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Old 04-29-2018, 05:21 PM
Status: "The best view is after the hardest climb." (set 25 days ago)
 
Location: Wonderland
42,602 posts, read 34,060,167 times
Reputation: 59772

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Quote:
Originally Posted by vrexy View Post
Oh, no! Kathryn - I'm so sorry this happened to you. Just wanted to say that I totally agree with what bluedevilz recommended. Please do consider seeing a qualified hand surgeon. The hand is a very complicated part of the body. Nothing wrong with Sports Docs, but please see a hand surgeon for this issue.

I hope you are still able to go on your vacation and enjoy it.
Thank you and yes, if it comes to surgery I am going to insist on a Hand Surgeon. Not sure if this guy is one or not. I mean, I think he's an orthopedic surgeon but I'll find out more tomorrow. He was referred by my GP who has taken her own kids with their sports injuries to him, and he seemed to really know what he was tallking about but if he's not a hand surgeon I'll switch - I agree that hands are complicated and I want the best care - I'm paying enough for it.

Anyway, I wonder if I could go back to my orthopedic surgeon who is about an hour away? I LOVED him - he did a great job with both my Achilles tendons. He's one of the two docs who told me that he thinks Cipro did a number on me. We have a PPO so maybe I could go to him. I mean, it would be an hour away but I really, really feel comfortable with him.
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Old 04-29-2018, 05:34 PM
 
Location: SW Florida
9,434 posts, read 6,600,221 times
Reputation: 13366
Quote:
Originally Posted by KathrynAragon View Post
Well, I've had two doctors (both orthopedic doctors) tell me that this is probably Cipro related, so I'm just going by what they have said. I do believe that Cipro weakened my tendons and I personally don't think there's a cutoff time wise for when damage eventually shows up. One of my Achilles tendons disintegrated two years after I took the Cipro (the first one was a few months after taking it - well, I think it was damaged immediately but became impossible to ignore a few months later - I never did actually injure either of my Achilles tendons and the only explanation that the orthopedic specialist could piece together was the Cipro - he also told me after the second disintegration of the other AT that all my joints were at higher risk most likely).


https://www.webmd.com/osteoarthritis...upture-tendons


https://www.fda.gov/NewsEvents/Newsr.../ucm513183.htm

I am seeing an orthopedic specialist at a Sports Injury hospital. I'll find out tomorrow if he is a hand surgeon.

Thanks for the additional information!
He may be able to recommend a hand surgeon if he is not one.

Sorry this has happened to you, that's all you need with everything else, but hopefully it can be corrected.
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Old 04-29-2018, 05:49 PM
Status: "The best view is after the hardest climb." (set 25 days ago)
 
Location: Wonderland
42,602 posts, read 34,060,167 times
Reputation: 59772
Quote:
Originally Posted by Travelassie View Post
He may be able to recommend a hand surgeon if he is not one.

Sorry this has happened to you, that's all you need with everything else, but hopefully it can be corrected.
I know, right???? Even with this though, 2018 is already WAYYYYYY better than the past three years have been! I actually feel OK with this - it's truly nothing compared to everything else we've been through. Thank God it's my left hand. But from here on out, I'm going to be super careful about anything that might stress a joint or pull a tendon or muscle. My husband is in Superman mode - "Don't do anything - I'll take care of everything!" Clearly he doesn't really understand all I normally do! LOL But it's nice to feel protected and babied on a bit. I admit it!
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Old 04-29-2018, 06:35 PM
 
304 posts, read 109,816 times
Reputation: 839
Quote:
Originally Posted by bluedevilz View Post
1. You have never heard of this before, your admission above ^

2. If you read the OP, she had the appropriate test, MR arthrogram, TFCC tear has been diagnosed...so, no, not a "sprain"

3. You don't know what a TFCC tear is yet you feel free to opine that they "can heal on their own"???? How would you know, since you don't even know what it is??? In fact they almost NEVER heal on their own but symptoms can and do subside so no surgery, isn't always needed...

4. If surgery is required, and it often is due to symptoms, it is very effective and safe...

5. Why people feel the need to offer advice and opinions on medical treatment for subjects that they no nothing about talk about grrrrrr!!
Well, a sprain IS a tear of a ligament, which the TFCC is. So important information would be, what grade is the sprain aka "tear".
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Old 04-29-2018, 06:39 PM
Status: "The best view is after the hardest climb." (set 25 days ago)
 
Location: Wonderland
42,602 posts, read 34,060,167 times
Reputation: 59772
Quote:
Originally Posted by rhuff80 View Post
Well, a sprain IS a tear of a ligament, which the TFCC is. So important information would be, what grade is the sprain aka "tear".
That is what I find out tomorrow.

Just did the non digital scale test on my wrist. Normal strength is anywhere between 60 and 120 lbs. With my right wrist I can easily do 85 or so. With my left wrist I cannot even do 10. It's pathetic. It's getting worse, too, not better. I have been reading about this and apparently after bracing for several weeks it will require physical therapy. I am OK with that and WILL do the exercises, so hopefully the doc will give me some pointers in the morning.

I'm ready to move past this. It hurts like the dickens and is always cramping my style!
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Old 04-29-2018, 06:41 PM
Status: "The best view is after the hardest climb." (set 25 days ago)
 
Location: Wonderland
42,602 posts, read 34,060,167 times
Reputation: 59772
I found this interesting article. Apparently a sprain is an injury to a ligament and a strain is an injury to a muscle or tendon. Honestly they all seem sort of the same to me but I'm no doctor.

https://www.medicinenet.com/sprained...n_and_a_strain
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Old 04-29-2018, 07:25 PM
 
4,795 posts, read 10,693,723 times
Reputation: 10971
Quote:
Originally Posted by rhuff80 View Post
Well, a sprain IS a tear of a ligament, which the TFCC is. So important information would be, what grade is the sprain aka "tear".
TFCC is Triangular Fibrocartilage Complex...key term there being "cartilage"

TFCC is a cartilage disc....not a ligament...not a sprain....already been determined by the MR arthrogram so nope no important information to be gleaned by asking what grade tear the "sprain" is since it isn't a "sprain"
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Old 04-29-2018, 07:34 PM
 
4,795 posts, read 10,693,723 times
Reputation: 10971
Quote:
Originally Posted by KathrynAragon View Post
I found this interesting article. Apparently a sprain is an injury to a ligament and a strain is an injury to a muscle or tendon. Honestly they all seem sort of the same to me but I'm no doctor.

https://www.medicinenet.com/sprained...n_and_a_strain
You are absolutely correct on the difference between a sprain and strain. However the TFCC disc is neither ligament or tendon it is cartilage so treatment is actually very similar to treating a meniscus tear in the knee.

Initially immobilization, NSAID's, ice etc. Possibly corticosteroid injection if inflammation remains. The TFCC cartilage has poor ability to heal when torn but often the symptoms associated with the tear will diminish with the above treatments.

If symptoms continue, typically a painful clicking sensation on the little finger side of the wrist, then surgery might be recommended...

Surgery is typically done arthroscopically as in the knee to either "clean up the tear" also known as debridement or possibly suture the tear and repair it, depends on the size and location of the tear.

Another possible surgical treatment is to shorten the ulna.

You mentioned in your first post the MRI also showed a tendon tear, it is not uncommon to see a "split" tear of the ECU tendon associated with TFCC injuries, fortunately the tendon issue rarely requires surgery.

Best of luck to you, and hopefully all goes well with treatment and you can back to your life without the wrist hindering you...
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Old 04-29-2018, 08:01 PM
 
304 posts, read 109,816 times
Reputation: 839
Quote:
Originally Posted by bluedevilz View Post
TFCC is Triangular Fibrocartilage Complex...key term there being "cartilage"

TFCC is a cartilage disc....not a ligament...not a sprain....already been determined by the MR arthrogram so nope no important information to be gleaned by asking what grade tear the "sprain" is since it isn't a "sprain"
Well, you're wrong. It is cartilage, but it is also ligamentous tissue as well. It's, as the person just posting above me stated, much like the meniscus. It receives minimal blood flow for the most part.

So yes, it is worthwhile to know the grade of the sprain.
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Old 04-29-2018, 09:09 PM
Status: "The best view is after the hardest climb." (set 25 days ago)
 
Location: Wonderland
42,602 posts, read 34,060,167 times
Reputation: 59772
Quote:
Originally Posted by bluedevilz View Post
You are absolutely correct on the difference between a sprain and strain. However the TFCC disc is neither ligament or tendon it is cartilage so treatment is actually very similar to treating a meniscus tear in the knee.

Initially immobilization, NSAID's, ice etc. Possibly corticosteroid injection if inflammation remains. The TFCC cartilage has poor ability to heal when torn but often the symptoms associated with the tear will diminish with the above treatments.

If symptoms continue, typically a painful clicking sensation on the little finger side of the wrist, then surgery might be recommended...

Surgery is typically done arthroscopically as in the knee to either "clean up the tear" also known as debridement or possibly suture the tear and repair it, depends on the size and location of the tear.

Another possible surgical treatment is to shorten the ulna.

You mentioned in your first post the MRI also showed a tendon tear, it is not uncommon to see a "split" tear of the ECU tendon associated with TFCC injuries, fortunately the tendon issue rarely requires surgery.

Best of luck to you, and hopefully all goes well with treatment and you can back to your life without the wrist hindering you...
OMG I have that clicking and popping going on. It's been driving me crazy and is especially pronounced in the morning when I wake up. And it hurts like heck then too. As soon as I told the doctor that, before the MRI and all that, he said, "I'm nearly certain you have a torn TFCC and it sounds like you may need surgery but let's just see what the MRI and arthrogram tell us first." Of course I said, "I'M GOING ON VACATION FIRST!" and that's when he said, "Wear this brace 24/7 and we'll probably do a cortisone shot when you come in to tide you over."

I do NOT want surgery. Well, really what I do not want is a freaking cast. Actually I don't want any of this. I'm so put out! But I'll find out more tomorrow. At least I can ask some smart questions, like "Can I wear this smaller, flesh toned brace when we're going out to dinner?" and "Can I take the brace off when I'm trying to lay in the sun?" And "Can I drink Bloody Marys after you give me the cortisone shot?"
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