6 Week Update following injections

marieking1960
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Had injections in both wrists 6 weeks ago:

Right hand - generally has improved with only slight symptoms remaining, e.g. occasional numbness on waking (but not disturbing sleep) and very slight sensation in hand when pressure put on wrist.

Left hand - symptoms have improved apart from thumb, which is still tingling slightly at tip, and tingling sensation in hand when pressure put on wrist.

Can you please advise if I need to attend a follow up appointment please?

Many thanks.

Marie King

jeremydpbland
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It depends whether you feel the residual symptoms at this point are severe enough to warrant further intervention. It souds as though they are both much improved so if you're happy with the current state of affairs we can just wait and see how long it is before the problem returns again. If you want to try and get rid of it altogether we could try a second steroid dose or of course one could always resort to surgery. JB

 

You already have an account on the website as "MarieK" so it looks as though you have created a second account to post this message. If I delete the new one these messages will be flagged as 'anonymous' which willl look a bit odd. We'll try to sort it out next time we see you. JB

marieking1960
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Hi Jeremy, hope you and your team are well.

Apologies for the confusion over the duplicate account, hopefully we can sort it out to avoid future confusion!

I have been suffering with pain in my fingers (all of them, but particularly my little and ring fingers) for several months now. I went to my doctors and she diagnosed osteoarthritis. I had also started to get the numbness in my middle fingers again so resumed wearing my splints at night. This appears to have improved the pain in all my fingers so I'm wondering if this was actually due to carpal tunnel rather than arthritis. Do you think this is likely as I understand this only affects your thumb to middle fingers...?

Many thanks.

Marie

jeremydpbland
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Some people with CTS seem to get pain affecting all 5 digits but symptoms in ONLY the little and ring fingers are more likely to indicate trouble with the ulnar nerve, most often at the elbow but sometimes at the wrist. There is unfortunately no rule that says you can't have multiple hand problems at the same time. If there's ever uncertainty about what the CTS is doing we can test it again and check. Things are however a bit slow at present because of the COVID backlog. JB

MarieK
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Thank you for your response.

I'm getting numbness again during the night, despite wearing my splints, and a lot of weakness / aching in my wrists so it would be great to get another test done please. I appreciate it may take a while but if I could at least get on the list then I know it will happen!

Many thanks.

Marie

jeremydpbland
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Ok I've added you to the list. JB

MarieK
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Thank you!

MarieK
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Sorry for the delay in providing my 6 week update!
Since the last injections both hands have been good with little or no symptoms to speak of. The only thing I have is tingling in both wrists when I touch them but my hands are great. Hopefully this will continue!
Thank you for your prompt action in providing me with an appointment and treatment on the day. Much appreciated.
MK

jeremydpbland
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No problem. It's good of you to remember at all. Many patients who respond well to treatment just forget about it, perhaps understandably. I've made a note in your record of the response but it would help to document it more fully if you could add a new symptom score to the website (My CTS - My CTS record - Take a new severity score test). JB

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