CONFUSED,
i just want to know exactly if a have got the CTS or not.
i had a scan but nothing is clear,everything seems to be ok.
but i'm still having pain on my right, the CTS symptoms i do have them.
i need help, before it will be late.
I'm on my 6e week with this sitution.
Thanks Doctor,
I will send you the outcome of the scan when my GP get back to me with the result.
than you have more idea about everything.
What I really need to know is what sort of scan we are talking about. There is a big difference between MRI, CT, and ultrasound scans and nerve conduction studies. The most useful thing for possible CTS is nerve conduction studies but a lot of GPs start out by arranging MRI scans of the neck. JB
hi,
this is what i receive from my scan,
i'm still having pain and i don't know where to go the only thing that i receive receive from my GP is naproxen.
i need to go deeper to see exactly what happen.
this is from the PHYSIOTHERAPIST,
Please find the results of the ultrasound scan below:
US Wrist Rt
The EPB appears in its own compartment and the tendon sheath is thickened and there is also fluid in line with appearances of tenosynovitis.
Both flexor and extendor tendon distal to this point appear normal.
Tenosynovitis of the EPB at the base of the thumb.
I have attached some information about the problem. It is also called De Quervains.
Above is a splint that you can buy which allows the thumb to rest and heal itself. It is called a thumb SPICA.
Thanks
Annabel Cremin
PHYSIOTHERAPIST
OK so it looks as though what you have is probably not carpal tunnel syndrome but a different disorder called de Quervain's tenosynovitis (and the 10% score on the questionnaire was right!). This can usually be successfully treated with some combination of physiotherapy/spinting/steroid injection and surgery so a good hand clinic should be able to solve your problem. JB
can you advise me about a good clinic to solve my problem.
because what the GP is telling me doesn't make me feel fine.
he did'nt advise me for any injection or surgery
I doubt if I can help there unless you happen to live near me - where are you? JB
My wife works at kings college hospital,
so maybe if is possible to have an appointement at king's.
i'm most of the week end there,i was leaving there at lewisham.
The only local hand services I can actively recommend are those in my own area - which is East Kent. Although I do a clinic at King's College I am a visitor there and I don't really know the local services in London very well except in my own immediate circle in neurology/neurophysiology - which is not what you need as this is not a neurological problem. Try searching your local hospital websites for hand therapy/surgery services or check out Dr Foster for hand surgeons local to you. Sorry I can't be more help but I don't have any answers for that particular question. JB
Your symptom score is quite low (10%) so your problem may well not be CTS, though a score like that does not rule out the possibility of CTS completely. What sort of scan have you had and which bit of you did they scan? JB