symptoms getting worse

chrismorris
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hi Dr. Blande
i saw you a while back at Canterbury when i had test for cts you told me i had grade 3 in left hand and grade 1 in right hand in between seeing you and trying to decide which route to go i had MI so have delayed my decision but i have now got far worse symptoms in right hand when i wake up in morning i cannot clench my fist until i have been up for about 30 mins also shaking my hand gives electric shock sensation to middle and index finger and thumb aches my left hand is also a little worse but has not deteriorated as much, the splints help but i think i should probably see you again and discuss having the surgery

regards chris morris

jeremydpbland
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Sorry to hear about the MI. The best quick fix for the immendiate symptoms would probably be to get it injected - which we can do within a week, whereas surgery is going to involve a bit of a wait at present. It's actually not long since I saw you in August and your nerve conduction results are probably still valid unless there has been a very dramatic change for the worse such as the development of weakness and wasting in the muscles at the base of the thumb. JB

chrismorris
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Hi i have read the info on steroid injections on this site and it does give me a couple of concerns but the main one is when i was in hospital i was told not to take ibuprofen and to avoid steroids would this mean oral steroids which get into the bloodstream or any steroids, I do need to try something as this is getting to be a problem for me now and i am having trouble holding thing for any length of time, how do i make appointment to have injections done and would it be done at Canterbury.

Regards
Chris Morris

jeremydpbland
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Warnings about steroids are generally related to oral steroid treatment. Local injections for rheumatological disorders are not usually a problem. We can inject for you on Thursday if you can get to the carpal tunnel clinic in Canterbury. JB

chrismorris
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do i have to be there at any particular time or can i come first thing in the morning when the clinic starts

jeremydpbland
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The guy who does the injections usually arrives about 8:55 so any time from then on and we will fit you in. JB

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