Steroid injection

johnbryant
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I attended the clinic last Tuesday for a steroid injection in my right wriist. CTS Moderately severe 3/6 diagnosed on 25th August
2017. After 5 days there has been no improvement but I know it might take longer to have effect. Can't wait!

jeremydpbland
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You might be a non-responder, but it's worth waiting for a few weeks as some do seem to show a late improvement - that's why we aim to follow-up at 6 weeks. One of the unknowns about treating CTS with steroids is whether or not it is worth giving a second dose if it does not respond to the first. JB

johnbryant
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Now 10 days since the injection but no improvement. It is complicated by stiffness from the 5th metacarpal fracture on 9th June and also the orthopaedic surgeon at the Canterbury fracture clinic who thought I have the beginnings of Dupuytren's contracture in the same hand. Another doctor friend confirms this view. With these 3 issues in the same hand it us difficult to discern the improvement if any. I will wait 6 weeks for a review if you think this is best.

jeremydpbland
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it is often difficult to sort out the contribution made by several different problems. Dupuytren's, trigger digits and CTS often occur together so we come across this quite a bit. We'll review at 6 weeks. JB

johnbryant
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Little improvement in my right hand and nearly 4 weeks since the injection. Should I make an appointment at 6 weeks for a review?

jeremydpbland
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It sounds as though the other problems might be contributing more than the CTS. I think we should set the process of getting you to see one of the hand surgeons in motion. I'll get onto it in the morning. JB

johnbryant
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Thankyou, I'll wait to hear from you

johnbryant
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CTS injection follow up. As requested by Emma.

After 6 weeks there has been an improvement in my CTS symptoms but I still have mild pain ,numbness and pins and needles in my thumb and index finger. I also have an ache in my wrist at times and if I move my wrist awkwardly I can feel something like a small electric shock in the wrist area. Because the orthopaedic surgeon suggested I might also have the beginnings of a contraction in the same hand Dr Bland has referred me to a hand surgeon and I am waiting for notice of an appointment with him/her.

jeremydpbland
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At least that suggests that part of the problem is CTS. It will be interesting to see what the hand surgeons make of it otherwise, so we won't interfere further at present. JB

johnbryant
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I have heard nothing from the hand surgeon. I will ring the CPS clinic tomorrow to see what chance there is of getting an appointment soon.

jeremydpbland
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I think (from memory) I was quite late sending the referral but it has gone in now. We'll check that it's in progress tomorrow. JB

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