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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Triggered

Triggered

Scheduled Pinned Locked Moved General Discussion
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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #27

    Day 10 post-op.

    Negligible pain, unless I fall asleep with my fingers flexed. Then, it takes some effort to flex them more and then extend them.

    I'm somewhat disturbed by the fact that I still have some pain on the dorsal (back) of the affected finger, but function seems good, although I can't extend it as far as the other three fingers.

    Wound looks good. No drainage, no pus. Minimal swelling. I have no dressing applied, and the sutures come out Thursday morning.

    Screen Shot 2022-01-24 at 6.00.51 PM copy.jpg

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • MikM Offline
      MikM Offline
      Mik
      wrote on last edited by
      #28

      I use the extended release Tylenol now and then. Pretty good, much better with some ibuprofen. Luckily it’s only once every few months. My arthritis is very well controlled by meds.

      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

      George KG 1 Reply Last reply
      • MikM Mik

        I use the extended release Tylenol now and then. Pretty good, much better with some ibuprofen. Luckily it’s only once every few months. My arthritis is very well controlled by meds.

        George KG Offline
        George KG Offline
        George K
        wrote on last edited by
        #29

        @mik the high dose acetaminophen is amazing for acute pain. One gram every 6 hours. Mrs. George has had dental extractions and (!) a joint replacement using little more than that for analgesia.

        Don't exceed the dose, supplement with opioids and anti-inflammatories (which acetaminophen is not!) as needed.

        As I've said before, I was impressed with the intravenous route for this drug, and now, it seems that the oral is just as effective.

        If you can take it prophylactically, all the better.

        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

        1 Reply Last reply
        • George KG George K referenced this topic on
        • George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #30

          So, about 8 months ago, I started having symptoms on the ring finger of my RIGHT hand. Pain and "catching." I had it injected in June, and got a good response.

          Then, about 3 months ago, it started catching again. Not bad enough to require intervention, but just annoying enough. 6 weeks ago, my right thumb started to trigger. This was accompanied by pain, and, in the last few weeks interfered with my trying to play piano.

          I saw the hand guy yesterday and he injected both fingers.

          "So, you've done the ring finger twice now. What happens when/if this recurs?"

          "Chop chop." (He actually said that)

          "Fuck (I actually said that). If you operate on the ring finger, and my thumb acts up again, as I expect it will, do you have to do a second injection, or can you do both fingers at once, just to save me the extra trip to the OR?"

          "Yeah, we can do both. See you in the fall. I'll have them wipe the blood and rust off the scalpels. I'll be waiting for you."

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          1 Reply Last reply
          • taiwan_girlT Offline
            taiwan_girlT Offline
            taiwan_girl
            wrote on last edited by
            #31

            LOL Hope that the injections work for a long time!!

            1 Reply Last reply
            • CopperC Offline
              CopperC Offline
              Copper
              wrote on last edited by
              #32

              I have arthritis.
              Just over 6 months ago I got a cortisone shot in the left thumb metacarpal. It worked ok.
              Now the pain is coming back.
              They said I could get 3 shots separated by about 6 months. If it is still hurting, then they'll remove the Trapezium and toss it in the trash.
              Then they'll rebuild the lost support by rearranging some tendons.

              I haven't investigated exactly how this surgery works yet; I was hoping the cortisone would last longer.

              kluursK 1 Reply Last reply
              • 89th8 Offline
                89th8 Offline
                89th
                wrote on last edited by
                #33

                How does this impact your (cheap) scotch drinking motions?

                1 Reply Last reply
                • CopperC Offline
                  CopperC Offline
                  Copper
                  wrote on last edited by
                  #34

                  You get a cast on one hand for a few weeks, but the other hand is ok to pour.

                  If that is a problem, just drink straight from the bottle.

                  1 Reply Last reply
                  • CopperC Copper

                    I have arthritis.
                    Just over 6 months ago I got a cortisone shot in the left thumb metacarpal. It worked ok.
                    Now the pain is coming back.
                    They said I could get 3 shots separated by about 6 months. If it is still hurting, then they'll remove the Trapezium and toss it in the trash.
                    Then they'll rebuild the lost support by rearranging some tendons.

                    I haven't investigated exactly how this surgery works yet; I was hoping the cortisone would last longer.

                    kluursK Offline
                    kluursK Offline
                    kluurs
                    wrote on last edited by
                    #35

                    @Copper said in Triggered:

                    I have arthritis.
                    Just over 6 months ago I got a cortisone shot in the left thumb metacarpal. It worked ok.
                    Now the pain is coming back.
                    They said I could get 3 shots separated by about 6 months. If it is still hurting, then they'll remove the Trapezium and toss it in the trash.
                    Then they'll rebuild the lost support by rearranging some tendons.

                    I haven't investigated exactly how this surgery works yet; I was hoping the cortisone would last longer.

                    I have arthriitis in the same joint (thumb). At one point, I thought I'd have to give up the piano completely. My ortho doc asked what I'd done to mess up the joint so badly - beyond the arthritis.

                    I'm playing the piano as badly as ever but I'm playing - and it came from using a splint at night to completely restrict movement along with the liberal use of Arnicare on the joint just prior to putting on the splint. I've given the splint/arnicare combo to a few folks who have had a good measure of success. You might want to give it a try.

                    1 Reply Last reply
                    • JollyJ Offline
                      JollyJ Offline
                      Jolly
                      wrote on last edited by
                      #36
                      1. Splints helped the wife at one time. Hers were custom fitted out of a foam that became rigid after molding.

                      2. Steroids are a temporary fix, in most cases. When you get them, they're like money in the bank. Spend wisely.

                      “Cry havoc and let slip the DOGE of war!”

                      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                      George KG 1 Reply Last reply
                      • JollyJ Jolly
                        1. Splints helped the wife at one time. Hers were custom fitted out of a foam that became rigid after molding.

                        2. Steroids are a temporary fix, in most cases. When you get them, they're like money in the bank. Spend wisely.

                        George KG Offline
                        George KG Offline
                        George K
                        wrote on last edited by
                        #37

                        @Jolly said in Triggered:

                        Steroids are a temporary fix

                        Yup. I am resigned to the fact that I'll need surgery on both fingers by the end of the year.

                        Interestingly, the injections helped the pain, but both joints are still triggering a bit almost 48 hours later. Hopefully it'll continue to improve.

                        I got almost immediate relief on the other hand, so I don't know what to make of it.

                        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                        1 Reply Last reply
                        • RenaudaR Offline
                          RenaudaR Offline
                          Renauda
                          wrote on last edited by
                          #38

                          Sorry to hear this George. It’s sounds to be mire than just the PITA you described a couple of years back.

                          Elbows up!

                          1 Reply Last reply
                          • George KG Offline
                            George KG Offline
                            George K
                            wrote on last edited by
                            #39

                            The ring finger continues to deteriorate. Painful for any activity (like piano) and I've really restricted my playing. I was hoping that the thumb would act up again as well, so that the surgeon could do both at the same time.

                            However, the thumb is fine for now.

                            So, the ring finger has had two failed injections - surgery is the next step.

                            I emailed Dave (the surgeon) and asked, "PLEASE, can we do another injection and hope the thumb acts up so you can operate on both at the same time? If the ring finger fails, and the thumb is OK, I guess I'm doomed to another operation."

                            He said, "Sure. One more injection we can do."

                            Bullet dodged - for a while, at least.

                            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                            1 Reply Last reply
                            • MikM Offline
                              MikM Offline
                              Mik
                              wrote on last edited by
                              #40

                              Good. Most people I would not follow that lead, but with you I would.

                              “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                              George KG 1 Reply Last reply
                              • MikM Mik

                                Good. Most people I would not follow that lead, but with you I would.

                                George KG Offline
                                George KG Offline
                                George K
                                wrote on last edited by
                                #41

                                @Mik said in Triggered:

                                Good. Most people I would not follow that lead, but with you I would.

                                I have very little confidence that it won't recur. Surgery was a nothing, basically, but it stopped my playing for about 4 months. I would just love to get both fingers fixed at the same sitting. But, if the thumb's OK, I'm sure Dave won't touch it.

                                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                CopperC 1 Reply Last reply
                                • taiwan_girlT Offline
                                  taiwan_girlT Offline
                                  taiwan_girl
                                  wrote on last edited by
                                  #42

                                  @George-K how long does the affect of the injection last for?

                                  George KG 1 Reply Last reply
                                  • taiwan_girlT taiwan_girl

                                    @George-K how long does the affect of the injection last for?

                                    George KG Offline
                                    George KG Offline
                                    George K
                                    wrote on last edited by
                                    #43

                                    @taiwan_girl said in Triggered:

                                    @George-K how long does the affect of the injection last for?

                                    Variable. I only got about 3 months last time. I imagine the next will be the same.

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    1 Reply Last reply
                                    • JollyJ Offline
                                      JollyJ Offline
                                      Jolly
                                      wrote on last edited by
                                      #44

                                      Hell to get old.

                                      “Cry havoc and let slip the DOGE of war!”

                                      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                                      1 Reply Last reply
                                      • CopperC Offline
                                        CopperC Offline
                                        Copper
                                        wrote on last edited by
                                        #45

                                        I'm in the same boat.

                                        Now about 9 months since the shot in left thumb metacarpal, it hurts full time.

                                        I'll be calling today to schedule a second shot. They said I could have maybe 3 shots and then surgery.

                                        I assume surgery will shut down the golf game for a while, I don't like that.

                                        1 Reply Last reply
                                        • George KG George K

                                          @Mik said in Triggered:

                                          Good. Most people I would not follow that lead, but with you I would.

                                          I have very little confidence that it won't recur. Surgery was a nothing, basically, but it stopped my playing for about 4 months. I would just love to get both fingers fixed at the same sitting. But, if the thumb's OK, I'm sure Dave won't touch it.

                                          CopperC Offline
                                          CopperC Offline
                                          Copper
                                          wrote on last edited by
                                          #46

                                          @George-K said in Triggered:

                                          it stopped my playing for about 4 months

                                          Have you seen this?

                                          I'm not sure if it applies.

                                          SUTURE BUTTON SUSPENSIONPLASTY (SBS) FOR BASAL JOINT ARTHRITIS

                                          Patients remain in a splint for about five days, after which their dressing comes off. They can begin therapy and start using their hand again immediately.

                                          With traditional thumb arthritis surgeries, patients can be in a cast for one month or longer. The majority of Dr. Yao’s patients get back to normal activity by the three-month mark, if not sooner. Other surgical methods can have double the recovery time, up to six months in some cases.

                                          https://stanfordhealthcare.org/stanford-health-care-now/2021/outpatient-SBS-procedure-for-thumb-arthritis-shortens-recovery-time.html#:~:text=One of these advancements%2C suture,for its rapid recovery time.

                                          George KG 1 Reply Last reply
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