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Need urgent help with wrist pain not going away 7

 

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22 year old needs help with wrist pain not going away

A sincere request to an experienced doctor to take my case.
I am 22 year old young man. Injured my left wrist while playing basketball in November 2016. It's been 15 months now and it still hurts. Whenever I type on computer or twist my hand, it is hurting. Also hurts to bend wrist forwards or backwards. Hurts to twist doorknobs. Doesn't hurt when wrist is not being used or is resting. Only hurts when in use. It can't support much weight (carrying a plate of food or backpack hurts) and feel pain when grabbing or twist in particular direction.

Took left wrist MRI & MR Arthrogram in March 2018. Please see the MRI findings below. There's a very small TFCC tear. Doctor said that there is 1 very small ligament tear and 1 cartliage tear. He said that the tear is very small, so it should fix with time, and no surgery is needed. Patient should try not to strain it and wear the brace.
Ligament tear- is causing the Pain, takes longer to heal around 3-6 months.

But it still hurts. So, went to orthopedic doctor in Jan 2019. After examination, he said that there is pain in volar aspect of left wrist and ulnar side of left wrist, dull and mild pain. He put my wrist in cast for 4 weeks after a steroid injection for immobilization . After 4 weeks, cast was removed and doctor said to continue using wrist less and don't strain it to let it heal internally. consult again in a few weeks to determine whether surgery is required. But still no change and it hurts the same.

So far have taken Belis per Q, Rhus Tox 200, but no change at all in the pain.

Can someone please take the case urgently and prescribe what medicine to take to fix the pain. Can this be cured by homeopathy or surgery has to be done. Please advise.

Thanks so much for the prompt response.

MRI results-
FINDINGS:
A poorly defined pinhole tear is present through the radial margin of the central TFCC disc seen best on coronal image #9 and 10 series 5 and 6. The ulnar aspect of the ligament demonstrates mild irregularity along the distal volar margin coronal image #8 and 9 consistent with a partial tear. The extensor carpi ulnaris tendon is intact without altered signal, position or surrounding fluid. No significant ulnar positive or minus variance. The distal radioulnar joint is normal in position with contrast extending into the joint through the TFC tear discussed above.
The radiocarpal, midcarpal and carpometacarpal joints are normal in position without fracture or marrow edema. The scapholunate and lunotriquetral ligaments are intact without altered signal. The carpal tunnel, flexor tendons and median nerve are normal in appearance. Extensor tendons remain intact without altered thickness, signal or tenosynovitis.

IMPRESSION:
1. Small pinhole central TFC tear about 1 mm from the radial insertion (Palmer Class IA injury).
2. Mild partial tear volar ulnar aspect of the ligament.
3. No evidence of a scapholunate or lunotriquetral ligament tear, tendinopathy or fracture.
 
  suna711 on 2019-02-25
This is just a forum. Assume posts are not from medical professionals.
Very well explained. Please try a mixture of 12 tissue salts. Ask homeopathic pharmacy to give you a mixture of all 12 tissue salt remedies. ((Not five phos)) 2-4 pellets 3 times a day for 10-15 days only.

Don't eat or drink anything before and after taking the medicine. Don't take this during diarrhoea.

==================================================

How long you got this accident ? And what experts say about it ?

ANSWER THE FOLLOWING QUESTIONS TO KNOW REMEDY SUGGESTIONS
========================

Answers below ones as well .........
A) constipation history. B) headache if any. C) must select one option, weakness or restlessness, which is more.
D) your detailed daily routine, like active or sadantry life style etc If possible hourly basis details required .. E) is it a reoccurring problems F) you were physically active or inactive just before this condition ? G) do you feel more thirsty or thirstless ? H) do you feel cold in body or hot mostly ? If you like click my name to remind me only if I'm not replying.
[Edited by Ibrahim3 on 2019-02-25 04:25:42]
 
Ibrahim3 5 years ago
Thanks for the response.
I have most of the 12 individual tissue salts. Will start taking those. That will be 48 pellets 3 times a day.

This accident happened in Nov 2017. So, it has been 15 months now.

In March 2018, the doctor, radiologist & chiropractor said that it is a very small Ligament tear and Ligament tears take longer to heal and it will take 3-6 months and surgery is not needed. He's been wearing a brace.
In Jan 2019, the orthopedic said that surgery is the last resort. He felt that steroid injection would help, but there was no change.

A) No constipation
B) No headache
C) Weakness
D) class from 11am-4:30pm, exercise 3-4 days a week around class, lunch 12, dinner 5:30, work after 7pm
E) Yes for a year
F) Physically active
G) Neither
H) Neither cold nor hot

Please advise. Thanks.
 
suna711 5 years ago
You understood absolutely WRONG ... there is a product which consists of a mixture of 12 tissue remedies.

Means each pellet costs of a mixture of 12 tissue salts.

You don't need to take 4 pellets of each salt individually. It is wrong.

Just ask the pharmacy to give you a product ((remedy)) in which each tablet costs of 12 tissue remedies.

And total number of pellets now will be 6 .. 2 Pellets in the morning, 2 in the afternoon and 2 at night. Total 6 pellets a day. I hope you can understand. If I'm not replying you can click my name below to give me a quick reminder
 
Ibrahim3 5 years ago
Is there Anyone who can tell the forum rules ?
 
Ibrahim3 5 years ago
As I don't have the mixture of 12 tissue salts, can I take each separate or is it not the same. Else I will order them.

Also, we had a second opinion from a doctor over the phone.
His findings are as below. Please review and share your thoughts and opinions and advise what to take next.

Current Diagnosis:
22-year-old male with left wrist pain. This began in November 2017. Of note, patient had a prior fracture in the proximal he seventh grade. Patient had initial consultation in January 2018, given the diagnosis of FCU tendinitis, and splinted. Hand surgery consultation in January 2019 diagnosed with TFCC tear. Patient was given an injection of Celestone and placed in a short arm cast for approximately 4 weeks. Cast was removed on 1/31/19.He has persistent and significant pain with most forceful activities. No significant improvement after splinting and cortisone injection. He has no subjective instability to his wrist.
MRI dated 3/21/18 shows evidence of a punctate TFCC tear.
Pain on the ulnar side of the wrist is quite common. I treat on average 2 or 3 patient’s daily for this pain. The majority of the time, this pain can be treated with nonoperative treatment options. Most important in making the correct diagnosis is the exact location of the pain that patients are experiencing. Pain that is on the small finger side of the wrist, also known as the ulnar side of the wrist, is what we will go over now.
There are several specific diagnoses that cause ulnar-sided wrist pain. Some of these include tendinitis, tears of the small cartilage of the ulnar side of the wrist, ulnar impaction syndrome, and synovitis on the ulnar side of the wrist. The typical initial treatment I provide is rest, activity
modification, and, most importantly, splinting. The type of splint used is very important. A typical off-the-shelf volar wrist resting splint does not usually immobilize the wrist well enough to improve symptoms in my opinion. An ulnar gutter splint, a splint that provides rigid support on the ulnar side
of the wrist, is necessary to achieve enough stability to improve pain. Regardless of the underlying diagnosis, the appropriate type of splint will often improve symptoms dramatically, sometimes even entirely. I typically have our hand therapist make a thermoplastic ulnar gutter splint as I have not found an over-the-counter version that works quite as well. I recommend wearing the splint essentially full-time, roughly 23.5 hours per day off only for bathing, for a total of 6 weeks. We will often follow with 4 additional weeks of nighttime splinting following this full-time splinting regimen. You were casted, which is appropriate, but only for 4 weeks. Although this difference is small, this may make an impact into improvement in pain.
If this does not improve symptoms, at this point I would typically recommend an MRI, which you have already had. For many patients I would recommend a Second cortisone injection as a next step.
If patient’s do not respond to either splinting or cortisone injection, surgery is a reasonable option. For patient’s who are ulnar neutral or ulnar negative, a wrist arthroscopy to both evaluate the source of the ulnar-sided wrist pain (such as to confirm a tear of the TFCC) and treat that pathology is often
warranted.
Although certainly not exhaustive, one additional alternate potential diagnosis is subtle instability at the distal radioulnar joint due to his previous malunion of the distal third of the radius. The pain at the palmar ulnar aspect with pressure to the hand is consistent with subtle instability. Insight can be
gained by clinical evaluation, full length forearm x-rays of both sides, and possibly CT scans of both forearms.
Careful clinical evaluation and examination is critical to identifying the correct diagnosis.It should be emphasized that I cannot make a clinical determination for him specifically without direct examination.
 
suna711 5 years ago
Ibrahim- everytime you post a reply , there is a box
To the right, that says “I agree to forum rules”
Click forum rules and you will see them.

Many people who ask for advice - think wrongly that
They are entering into some private dr office with
The prescriber and get angry if anyone else posts
On the thread. Others think wrongly that prescribers
Collaborate on their case and get very confused.

Any member is allowed to post on any thread.
However, if someone is taking the time to study
A case and someone else pops in- just ask
The patient who they want to follow.
 
simone717 5 years ago
K-quak I mean 'kapsdquak" you can Take this case. As you seems too much interested in it. You can start suggesting whatever you read.
[Edited by Ibrahim3 on 2019-03-08 19:18:20]
 
Ibrahim3 5 years ago
It's sad that I got caught into all this. This is a professional organization, so my hope is that we can come out of it. As this is a complex case, I really need more experienced doctor in this field.
Please advise who will take the case - anybody in the forum also - please come forward. I need your help on how to proceed further and what to take.
Thanks.
 
suna711 5 years ago
Hi,

I suggest you follow K and give him the info he needs
On how this started.
Often , homeopathic remedies are chosen based on
“Never well since” info, like Arnica for something that began with an injury and then go to other remedies with symptoms
That are remaining.

The forum is not a clinic with “drs” it is set up for discussion
Of any healing topic and any person on the planet
Can join and comment on a post .

There is a paragraph titled Important that appears
Everytime a person posts - at the bottom explaining
The forum is not a substitute for a physician or
A certified homeopath.
[Edited by simone717 on 2019-03-08 18:55:36]
 
simone717 5 years ago
Thanks Kaps.
I got injured playing basketball in November 2017. I was fine initially and took Arnica. It didn't bother me much then. I was able to play and then I think in January 2018, 1 day I played basketball and it hurt after that. Since then it's been more easily aggravated. I think I should have rested it more then. After that, I wear splint/brace to give it support.
In general, I am prone to hurting my ankles while playing basketball, football.
Also, in 2010, I had fractured my left wrist, and had it in cast for 6 weeks. But after that I was fine and had no issues.

I have Arnica 30C, 200C, 1M and arnica ointment.
And I have Ruta G 6C, 30c, 200c, 1M, 10M.
Can I take any of these? Else I will have to order, which will take some time.
Appreciate the help.
 
suna711 5 years ago
Suna,
You have the remedies in high potencies-

Have you taken them? If so, list the amount of doses,
List the potencies taken and the results from them.

That will help in deciding what should be taken now.
 
simone717 5 years ago
I have taken Rhus tox 200, Symphytum 30 and few doses of Ruta 1M & Ruta 10M and tissue salts.
But no change in pain. But like I said earlier, when the doctor examined in January, he didn't find anything wrong as such and X-ray didn't show anything. He said that it has healed but little loose. And, not sure if that's the reason of pain.
 
suna711 5 years ago
And also I think it was bend beyond normal.
 
suna711 5 years ago
I will have to order these.
Can you help me understand what could be the possible reasons of the pain. Do you think it can be fixed with homeopathy.
Thanks.
 
suna711 5 years ago
And, I have Arnica 1M dilution, would that work or I would need to order 10M. Can I use 1M in the meantime, till I get 10M?
Thanks.
 
suna711 5 years ago
I have taken Aloe S for 4 days as you advised. And took Arnica 1M today. So, what should I report to you as it will take some time to see a difference, correct? What should I notice.
Also, please let me know if I need to order Arnica 10M dilution? Is there any other medicine I need to order as it takes some time to get them.
Should I take any tissue salts.
Thanks for the help.
 
suna711 5 years ago
Actually went to another doctor yesterday and she said the inflammation in the TFC area is causing the pain. But otherwise it is ok and no new MRI to be taken. She said to use the wrist normally without brace. brace to be used only when playing etc when you are not comfortable. So, she gave an injection right on top of that TFC area and she said this would help reduce the pain and inflammation. The earlier doctor had given the injection in the middle of wrist on palm side.
So, took a dose of Arnica 1M late evening yesterday. Pain was better yesterday. It was little sore this morning upon waking up, I do wear brace during sleep. Then was better during daytime and hurt in the evening, maybe because of exertion. So, not sure if it is the injection or Arnica which helped with the pain.
Please let me know what to take next and what medicines I would need so I can order them at one time.
Thanks for the help.
 
suna711 5 years ago
Steroid injection with lidocaine. I guess its a numbing agent.
The reason I went to the doctor is that I am going back to college in 3-4 days and its bothersome as I can't function 100%. It's not severe pain but like I said I am unable to twist or lift plate etc.
I feel it was the pain as when we get injured. The inflammation looks little less I think.
Do I need to order Arnica 10M?
I am in US timezone.
Please let me know what to take next. As per the doctor, inflammation needs to be reduced, which may bring down the pain.
Any other advise to follow which may help. I am drinking turmeric milk also. Would acupuncture help in this case, someone said it may increase blood flow to that area.
Thank you!
 
suna711 5 years ago
Today, I completely rested my hand. If I don't exert, it doesn't hurt, which is the same as before. Even earlier, it hurt only when I exert like lift a plate.
I tried to lift a plate while eating, then it hurt, but I think the pain is less than earlier.
I did the wash few times today. I did not notice any inflammation from outside, it looks same as the right wrist.
Please advise.
 
suna711 5 years ago
I slept with brace, woke up with soreness today and low level of pain from sleep. still no inflammation. Please advise if I should take dose of 1M arnica
 
suna711 5 years ago
I took 1 dose of Arnica 1M.
I felt similar soreness today morning also. Not very clear what you mean by 'what sort of soreness painful or the healing type', I think it's the painful kind.
I did not use my hand as you said rest it completely, so didn't have any pain.
No inflammation from outside near that area.
I tried movements without the weight - no change, is the same as previously - twisting hurts at the end, turning left hurts, up & down doesn't hurt.
Let me know if I should take more doses of Arnica 1M or anything else.
Thanks for your help.
 
suna711 5 years ago
I had Hypericum 200. So, I took that for now. I dont have 1M. Will have to order that.
I will have to order Arnica CM and Ruta G CM. Will it not be too high potency?
So should I order Hypericum 1M also along with Arnica CM and Ruta G CM.
Any others you think I need to order so I could do it all together.
Thanks.
 
suna711 5 years ago
I took Hypericum as you said. The pain is little better than it was 2 weeks ago, but still hurts sometimes when lifting, putting pressure like cutting.

Please advise what to take next.

Thanks for the help.
 
suna711 5 years ago
Actually I was waiting to see the effect of medicine before responding. So thats why didnt respond right away.
I have taken Arnica 1M, will let you know tomorrow about any changes noticed.
Does the remedy not take some time to act or you see the difference immediately.

Thanks.
 
suna711 5 years ago
I forgot wrist brace at home day before yesterday so went whole day without wearing, was mostly fine but hurt in a few instances. Tried to play pool/ billiards yesterday without brace and that hurt on a 4/5 scale, so I stopped. A bit soreness as well.
Would taking more doses of Arnica 1M help?
Do I need to order Arnica CM and Ruta G CM. Do you think it will help. Any other medicine to order? Hypericum 1M?
As medicine will take some time to come, what do you suggest I take in the meantime.
Thanks for your help.
 
suna711 4 years ago

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