TOPIC:

Hi there, ive just registered on this site and my problem is this...

In June 2007 i punched a punching bag which i injured myself by a bad technique.I thought i just sprained my hand and didn't dop anything about it, once the swelling went down my wrist still wasn't right. My carpal on the top of my hand keeps popping up and out when i clench my fist and tense with a slight shooting pain when it happens. I couldn't of got it seen to as i went travelling a week later for 6 months to Australia (I'm from England).

Anyways...When i got back (Febraury 2008) i got it looked at by the local Physio he explained that i will have to have surgery to repair the carpal so it doesn't keep popping out in so many words. Ive booked an appointment with the hospital for June to get it looked at by a specialist and then get a booking for the surgery.

I was very active before this accident, going to the gym twice a day and was hoping to start some sort of career in Basketball. Obviously this is a big blow for me now since i cant do any of this and has made me feel very down by the whole situation.

My question is this, How long will it take for me to be able to lift weights and play basketball again? Or will my wrist never be as strong enough to do such activities?

Any feedback would be great, thanks for your time and be looking foward to hear from you.

Richard

Hiya Richard

Welcome to Ablehere.Com

I am glad you've found this website!.

Myself & Julie both suffer from Carpal Instability/Wrist Instability, & We understand it's effects on your normal day to day activities, life, & mental health!.

I am sorry to hear your suffering from Carpal Instability/Wrist Instability, it's oftent very hard to detect in plan X-rays & MRI-Scans & only shows up on Physical Examinations!.

Sadly there's no real cure for Carpal Instability/Wrist Instability, only ways to delay the worsening of the symptoms & pain/discomfort,

So most surgery is drastic & only able to slow down this disability & it's effects!.

You should start doing Physiotherapy & get a Wrist Splint with a Metal Palmar Plate in the splint & where it has often as possible,

While doing twice a day or more Physiotherapy & hand/wrist/finger strengthening Exercises & take Painkillers!.

Some Hand Surgeons will not carry out for an wrist operations for Carpal Instability/Wrist Instability, & if it doesn't show up on Plan X-rays & MRI-Scans they may just choose not even examin your hand/wrist for signs of Carpal Instability/Wrist Instability.

Carpal Instability/Wrist Instability is often Rare & Still Very Poorly Understood!.

You might want to speak to Julie as well & read her post at: www.ablehere.com/component/option,com_jo...iew/id,2097/catid,47

I've suffered from: Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) since: 13-10-2002 & had it confirmed by 3 Consultant Orthopaedic & Trauma Upper-Limb & Hand Surgeon's & they've also confirmed it will never be painfree or fully recover even if an wrist operation was 100% successful & I'd still have a wrist disability, & it's only going to get worse over my life time!.

I've had 2 wrist operations, 1 was on: 29-10-2003 and that for an detailed diagnosis & the 2nd was on: 17-03-2004 and was an: Ligament Tightening Wrist Operation with the use of on K-Wirer!.

I am having a new/expermental wrist operation in May 2008, as so far none of the standard wrist operations have all been unssuccessful

Your need to know what your Consultant Orthopaedic & Trauma Upper-Limb & Hand Surgeon, will diagnosis you with & what type of treatments, surgies, if any!.

Take Care & Take It Easy

Scott

Hi Scott, Thank you for the quick and detailed reply, i'm sorry to hear that your wrist hasn't been repaired, I hope it will one day. Fingers crossed. I hope the surgery for mine will help as i will miss my activities which i can't do at the moment which have been a huge part of my life, if not ill have to look at other things maybe play the guitar or something lol
I'll keep you updated in the future on how things turn out.

Richard

Hi Richard

I have mid carpal instability so understand what you are going through, to some extent, with pain, limitation of function and it's impact on your life.

I am happy to chat with you and share any info I have with you.

My MCI is not due to an injury it's just me but my consultant has said my job has made it as bad as it is now and I am having to retire on medical grounds.
I am having surgery on the 24th April (arthroscopy and most likely laser capsular shrinkage).

As Scott has said true MCI doesn't have a very good prognosis but maybe your injury is less severe. I expect you will undergo many tests when you see your specialist and he will decide the best surgery and let you know it's likely outcome. Hopefully for you it will be good news. Unfortunately it may be an idea to think of those new hobbies though because I imagine it is unlikely that you will be able to lift weights anymore.

Good luck and let us know how things pan out for you.
Julie

Hiya Richard

No problem for the quic reply

Hopefully your have some really good news when you see your Orthopaedic & Trauma Upper-Limb & Hand Surgeon, & make sure you see an: Orthopaedic & Trauma Upper-Limb & Hand Surgeon, & not just an: Orthopaedic & Trauma Surgeon.

It make's a big difference

You ask both My & Julie anything on MCI/PMCI!.

As MCI/PMCI is still so poorly miss understood, it's not always recorded correlty or reported to hospitals & so on,

So it's therefore even harder to record the causes for MCI/PMCI,

As in certain journals & medical books on MCI/PMCI say it only has to be a light trauma or through repitive movements, tasks, jobs, or both.

Some Orthopaedic & Trauma Upper-Limb & Hand Surgeon's, & Orthopaedic & Trauma Surgeon's, Doctors/Consultants, Hopsitals,

Will only accept MCI/PMCI after an motorbike accident or through a factured wrist as it will show up first time on plan X-rays & MRI-Scans,

As MCI/PMCI is a soft tissue injury it won't show up on plan X-rays or MRI-Scans after a trauma, injury, accident, repitive movements, tasks, jobs,

Unless it was caused by a direct break or fracture the hand/wrist, then the instabilit can't be missed or ignored,

But if your MCI/PMCI is only soft tissue injury based, meaning no breaks or factures in the hand/wrist, then it will not show up on Paln X-rays or MRI-Scans for many years later, & you need Physical Examinations of both hands/wrists, Stress X-rays, Dynamic MRI-Scans of both hands/wrists as MCI/PCMI starts of Dynamic I.E. only seen with movements, it later will change to static & this is where years later it can be seen on Plan X-rays & MRI-Scans,

Your likely to still have Plan X-Rays, MRI-Scans, Wrist Splint, Pysiotherapy, NAIDS, Wrist Arthoroscopy, Physical Examinations of both Hands/Wrists, Arms, Elbows, Shoulders, both sides of the Neck,

Before an Orthopaedic & Trauma Upper-Limb & Hand Surgeon will even diagnosis you with MCI/PMCI, or disucuss any other treatments or wrist operations, they may say the clunking, popping, snapping, clicking, Pain, Discomfort, Disability,

Is all in your head,

Or they might get an second opinion/view on your MCI/PMCI,

So I wouldn't hold your breath on having your wrist operation as quick as June 2008.

As most MCI/PMCI are unsuccessful, or still being studied in the long term outcomes/results!.

I can't see you ever being able to lift heavy weights again, but as your symptoms for MCI/PMCI have only been around for just over an year, you might have better chance with an wrist operation.

But you should increase this chance by doing twice a day hand/wrist Physiotherapy & hand/wrist, finger strengthening Exercises, Get a Wrist Splint with a Metal Palmar Plate & wear it for tasks/hobbies.

Buy stuff like this & always start of with the light & easiest:

www.physioroom.com/product/Digiflex_Fing...ener/2334/37856.html

www.physioroom.com/product/Hand_Therapy_Ball/2334/36813.html

www.physioroom.com/product/Therapeutic_P...tub_/2334/36815.html

Wrist Splints:

www.physioroom.com/product/Mueller_Wrist...int_/2035/35907.html

www.physioroom.com/product/Aircast_Stabi...osis/2035/38253.html

I hope this helps

Remember to read the medical journals on MCI/PMCI, Julie's story, my story, & others!.

Take Care & Take It Easy

Scott

Copeland_Supernatural wrote:

Hi there, ive just registered on this site and my problem is this...

In June 2007 i punched a punching bag which i injured myself by a bad technique.I thought i just sprained my hand and didn't dop anything about it, once the swelling went down my wrist still wasn't right. My carpal on the top of my hand keeps popping up and out when i clench my fist and tense with a slight shooting pain when it happens. I couldn't of got it seen to as i went travelling a week later for 6 months to Australia (I'm from England).

Anyways...When i got back (Febraury 2008) i got it looked at by the local Physio he explained that i will have to have surgery to repair the carpal so it doesn't keep popping out in so many words. Ive booked an appointment with the hospital for June to get it looked at by a specialist and then get a booking for the surgery.

I was very active before this accident, going to the gym twice a day and was hoping to start some sort of career in Basketball. Obviously this is a big blow for me now since i cant do any of this and has made me feel very down by the whole situation.

My question is this, How long will it take for me to be able to lift weights and play basketball again? Or will my wrist never be as strong enough to do such activities?

Any feedback would be great, thanks for your time and be looking foward to hear from you.

Richard

Hiya Richard

Try A new and innovative approach to immediate symptom relief for people with wrist instability (Traumatic or Non Traumatic).

carpalgloveorthosis.net/docs/cgoprescription.pdf

Hiya again Richard

Ligament Injury of the wrist Discussion - www.eatonhand.com/dis/dis038.htm

Ligament injuries of the wrist are a difficult problem for which there may be no satisfactory solution.

Complete tears will not heal and result in alteration of the alignment of the wrist bones which can cause painful instability and degenerative arthritis.

Stiffness and loss of motion are common.

Treatment options include surgical repair of the ligaments, ligament reconstruction with a graft, or partial wrist fusion.

These are all major surgical undertakings, and require prolonged immobilization, hand therapy, and lengthy recovery times.

On the average, following surgery, half of the normal range of wrist flexion and extension is lost.

Degenerative arthritis can occur even after corrective surgery, and additional surgery may be required.

In patients with congenitally lax ligaments, it may be impossible to determine the extent of instability due to injury.

Patients who voluntarily produce a dramatic painful physical finding related to wrist instability should be managed with the same degree of caution as patients with voluntary shoulder instability.

Hi Guys,

It's been some time since I have been on this site...but a lot has changed...

I have been diagnosed with an HCTD (Hereditary Connective Tissue Disorder), called Marfan's (MFS). The diagnosis has both made things clearer and more difficult. It explains a lot of things about most of my life...especially the struggle with lax-joints, which is worstening.

I hope there is some of you struggling with similar issues and able to give advice and/or assistance.

The doctors has finally pin-pointed the problem with my wrists as being a form of \"Osteoarthritis\" due to the loose joint movements. I have loss of cartlidge in both my wrists (mostly the left) and have to wear carpul braces on both. This has made it impossible to grip a mouse, so I am now using a tablet.

According to my GP, the best that can be done, is braceing, cortrezone injections if it gets too bad and eventually, fusing the wrist bones.

Has any one here gone through a similar situation and have any different solutions?

Hope you guys are doing well...

Sigma<br><br>Post edited by: Sigma, at: 2008/08/04 12:37

My Orthopeadic & Trauma Hand & Upper-Limb Surgeon, doesn't want to carry out a limited or full wrist fusion on my left hand/wrist, & arm,

Due to my age 24, Although I started to suffer from Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI),

& Also Know As: Wrist Instability/Carpal Instability,

At the age of 18 years old on: 13-10-2002 due to an accident/injury with my Ex-Employers,

& since then my left hand/wrist, & arm as go worse since: 13-10-2002 - Present: 04-08-2008,

& I've been doing Hand, Wrist, Finger, & Upper-Limb Physiotherapy & Exerices & I've been wearing a wrist splint/wrist brace since: 28-02-2003 & undergone 3 wrist opeartions on my left hand/wrist, & arm,

& non of these wrist operations crue Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI),

& Also Know As: Wrist Instability/Carpal Instability,

The wrist operations & physiotherapy & excersises are only ways to delay the wrist disability & symptoms

Me & Julie from Ablehere.Com, Had Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability,

Julie had her's in April 2008 & I hust had mine done on: Thursday 24th of July 2008 & I want have my follow up & check up until: Wednesday 03rd of September 2008, & I'll remain in my Heavy, Bulky, Dressing & Part Hard Cast & Arm Sling.

I am still doing my Finger Physiotherapy & Finger Excersises until: 03-09-2008, Although sadly I can still feel my my left hand/wrist Clunking/Snapping out of place & joint

You might wanna ask your Doctor/Consultant about having Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability & Prolotherapy (\"Proliferative Injection Therapy\") involves injecting an otherwise non-pharmacological and non-active irritant solution into the body, generally in the region of tendons or ligaments for the purpose of strengthening weakened connective tissue and alleviating musculoskeletal pain - en.wikipedia.org/wiki/Prolotherapy


Before having a limited or full wrist operation on your hands/wrists, as a full wrist fusion takes 12 weeks to recover & some full wrist fusions have the carpal bones taken out & use hip tissue, along with a metal plate, & it only delays your wrist disability/symptoms.

Bombadil's Post @ tinyurl.com/7rusos & tinyurl.com/a3369h

My Response to him in the above links & Below:

Sorry to here you bad news

But your Surgeons Stupid, Mid Carpal Instability can only truely be spotted through Physical Tests/Examinations of The Hands/Wrists & Wrist Arthroscopy,

X-Rays are \"POINTLESS\", Even for Hyper Mobility Syndrome.

Have you got E-Mail, I'll show you what My Surgeons said & what Marks and Spencer Plc's Surgeons said.

Carpal Instability (Musculoskeletal) - 13-01-2006 - Medical Journal Attached @ tinyurl.com/9755pt

Mid Carpal Instability Medical Journals @ tinyurl.com/9os559

Mid Carpal Instability gets worse with time & Repetive tasks/jobs & Manual Labour Jobs

Hyper Mobility Snydrome I know less about, But it also gets worse & you can also still get Mid Carpal Instability even if you had an Pre-Exsting Condition such as Hyper Mobility

Did your Hands/Wrists, Ever Click, Pop, Snap, Clunk, Or Causes you any problems before the injury, accidnet, or event???...>>> If The Answer is no, Then its unlikely you had Hyper Mobility Syndrome or MCI before,

The same is to be said if you had Hyper Mobility Syndrome You would know you already had it, As the Instability/Pain comes by the light injuries, accidnets, such as hold a kettle & having had no trauma, injury, or accident, to the effected limb ever, Or always getting Instability/Pain through tiny accidnets/injuries to your body or effeted limbs, I.E. loosing your footing on a pavement & spraining your ankle or leg, Or always getting sprians, strains, after almost doing nothing, Then that's likey to be Hyper Mobility Sydrome.

If you've never had any problems with your joints at all & had falls, injuries, accidents, in The Past without Any Strains, Sprains, Pain, Instability, Clickiing/Poping Joints, Then your unlikely to have ever suffered from Hyper Mobility Syndrome in the first place,

& The reason due to you Instability/Pain is likely to be Injuries, Accidents, Trauma, Or Repetitive Tasks/Motions were recorded in Wrist Instability Book of 1997 & other Medical Journals.

Also Some Doctors, Consultants, Hospitals, Etc, Say you can Score 0 (Zero) In The Hyper Mobility Syndrome Tests & Still Have Hyper Mobility Syndrome,

Where as Other Doctors, Consultants, Hospitals, Etc, Say You Have to Score 3 (Three) Or More In The Hyper Mobility Syndrome Tests, To Have Hyper Mobility Syndrome.

The Beighton Score @ tinyurl.com/3k97ak

Post edited by: Scott_1984, at: 2009/01/08 21:41

The Beighton Score @ tinyurl.com/3k97ak

& The Beighton Score - The New Diagnostic Criteria for HMS @ tinyurl.com/6u7ke3

Julie from here,

ISa trained & skilled Physiotherapist & She got Mid Carpal Instability in both hands/wrists,

She's had to have time off work & to under go Surgies,

& Her Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeon - Mr. Charles A Pailthorpe - tinyurl.com/8d8z9o

He believe's Julie suffered Mid Carpal Instability to both her wrists/hands through Repetive Movements/Tasks & Her Job.

If you have an E-Mail Address, I can send you copy of Page: 30 of Wrist Instability Ueli Buchler - 1997,

States:

Midcarpal Ligament Tear Or Attenuation

*Pain & 'Clunk' In Hyperlax Young Patient After Light Injury Or Repeated Stress

*After Rotational Significant Injury I Normal Patients

& From other medical journals I have read & people I've spoken online & Consultants, Confirm MCI can be caused by Repeated Stress, Or a light injury that patient had years ago or doesn't even remember as the injury was nothing bad.