Doctor insights on:
Radial Styloid Tenosynovitis
An MRI has diagnosed an ununited styloid fracture with associated degenerative arthrosis and tenosynovitis. I need a clear answer and course of action?
Course of action: Only someone who has done a complete h and p has access to your records can give a clear course of action. But typically ununited syloid fractures do not need treatment, but the rest have multiple treatment modalities. ...Read moreGet help now ›
What should be done about a non healed distal radial fracture? I broke my wrist in nov and had an external fixator. It was removed jan 4. Recent X-ray report says non healed distal radial fracture and avulsed ulnar styloid. What should my course of act
A : A lot of this is based on age. With increasing age, bones heal a bit slower. However, the distal radius is not an area where we usually see problems with healing. It's been about 3 months, which is a bit slow for this area. There are a few things that slow it down: smoking! (or any nicotine)--this is the single biggest factor in poor bone healing. If you use any form of nicotine, stop now! non-steroidal anti-inflammatory drugs (aspirin, advil, aleve, etc.)--these are second to nicotine in slowing bone healing. Avoid these as much as possible. If you take Aspirin for a heart condition, though, you should continue it. Motion--if the fracture does not have enough holding it in place, the healing tissue will be continually disrupted and you'll get soft healing, rather than bone. A cast or other means of immobilization can be helpful. Poor circulation--if there is a lot of soft tissue injury around the bone, the bone may not get a good blood supply to promote healing. There are electrical bone stimulators that help improve the "biology" of the area. Infection--with an external fixator (or any surgery), there is an increased chance of introducing bacteria to the area of the fracture. Antibiotics may suppress the infection until the bone heals or it may require additional surgery. In the longer term, if the bone fails to heal, internal stabilization and bone grafting may be a possibility, but this area usually heals. ...Read moreGet help now ›
Wrist tendinitis: Dequervain's tendinitis is the name for a tendinitis related to the thumb tendons at the wrist. This form of tendinitis is very commonly seen in young parents, due to repetitively lifting their new, and ever-growing infants. The majority of patients can be treated by splinting, nsaids, and up to three steroid injections in the tendon sheath. Less <5% require surgery, but respond well if do. ...Read moreGet help now ›
Treatment for dequervain's tenosynovitis question i developed dequervain's tenosynovitis (right side) and saw an orthopedic surgeon. He sent me to physical therapy. The pt suggested using a splint for immobilization, and gave me one. The following week
In : In general it is beneficial to protect and rest muscles and tendons that are acutely inflamed and painful. Splinting, taping, ice and oral antiinflammatory agents such as Ibuprofen are helpful. Once the pain has subsided and the joints are stiff, then range of motion and gentle activity is most useful. I guess in a way they are both right. Best wishes. ...Read moreGet help now ›
Inflammation: Tenosynovitis is inflammation of the sheath surrounding a tendon. This sheath is responsible for tendon health and production of a small amount of fluid for lubrication. If this area gets inflamed, swelling and pain occur. Dequervains involves a specific tendon sheath of the tendons going to your thumb on the side of the wrist. It improves with rest & ibuprofen, steroid injections, rare surgery. ...Read moreGet help now ›
Pain: The primary symptom from dequervain's is pain along the thumb side of the wrist. There can be swelling as well as a "creaking" sensation with thumb movements as well as simulated hammering motion of the hand/wrist. ...Read moreGet help now ›
First Comp't Release: The surgery typically entails releasing the extensor retinaculum (ligament) overlying the first dorsal extensor compartment of the wrist. Often a subcompartment can be noted, and is released in the same setting. The goal is relieve the friction on the extensor pollicis brevis and abductor pollicis longus tendons. The apl can be found to have muliple strands for the surgeon to release as well. ...Read moreGet help now ›
Tendon Inflammation : This is a condition that describes the inflammation if a tendon and it's surrounding sheath. It generally hurts with movement and is treated with immobilization anti-inflammatory meds, ice, bracing and last resort surgery. It is commonly seen in the wrist or fingers. See your doctor for appropriate diagnosis and exam. ...Read moreGet help now ›
In the Hand?: This is most commonly a hand condition. If so, this is treated with nsaids like ibuprofen, a wrist brace limiting the motion of the involved tendon, ice over the tendon, reduction in usage of the involved tendon for many days and often weeks. If no improvement after several weeks and it is really bad then injections with small doses of corticosteroids is next. Surgery after months of no improveme. ...Read moreGet help now ›
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