Wrist Instability/Carpal Instability - Chat:

Wrist Instability/Carpal Instability (MCI/PMCI) Chat:

Does anyone else suffer from: Midcarpal Instability (Wrist Instability/Carpal Instability), if so tell all the Ablehere users your story & how it effects you with your normal day to day activities & mental health.

If your not sure what: Midcarpal Instability (Wrist Instability/Carpal Instability) is, then go to: www.ablehere.com/component/option,com_jo...iew/id,1162/catid,47

I suffered from suffered from a very Complex & Serious Wrist Disability/Injury while at work on: 13-10-2002 known as: Mid Carpal Instability (MCI)\Palmar Midcarpal Instability (PMCI) in both my left hand & left wrist only which is part of The Repetitive Strain Injury (RSI) Family, & this later lead me to delevlope Moderate-Serve Clinical Depression & Reflex Sympathetic Dystrophy\Complex Regional Pain Syndrome (RSD/CRPS)

Effects of Carpal Instability <br><br>Post edited by: Scott_1984, at: 2009/02/08 09:29

Hi There

I am new to this forum and thaught I'd share my experiences with wrist problems.

My wrist problems are fairly new but stems from a much larger problem. I have hyper-mobility in all of my joints. This means that my joints are highly susceptable to inflamation, dislocations and other related problems due to their unnatural range of motion and therefor proned to injury.

For a while now, I have been having problems with painfull inflamation in my left wrist that just does not want to go away, which is strange seeing as I am a software developer and would expect that kind of problem rather in my right hand which handles the mouse. Most of the time my Doc just tells me \&quot;Exercise more\&quot; when it comes to my joints but with my wrist it's different. Your fingers and wrist works on a basis of tendons drawing strength from muscles higher up in your arm. Therefor, there is no direct restraint on the range of motion of the joint.

My Doc's initial treatment was anti-inflamatories...which did butt-kiss. After that I had a voltaren shot in my right and some other painfull shot in my left cheek. The only thing that really seems to work is a bandage around my wrist. So long as I wear the bandage, it's fine. As soon as I remove the bandage the pain returns.

Joint pain, even tho you don't realise it, has a negative impact on your mental state as well. Being Bi-Polar to boot does not help either. Whenever I have an inflamed/dislocated/painfull joint, the frequency and intensity of my manic states seems to decrease notably. Usually they are frequent and very short lived (Which, come to think of it is worst than not having them at all). This leaves me feeling down more intensely and more often.

My doc is more than likely going to suggest surgery if I go to see him again with no improvement. Surgery is THE last thing I want to do. They threatened me with it when I had a serious knee dislocation earlier this year but withdrew it after realising the severity of the situation. Seeing as I have bi-latteral Patella-Alta, surgery would leave me with less than normal mobility instead of more than normal mobility in my knees. Ten to one, the same would be said about wrist surgery.

In trying to find a way to live with the problem I'm wondering...

For my knees, it's most definately out of the question to wear knee gaurds/restraints permenantly as that would worsten the situation by compressing the patella down, which is allready wearing down due to it's incorrect positioning, and causing my leg muscles to grow lasy and not be able to handle the work that my ligaments can't do.

Any suggestions as to wether wearing something like a \&quot;Carpul-tunnel\&quot; restraint, or some such, permenantly is a bad idea?

Cheers for now

Hiya Sigma

Thanks for your post

First are you saying your suffering from Carpal Tunnel Syndrome (CTS) or Midcarpal Instability/Wrist Instability/Carpal Instability, due to your Hypermobility/Hypermobility Syndrome?.

Because if you are saying you have Carpal Tunnel Syndrome (CTS), this could easily be fixed/cured through any 10 minute wrist operation, but it might come back due to your Hypermobility/Hypermobility Syndrome &amp; start pressing against The Carpal Nerve/s again.

But if you are saying you suffer from: Midcarpal Instability/Wrist Instability/Carpal Instability due to your Hypermobility/Hypermobility Syndrome, then this could be harder to treat/diagnosis, as most of your joints would already click, pop, clunk, &amp; dislocate, due to the Hypermobility/Hypermobility Syndrome.

But most treatment for Midcarpal Instability/Wrist Instability/Carpal Instability are still very Controversial.

If you had Midcarpal Instability/Wrist Instability/Carpal Instability, an Doctor/Consultant would suggest hand/wrist physiotherapy exercises, an Palmar Wrist Splint &amp; that should contain a metal plate in the splint, you'd only take this splint off for Twice A Day Phsyiotherapy &amp; Baths/Showers, &amp; Washing Up, you'd also have to wear it at night. (You'd most likely have to wear the wrist splint for life, to do normal day to day activities &amp; typing &amp; so on)

If that didn't work or improve the disability, then they would suggest: an Ligament Tightening Wrist Operation &amp; if that didn't work an full or limited wrist fusion.

Also if you had Midcarpal Instability/Wrist Instability/Carpal Instability, you would at some stage develop: Osteoarthritis.

If you do have: Midcarpal Instability/Wrist Instability/Carpal Instability &amp; you didn't fancy the Ligament Tightening Wrist Operation or the full/limited wrist fusion/s, &amp; Twice A Day Phsyiotherapy &amp; Palmar Wrist Splint, didn't help.

Then you might want to think about this Experimental/Controversial Operation known as: Thermal Capsulorrhaphy for Midcarpal Instability, its been used on Shoulder Instability over the past 10 years &amp; its apparently on Shoulder Instability in the long-term, its also very useful for suffers of loose/lax ligaments within there whole body.

More Information On: Thermal Capsulorrhaphy for Midcarpal Instability Can Be Found At: wristinstability.multiply.com/journal/item/12

But if you where suffering from Carpal Tunnel Syndrome, I'd say the 10 minute surgery to cure/fix it for life or a long period might be best or use an Carpal Tunnel Wrist Brace.<br><br>Post edited by: Scott_1984, at: 2009/02/08 09:30

If your not sure what: Midcarpal Instability (Wrist Instability/Carpal Instability) is, then go to: www.ablehere.com/component/option,com_jo...iew/id,1162/catid,47

If your not sure what: Carpal Tunnel Syndrome (CTS) is, then go to: www.ablehere.com/component/option,com_jo...iew/id,1178/catid,47

More Information On: Hypermobility/Hypermobility Syndrome, Can Be Found At: www.ablehere.com/component/option,com_jo...iew/id,1222/catid,47

Hiya Again Sigma

Sometimes there's a risk to develop: Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome 1&amp;2 (RSD/CRPS 1&amp;2) with the use of: long term Cast or Splint immobilization for a fracture or sprain &amp; the same can be said for any Injuries, Traumas to any limb/body, or operations/surgies.

Copy Of Quote Can Be Found At: Effects of Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome 1&amp;2 (RSD/CRPS 1&amp;2) &amp; wristinstability.multiply.com/journal/item/44 On Page: 16/17 - Risk Factors for Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome 1&2 (RSD/CRPS 1&2) - There are several risk factors for the development of reflex sympathetic dystrophy (RSD) including:

Cast or splint immobilization for a fracture or sprain.

Surgery - RSD has been reported to occur following certain surgical procedures on the
extremities such as carpal tunnel release surgery, knee arthroscopy, hip arthroplasty,
amputation, or ankle arthrodesis.

Neurological events or conditions - RSD may be seen as part of other neurological diseases
such as carpal tunnel syndrome or pinched spinal nerves.<br><br>Post edited by: Scott_1984, at: 2009/02/08 09:33

Hi

Thanks for the response. It initially seemed like Midcarpal Instability/Wrist Instability/Carpal Instability. Pops and clicks are abundoned in my body...I even get them in the middle of my rib-cage at times...that's an odd experience I'll tell ya . Initially when the doctor looked at my wrist, he manipulated it a bit and it did pop. ( Howcome every time I see him he does exactly what I don't want him to do Like when I dislocate my knee he would yank my leg to see how lax the ligemants is :S )

However, I had some X-Rays done on Saturday after a visit to the Doc and the results are quite confusing. The report stated that there was no abnormalities in the soft tissue and/or bones..ruling out carpal tunnel... and that my carpal index was only a few degrees above the norm which is considered to still be normal...ruling out HMS? Further more, there was no signs of either arthrites or arthrites spurs, which is something my doctor was concerned about initially, before the x-ray results.

When you say...quote...

\&quot;It is essential to note that the unstable wrist initially does not cause relevant signs in standard radiograms, therefore being \&quot;occult\&quot; for the radiologic assessment.\&quot;

Does that mean that it's not identifiable via normal x-rays?

The most frequent and serious dislocations occur in my knees, most likely to the bi-lateral patella-alta. I have had several minor hip and ankle \&quot;misalignment\&quot; which was not serious enough to see the doc for. I tend to get slight ankle problems when I'm walking bare-foot or with shoes that does not have ankle support.

I am beginning to wonder now what the difference is between carpal/joint mobility, which is bone alignment specific, and the flexibility/elasticity of the ligaments/tendons which has to do with the ease that your carpal/joints move within their normal range.

I have also heard that, a \&quot;normal\&quot; person can't scratch/wash their own backs very easily...I have never had any problems with that. So I can't see how HMS could be ruled out.

The doctors frustrate me to no end. None of them are forthcoming with the reasons for my constant joint problems. The one would mumble something about \&quot;Marfans\&quot;...the other \&quot;Long finger syndrome/Arachnoidity\&quot; and others \&quot;Growth spurt\&quot; when I was younger all of which has to do with connective tissue.

My sister has had major surgery on her toes, my father has deteriorating hearing loss due to connective tissue degeneration in his ears, as far as the doctors are concerned and my Grandma passed away from a third stroke last year, all connective tissue related. Therefor the assumption that it could not have to do with \&quot;Growth spurts\&quot;.

Thank you for listening...and my appologies for all th e fishing and guessing :blush: as it is dangerous to make assumptions :pinch: But I am really at wits end.

If I don't know what is wrong and if not even the doctors could tell me what's wrong, how do I take care of the problem... :dry: And more importantly...how do I take care of my joints in the future to avoid something like the one specialist wanted to do...\&quot;Permenantly fuse the knee joint to keep the patella in place\&quot;...