A week later I tripped on something, landed on the wrist and it folded like an accordion: my carpal tunnel had been crushed and I needed major surgery to repair it.

    carpals.jpg

    The bone you are seeing out of place is the Triquetrum, it is easily dislodged by most breaks, so this is not helpful. You mentioned stress on your wrist(lifting) and pressing on your palm makes it hurt. Where on your palm do you press to make it hurt? This may not seem important, but it will allow your Dr. to to the proper x-ray.

    I had a horizontal hairline fracture of my Lunate, which turned in to a full fracture when I put weight on it, and almost destroyed my wrist. DO NOT LET THIS HAPPEN TO YOU! This is a very important joint, and you cannot be too careful over it, doubly so if you are weightlifting.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 27, 2013 11:33 PM GMT
    I would see another doctor like lukehiker suggests. Depending on what you find out, I have had luck with theraband flex bars

    http://www.youtube.com/watch?v=lH0g4UWTJYo&feature=youtube_gdata_player
  • Posted by a hidden member.
    Log in to view his profile

    Feb 27, 2013 11:36 PM GMT
    Go to a different physical therapist, ask specifically for ultrasound/heat/electrostimulation therapy, exercises/stretches will not be enough, steroid shots right in the affected area can also help, ask your doctor about them. DO NOT TAKE TOO LONG TO TREAT THIS.
  • Medjai

    Posts: 2671

    Feb 27, 2013 11:39 PM GMT
    It could also be a ganglion cyst within the joint. They don't show up on X-rays, can be extremely painful, and can result from both injury and repetitive motion. I've had one myself, and it sounds similar, though in a different location. Might be worth looking into.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 27, 2013 11:45 PM GMT
    Pray you don't have Avascular Necrosis of your Scaphoid or Capitate!
  • LJay

    Posts: 11612

    Feb 27, 2013 11:54 PM GMT
    There are doctors and there are doctors. You do not say whether you are going to general practitioners, chiropractors, orthopedists, hand/wrist specialists, or what.

    I am none of these, but the continuing pain and variety of diagnoses suggest that you need to find the right specialist who can see the whole picture. 8 weeks, by the way, is nothing in the way of tendonitis, which is very slow in healing, but you still need a firm diagnosis.

    Is there a medical college you can consult? Do you need referrals to particular specialists?

    I am not sure how the British health system works, but pain is universal and usually quite eloquent. Your task is to make the physicians listen to it.

    Continuing to put strain on the wrist by exercising it seems unwise, at the least.
  • Medjai

    Posts: 2671

    Feb 28, 2013 12:01 AM GMT
    Tskunt saidPray you don't have Avascular Necrosis of your Scaphoid or Capitate!


    Considering that its been months, avascular necrosis seems like a stretch, doesn't it?
  • Posted by a hidden member.
    Log in to view his profile

    Feb 28, 2013 12:03 AM GMT
    Go see a Sports Medicine Physician.
    All in all, you not only did not mention what particular doctor you saw, but you also say you got xrays...only xrays??

    The study of choice would be an MRI at this point, which is used mostly for soft tissue diagnoses but shows edema of the bone. Repeating xrays will only show a fracture once the healing starts, and you don't want it to heal in the wrong position.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 28, 2013 12:58 AM GMT
    There's a good chance what you're measuring is not bone that's protruding but a calcium deposit like a Ganglion Cyst which is why an x-ray would've not shown anything.

    Request an MRI which will give you a more complete picture of what's happening.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 28, 2013 12:59 AM GMT
    problem is thats how British doctors are i saw 4 different and pchysio and they don't know anything and they don't want to give me orthopedic referral.

    trying to understand what it is

    I don't think its a broken bone, as xrays doesnt show

    one doctor said the joint moved, but if it really moved it would be so painful like broken bone

    I think it might be something with tendinitis, but why bone sticks out 5mm comparing perimeter of other wrist
    (that next to wrist that look like a small ball on your wrist) and why pain is still over 8 weeks in certain movements only as if it was tendinitis then the pain would be faded away

    or nerve press something in the wrist


    it's very difficult to find the cause of pain and doctors even private ones don't know anything and don't want help as xrays are ok

    what I know is that I was ignored by doctors when it happened they didnt do anything, after a few weeks I got xray, can't understand that I went to a doctor in the right time to prevent developing injury and they didnt do anything
  • barriehomeboy

    Posts: 2475

    Feb 28, 2013 1:56 AM GMT
    I am lucky enough to work at one of the best GTA hospitals as a Medical Imaging Technologist. (Richmond Hill.) I also have field experience that no other MIT has. I'm considered one of the best at what I do.

    Get one of your expert physiotherapist friends to run their ultrasound probe (physio, not diagnostic ultrasonography) over your wrist. If it hurts like hell, there's a fracture. If there's no pain, there's no fracture, meaning your injury is connective tissue related.
  • Lukehiker

    Posts: 161

    Feb 28, 2013 4:23 AM GMT
    Look at the pic I posed, the bump you are seeing is the Pisiform, its a point on the Triquetrum bone that forms a knob; its purpose in the wrist is to prevent hyperextention.

    When you do anything significant to the Wrist, the tendons will move around a little and the cartilage will shift; any injury here will do these. What this means is the Triquetrum has shifted slightly; THIS IS BENIGN on its own. Swelling in the joint can cause a similar shift, with zero damage. The key identifying factor is the Pain.

    Now I'm going to contradict barrie; certain types of fractures in the wrist actually don't hurt all that much; unlike long bones and weight bearing bones(femurs and phalanges for example) the bones in the wrist are meant for expressive control; as a result, their shape makes them difficult to break in the traditional "splinter" fracture manner. If you have a hairline fracture, or a spider fracture(this one is killer, hope you DON'T have one) the break is only on the surface of the bone, not the marrow; thus it may not hurt as much as you'd think.

    The only way to diagnose the above is to have a Carpal Tunnel X-ray; like I said before, its a seldom used x-ray, because 99% of breaks can be visible with a traditional flat hand x-ray; however as my experience shows, YOU DON'T WANT TO BE IN THAT 1%!

    Now, here are somethings you can do to help me, help you:
    With your fist balled, bend your wrist until your fist is at a 90 degree angle to your forearm; lock your Thumb pointing straight out, then sharply straighten your wrist.

    You should hear a crack and maybe some pain; DON'T be alarmed, no damage was done; you just compressed the Thumb end of your carpal tunnel. Now, when you do this, listen closely: what do you hear? A popping sound? A squishing sound? The sound of a twig snapping? A loud click? Tell me what you hear, in detail.

    Next, relax your had; with your other thumb, press on the palm of your hand just under where your Index finger attaches; find the Metacarpal and by pressing on the skin, follow it down to the wrist. What do you feel and where? Do the same thing for the other 3 fingers(NOT the thumb), and tell me what happens.

    For the thumb, at the first knuckle put your other thumb; curl your thumb completely, DON'T lock it, then with your other thumb, follow the Metacarpal down to where you feel a notch. On any places you feel anything strange, press; then at the notch, press Flat into the hand(Don't press up or down). What do you feel?

    Be specific on all of this; if you don't trust a physician to do these themselves(which they should have), then you need to do them yourself. I have enough experience with this particular joint that I can translate what you tell me into an educated guess, which you can take to a physician; but Only if you cooperate. Understood?