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| Messages 1 - 9 of total 9 in this topic |
slabbo
Trad climber
fort garland, colo
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Topic Author's Original Post - Jan 2, 2012 - 07:39pm PT
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I strongly suspect my wife has this.
Currently, very light stretching and ice. Sometimes a nice tape job...
Anything else ??
Thanks
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ron gomez
Trad climber
fallbrook,ca
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Chronic??? Heat it up. Strengthen the forearms and stretching like you said. Make sure it is what you suspect though and not something else.
Peace
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Gimp
Trad climber
Grand Junction
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Classic diagnostic test is the Finkelstein's Maneuver. Thumb in palm fist and sudden passive ulnar deviation by examiner. Also tenderness along first (of six) extensor compartments.
Primary treatment is steroid injection into first extensor compartment; the site of the tendinitis. Evidence based medicine does not show splinting and other modalities to really change outcome, but patients seem to like therapy and splinting. Future better designed trials may eventually show some support for these modalities but this data currently does not exist.
Surgery only if patient fails steroid injection. Surgery, while very logical based on anatomy, does not always resolve symptoms.
Hope this helps. Also agree with prior comment of making sure the correct diagnosis.
Often seen in women during pregnancy and postpartum. These patients are much more rewarding to treat in my experience than idiopathic (i.e. unknown cause).
Good Luck.
Steve
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climbingcoastie
Ice climber
Sacramento, CA
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I had De Quervain's release surgery in July after a Cortisone injection failed. I opted for surgery vs. continued injections because I didn't want to continue dealing with it, as the doctor said chances of complications were minimal.
Healed up nicely and was climbing easy routes in about six weeks. I haven't tried swinging my ice tools yet and am anxious to see how it holds up.
Pat
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slabbo
Trad climber
fort garland, colo
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Topic Author's Reply - Jan 3, 2012 - 10:15am PT
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Thanks again. She doesn't really want the cortisone injection but maybe the way to go. Splinting /taping seems to do only a bit of good, short term.
Any kind of twisting also seems to really bring out the pain as well.
Gimp- i guess I owe you a couple of beers next time I'm in GJ
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Tradmedic
Ice climber
Thunder Bay, Ontario
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http://www.tendonitisexpert.com/how-to-reduce-inflammation.html
My forearm, for a while, creaked like old leather from my wrist to my elbow. Some time off, ice massages and ice dips in particular, and a couple of other things this guy recommends seemed to help quite dramatically. I'm not sure if it's one part or the others as I did it all as a bundle (I also took anti-inflammatories, chondroitin, glucosamine, magnesium, and omega-oils; I also paid more attention to what I was eating, and how much water I was drinking).
I was willing to try it to see if it could stave off cortisone shots, or surgery. My arm hasn't creaked like that again. Hope it helps.
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Floyd Hayes
Trad climber
Hidden Valley Lake, CA
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I've had it on and off in the past in both of my thumbs. It seemed to happen when I was stressed out from working hard and not exercising enough. The first time, about 20 years ago, I had it for a year until I wrapped my thumb in an ace bandage for a month--and it went away! A couple of times I got cortisone shots which worked quite well within a few days. However, it's been years since it has really bothered me. Regular exercise and a less stressful job seem to keep it at bay. Following the suggestion of a doctor, I often exercise my thumb by pressing the thumb tip against each finger tip on the same hand. Any time my thumb gets sore I wrap it for a few days and the pain promptly subsides. Unfortunately my mother waited too long to seek help and totally lost the use of her thumb. Maybe there is a hereditary tendency. Good luck!
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neebee
Social climber
calif/texas
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hey there say, slabbo...
sorry to hear this... hope she gets this well as possible, in the best of time...
lots of good shares from folks here...
i had never heard of this... will go read up on it...
god bless to you and your wife...
:)
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slabbo
Trad climber
fort garland, colo
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Topic Author's Reply - Jan 4, 2012 - 10:08am PT
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thanks-
I'm not much help to my wife on this one. i have had crimper fingers and thumbs for ever and cort shots never did anything for me either..
I guess saying ' Welcome to the club" doesn't work too well !
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| Messages 1 - 9 of total 9 in this topic |
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