Carpal tunnel vs tenosynovitis!
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Hi everyone,
I just wanted to tell everyone my symptoms to see if others had the same and what their diagnosis / treatment was...
In January 2019 I started getting pain in my wrist, on the underside right at the bottom of hand in the middle.. No pins and needles etc no numbness. It was worse when using it for typing etc. I put it down to Tendonitis and had it in a splint for 8 weeks 24/7. it felt much better in a splint but i couldnt not takenit off otherwise no improvement. I was given naproxen which again didn’t do anything.
Anyway, for the last 4 months it’s at the point where it’s constant pain!/ ache in my wrist. Made a lot worse by using it. I can’t write anymore, I can’t iron, can’t cut vegetables etc and it’s very weak when opening jars etc which my partner now has to do. If I try to use it for typing etc when I don’t have the splint on then the pain is too bad. It spread to my left wrist a few months ago and that is on/off but worse.
I was referred to a consultant who said CTS as I had tingling when she pressed places. I had the injection 3 weeks ago but if anything it’s now worse so I’ve been referred for surgery. It was at the point a couple months ago where my Hand just wouldn’t move at the end of the day because it was so painful and then just throbbed all night- I would cry. Again not much tingling or numbness. About 3 months ago it started to go up my arm too and be painful from my shoulder down.
The last couple of weeks there has been a lot of tingling... but in all fingers! I’ve has shooting pains that have made me want to vomit - along the OUTSIDE or my forearm going to the outside of my wrist. If I press on the carpal tunnel then my thumb to middlefinger tingle and go hot and cold, if I press on the top of my forearm where the radial nerve is then I get tingling thumb to middle but pressing inside my elbow causes little and ring finger to go. Today my whole Hand has had a constant tingle. Doesnt bother me much it’s the pain that is my biggest symptom!! And as it’s in my left hand now too (much more mild) it’s horrid.
I’m worried that because my main symptoms isnt numbness and tingling that it’s not CTS!
Oh and no swelling except that my vein on thumb side of wrist pops out on that side of my wrist. looking at de quervains that says it us only thumb side? yes thumb too but all acorss my wrist at bottom if hand burns.
I wear a splint nearly all the time and a night splint . The day splint doesn’t help much any more! creams dont help. !nothing does except days of complete rest and within seconds its sore again.
any ideas?? hopefully the orthopedic surgeon does futher tests before surgery! i noticed today around my thumb inside is slightly swollen.... see pic. but the main pain as mentioned is centre of wrist and its so painful i cry! 
0 likes, 1 reply
aaron90567 Sazbrunette88
Posted
This could be a radiculopathy i.e. a problem higher up on the nerve. You should get nerve conduction studies before surgery to localize the point(s) of nerve constriction so a surgical release can be focused on those point(s). Isolated tendonitis is usually pretty easy to distinguish from nerve compression on physical examination. Sometimes they co-exist in the same arm.