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Offline2Cents
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Having severe pain in my right hand
    #11277117 - 10/19/09 12:39 PM (14 years, 5 months ago)

Well shroomery I have been dealing with mild pain and stiffness in my right hand for a few months now; telling myself it would get better over time which its only gotten worse...much worse. I am not even in my mid twenty's yet and have had no injuries that come to mind of what could have caused this. the last week has been the worst of it all and now I can barely use my hand for anything, I cant open my hand fully and I cant even hold a glass of water with it. I have had hand X-rays and been examined by my doctor and yet no answers.

even typing on the computer is painful. I don't know what to do because my doctor is being very lax and unhelpful about this. I also have a lot of back pain and my therapist mentioned that upper back pain and pain in the right hand and wrist can be from nerve damage. any thoughts shroomery?


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Offlineoxalic32
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. [Re: 2Cents]
    #11277132 - 10/19/09 12:42 PM (14 years, 5 months ago)

.

Edited by oxalic32 (12/19/10 09:35 PM)

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Offline2Cents
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Re: Having severe pain in my right hand [Re: oxalic32]
    #11277151 - 10/19/09 12:45 PM (14 years, 5 months ago)

I smoke pot have so for 3 years and I have done mushrooms maybe 10 times, I did a bit of OC a few months back were I did it probably 3-5 times a week but its been a while since iv done it.


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Offline2Cents
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11277213 - 10/19/09 12:58 PM (14 years, 5 months ago)

I'm desperate shroomery, I call for your aid in such a desperate time of mine


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Offlinelucydforme
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11283657 - 10/20/09 11:48 AM (14 years, 5 months ago)

It could be bad circulation to your hand, carpel tunnel from :typing: , or your hand is revolting against your body and has become self serviette :congrats:, can't see a reason from the drugs that would cause any problems with just your hand and not effect anything else in the body.


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Funny story, this whole "world" that we know everything about, well, that's all good and well, but we know nothing about the rest of that vast everything we call the universe.

Everything I say is heresay. All fiction for a fictional character.
Rule yourself, let no one else rule you. Down with government, and up with responsibility.

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OfflineWithout_Ego
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Re: Having severe pain in my right hand [Re: lucydforme]
    #11285897 - 10/20/09 05:21 PM (14 years, 5 months ago)

tendinitis possibly?
are there any swollen areas?
I have tendinitis from playing squash too much, it can be a real bitch

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Offline2Cents
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Re: Having severe pain in my right hand [Re: Without_Ego]
    #11286096 - 10/20/09 05:58 PM (14 years, 5 months ago)

Im going to a specialist soon so I should find out there.


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Offlineneuro
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11286170 - 10/20/09 06:07 PM (14 years, 5 months ago)

As others have suggested it could be a few things. The most likely diagnosis is carpal tunnel (CT) syndrome. You would notice loss of feeling/numbness, tingling(called paraesthesias), or pain to start. It could progress to muscle wasting and weakness. Surprising if your doctor has no answers yet, it would lend me to think you don't have CT as that should be easily recognized by your doctor and referred to an orthopedist if really bad, as in your case (assuming it is CT). You have what sounds like classic CT, dropping or not being able to hold coffee cups is a common complaint. Waking up at night with numb hands that need to be shaken out. Muscle wasting, numbness and tingling as well are all the common story told by people wiht that problem.
You likely have been asked to touch your thumb and pinky together, then not let that ring be broken by someone else pulling. As well as comparing your hand to your other hand in terms of muscle size, then finally something called phalen's test and/or tinnel's sign, this is where in phalen's test you touch the back of your hands together with your fingers pointing down (imaging putting your hands together like to pray but instead the backs of your hands touch but your fingers are pointing down not up. The tinnel's sign is where your wrist is tapped/percussed by the doctor's finger right in the middle of your wrist, if that causes pain in the hand then it's likely you have carpal tunnel syndrome. X-ray of the hand would not be good for carpal tunnel syndrome, a CAT Scan (CT Scan - not carpal tunnel, computed tomography) or an MRI would be the better studies. You can't see soft tissue in an x-ray, whereas in a CT and MRI you can.  These studies are generally not ordered unless extremely severe and there is resistance to treatment (i.e. wrist brace doesn't work, stopping computer use etc..)

If your doctor is doing x-rays it would suggest he thinks a boney abnormality is the cause of your hand pain.

Other people mentioned tendonitis, something called tenosynovitis, specifically DeQuervain's Tenosynovitis. This is where the extensor radialis muscle (i believe, hard to remember that now) connects to the radius bone at the wrist just behind the first thumb joint where it meats the wrist bones and the lateral aspect. If you make a fist with your thumb inside the fist then move your wrist as if you're trying to wave your fist toward your ulna, called ulnar deviation. that will pull on the muscle and stretch the tendon, if it's inflamed it'll hurt like hell, if any part of that motion hurts other than that specific ulnar deviation, then it is likely something else is going on than DeQuervian's Tenosynovitis.

Bad circulation, while possible but less likely in this case could be considered. If you're seeing a vascular specialist then obviously someone thinks it's a vascular issue. However your history so far doesn't suggest that as it's only the hand and not the arm, one would expect more pain, as well as flushing of color in the hand, as well as other things called telangectasia, where small arteries collapse that have grown due to increased pressure show up as spider marks on the skin surface.

How did this condition progress from when you first noticed it? What were your symptoms and did more come over time, and how long and what were they?

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OfflineMrBump
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11286239 - 10/20/09 06:16 PM (14 years, 5 months ago)

what about an ulnar or median nerve neuropathy/entrapment?

edit: i guess the median nerve neuropathy is also called CTS


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Edited by MrBump (10/20/09 06:20 PM)

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Offlineneuro
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Re: Having severe pain in my right hand [Re: MrBump]
    #11286289 - 10/20/09 06:22 PM (14 years, 5 months ago)

Quote:


what about an ulnar or median nerve neuropathy/entrapment?





Median nerve entrapment is what Carpal Tunnel Syndrome is. Since The ulnar nerve supplies sensation to the palmar aspects of the thumb, index, middle, and half the ring, however the sensation to the central palm should be unaffected because portion fo the nerve does not enter the carpal tunnel that supplies that part of the hand.

The Ulnar nerve entrapment around the hook of the hamate would cause sensation and lack of function of some intrinsic motion of the hand if entrapped in the hand, and a popes hand or claw hand i believe if there were lesion further up the arm- however specific bending of fingers and would remain intact. Also sensation would be lost to the pinky and the other half the ring finger.

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OfflineMrBump
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Re: Having severe pain in my right hand [Re: neuro]
    #11286458 - 10/20/09 06:47 PM (14 years, 5 months ago)

he mentioned back pain, but didnt specify upper back/neck pain.

maybe some DDD or a herniation/bulge in his lower cervical spine causing a radiculopathy? he's only in his early 20's so I dont know about degenerative changes.


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If it weren't for the bloody corpses, I wouldn't have any corpses at all.

There are two ways to get to the top of an oak tree: start climbing or sit on an acorn.

Are you a carrot, an egg, or a coffee bean?

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Offlineneuro
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Re: Having severe pain in my right hand [Re: MrBump]
    #11286661 - 10/20/09 07:06 PM (14 years, 5 months ago)

Quote:


maybe some DDD or a herniation/bulge in his lower cervical spine causing a radiculopathy? he's only in his early 20's so I dont know about degenerative changes.





Degenerative disk disease possible, but not likely as you mention in this age group, but similar mechanisms of nerve entrapment by what's called spinal stenosis (the opening for the nerve to come out the spine and go to the arm or other part of the body gets smaller and starts 'pinching'  the nerve) would include herniation or bulge, one would again wonder why if there's no history of accident/injury, but something to consider.

The pain in the back and neck could be related to the hand as whoever had mentioned to him originally once i went back and reread his post. But it is again unlikely because it would have to be specific lesion hitting specific nerves to cause only pain in the hand, the whole hand none the less, that includes Cervical vertebral nerves at C6, 7 and 8, and would be highly specific injury or what have you in that thick nerve bundle that makes up those cervical(i.e. neck) vertebrae nerves which include a few other cervical vertebrae nerves. If those nerve bundles were injuried as in a radiculopathy meaning injury near/at the spine, you'd expect a different pattern presentation of symptoms/signs, while this theoretically could present this way, it's again unlikely, and things are done by the odds. If the more likely things don't pan out then i guess one moves down the list of their differential diagnosis.

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OfflineMrBump
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Re: Having severe pain in my right hand [Re: neuro]
    #11286734 - 10/20/09 07:16 PM (14 years, 5 months ago)

Quote:

The pain in the back and neck could be related to the hand as whoever had mentioned to him originally once i went back and reread his post. But it is again unlikely because it would have to be specific lesion hitting specific nerves to cause only pain in the hand, the whole hand none the less, that includes Cervical vertebral nerves at C6, 7 and 8, and would be highly specific injury or what have you in that thick nerve bundle that makes up those cervical(i.e. neck) vertebrae nerves which include a few other cervical vertebrae nerves. If those nerve bundles were injuried as in a radiculopathy meaning injury near/at the spine, you'd expect a different pattern presentation of symptoms/signs, while this theoretically could present this way, it's again unlikely, and things are done by the odds. If the more likely things don't pan out then i guess one moves down the list of their differential diagnosis.




that's true, i forgot he mentioned that his whole hand was in pain. From what I have learned from a few Neurologists, glove-like symptoms usually dont stem from a radiculopathy b/c of what you say... too many consecutive vertebral levels would have to be injured

okay, Im done playing Doctor :smirk:


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If it weren't for the bloody corpses, I wouldn't have any corpses at all.

There are two ways to get to the top of an oak tree: start climbing or sit on an acorn.

Are you a carrot, an egg, or a coffee bean?

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Offlineneuro
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Re: Having severe pain in my right hand [Re: MrBump]
    #11287096 - 10/20/09 08:00 PM (14 years, 5 months ago)

gloves and stocking think diabetes neuropathy.

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Offline2Cents
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Re: Having severe pain in my right hand [Re: neuro]
    #11288325 - 10/20/09 10:01 PM (14 years, 5 months ago)

I have been screened for diabetes and came up clean. the pain started right below my ring and pinky knuckle then progressed down to my wrist. I can now feel pain in the top of my wrist more than in the bottom specifiably in the center reaching up to my middle finger. thanks for all the help guys, it means a lot. the strangest thing is it flairs up some days and other days its not so bad.

thank you shroomery family you guys rock!


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OfflineAlan RockefellerM
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11288560 - 10/20/09 10:25 PM (14 years, 5 months ago)

Probably carpal tunnel.  Don't use the hand to type or do other things that involve manipulation of objects.  Should go away in a few months.  Sleep with your wrist straight, not folded.

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Offline2Cents
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Re: Having severe pain in my right hand [Re: Alan Rockefeller]
    #11288608 - 10/20/09 10:29 PM (14 years, 5 months ago)

alright, thank again guys. I ll take all your advice and see if I cant fix myself up here haha.


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Offlineneuro
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Re: Having severe pain in my right hand [Re: 2Cents]
    #11367291 - 11/02/09 04:51 AM (14 years, 4 months ago)

you should see a neurologist and get some nerve conduction studies done.

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