Opinion on Hand/Wrist/Arm pain

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Hi, I need opinions on what my next step should be here are the facts.

1. fell at work went for x-rays doctor said I had a wrist fracture.

2. went to hand specialist he said no fracture Arthritic Episode

3. Did MRI to check for other problems besides fracture causing pain.

4. Doctor sent me for EMG Nerve conduction study to rule out Carpel Tunnel Syndrome.

5. Ruled out Carpel Tunnel Syndrome.

6. Doctor now says that I have Cubital Tunnel Syndrome and probably need surgery to repair the nerve. Hasn't said anymore about my hand which feels like it's been slammed in a door over and over.

7. Doctor has me on Neurontin and to come back to him after I go for second opinion Nov 9th. He wants to see what other doctor thinks about symptoms.

My question is this, Should I go to first doctor that said I had a fracture and get them to go over x-rays with me so I can see what they say about the other symptoms I'm having now since I never felt like this was Arthritis related and don't know if untreated fracture could cause the problems that I am having now. I don't know what to think or do . Please help ...

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13 Replies

  • Posted

    Eva,  This is a nice clear summary of what has happened.  I would revisit the first doctor to have him go over the xrays and new symptoms with you.  See what he has to say about Cubital Tunnel Syndrome and see if you can get the reports from  the other medical pros that you have seen to give to the 1st doc.  It seems to me that November 9th is a long time to wait for a 2nd opinion and perhaps something can be accomplished before then.  Best of luck!  It sucks to be in pain and in the dark with so many different opinions about your condition.
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    • Posted

      devsmom,

           Yes, it is very confusing to be told something different every time I go see this doctor and it's like he's totally dismissing my hand still giving me problems and hurting like it does. I was unsure about what I can and can't do since this is a workers comp case. I think if I go back to the first doctor and let them know what all has been going on maybe they can help me understand just exactly what could happen if the problem with my hand isn't fixed. I don't think this thing with my arm is just coincidental like the doctor said and I told him that I was having no problems with my arm until the fall furthermore he never says he see's a fracture but I showed my x-rays to 2 doctors that are my friends and they both saw a fracture so I have been so confused at what exactly I can do, all I knew to do was to get a second opinion and I have a copy of first x-ray taken after the fall, one day after. As far as copies of everything from Hand Specailist I don't know if I can manage to get them or not. Maybe best thing to do there is to go to the office of second opinion doc and sign release so he can have the medical records there whenever I go, I'm just praying for someone to cancel so I can go sooner than what I'm scheduled to go. Thank you so much every word of advice helps me cope with what's going on and I appreciate it.

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  • Posted

    I can tell you about my experience with cubital tunnel its symptoms the corrective surgery and my 97 day post surgery results ihad mc crash chipped elbow and scapho lunate fracture my arm was casted to midway my bicep for ten weeks i had lapsed into a coma my elbow never being diagnosed they were preoccupied with my life. Coma lasted 3 mos during this time extra bone growth not only entrapped ulnar nerve but overgrew the ucl so it also had be reconstructed.
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    • Posted

      Upon release i had many issues had to learn to walk had dvt/pe clot issues and no insurance seems that i maxed out my benefits with 1,911,110$ bill. I had to waait for medicaid. I started researching my condition heres my symptoms could not start car, couldnt turn key could not rotate a door knob could not strike disposable lighter could not touch my thumb to pinky nor ring fingr
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    • Posted

      Could not grasp and turn soda bottle could not pour milk from jug without using shoulder motion when plugging in my cell phone if i had prong inverted i wpuld havr. to set it down grab it correctly then insert into charge port hand to clumsy to rotate it
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    • Posted

      I could not write nor hold a razor nor comb nor fork nor toothbrush. Nor q tip didnt matter i could not reach my head nor my face neckor my bottom end i had to learn wipe with left hand that there pretty much says it all unless you have lost ability to wipe your bottom with your preferred hand ITS OKAY YOU DONT UNDERSTAND THE reaching was result of ucl ligament being. Entrapped in same growth as ulnar nerveIT GETS BETTER MUCH BETTER
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    • Posted

      By the time i had medicaid and saw a specialist last week of may i received letter sayin medicaid would end june 30i informed my ortho surgeon of the time constraints right away he took basic x rays of elbow examined me said he needed neurologist to confirm his suspicions
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    • Posted

      I started calling damn they were all booked up for months i began telling office personnel i had staywell medicaid but would pay cash i did find one dr. opening three weeks away i had my pc send referral iwould tell every office i called i would gladly take any cancellation or even a no show. Just call me id be there in 15 minutes with the 375-500$$ Sure enuff dr. Had the opening in three weeks. Had a cancellation i was there as promised 375 in hand it was athursday he saw my medic alert necklace and inquired i related that i was on warfarin shot me out the chair he told me to make arrangements my pc to stop warfarin 3 days supply him with letter stating so and he would see me monday amDr. Prekashnakur was damn nice about it
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    • Posted

      Told my ortho dr. Robert butler of bay area orth pedics. Brandon fl. He allowed me to walk my results of nerve test into his office showed me my problem on tablet set me down with his scheduler explained i wpuld have to supply letter of dr. s approval 3 days off warfarin and i was. Scheduled for surgery nine days later. If youre lucky enough be able get this man to fix your ilmale nervetrans position, he also had to reconstruct the ucl (tommy johns). Surgery as well as scrape bone growth put of elbow which he did
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    • Posted

      With expertise and caring for another human being he knew i would have trouble paying follow up treatment, his answer? Billing wasnt is department hats off to this expert surgeonchampion of human beings. Its october 8 my elbow is 100% my hand about 85% grip getting better everyday however due to the long period of non use the small muscle back of hand between thumb and index finger has atrophied im a carpenter and i can grip hammer just fine. TJANK YOU DR BUTLER, BRANDON, FL. SINCERELY

      RALPH BORELLI

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    • Posted

      WOW!  You're on the right track now.  Hope your good luck continues.  You got through the bad days..............

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    • Posted

      lllerob,

           Thank you for your story sounds like you were in misery, I know what that's all about especially when you in for pain in one area and the first set of doctors tell you that you have fracture and they refer you to Hand Specialist but he never see's what first doctors see, then you go from one diagnosis to another, that's why I finally had a couple of my friends that are doctors look at first x-ray and they saw the fracture and I wonder why the specialist couldn't that's what I never got. So what was the first thing you went in for treatment for your elbow? I went in because of fracture of Intra-Articular Distal Radius Fracture but hand specialist accompanied that with Basil Joint Arthritis and had thumb immobilized and told me no pinching or gripping with the thumb but I used the rest of my hand then it went from that to thinking I had carpel tunnel syndrome, then when the pain went up my arm he said cubital tunnel syndrome, I've got to the point that I don't know what he's talking about or see's for that matter and I wish I could just have my pick of doctors but with it being a workers compensation injury I have to do what they say unless I want to fork out the money outta pocket without using my insurance because if I try to use my insurance for it then they will kick it out because it's a workers comp case. I surely don't have the money to pay outta pocket for anything or I would've already picked my own doctor, because you see I already know that I had Osteoarthritis in my left thumb but the pain I was feeling just didn't feel like arthritis pain it felt different and I have broken my arm before on my left but it was the two bigger bones and that was many years ago when I was a child but this was a scaphoid fracture because I had one of my doctor friends show me on x-ray exactly where it was and after looking at it you can see that it was a hairline fracture about the waist of the scaphoid bone and why the specialst couldn't see it I don't have a clue, but I tried to change doctors after the first or second time I saw him and they said that I couldn't change doctors right then so I didn't say anything else and after a week or so I got an email saying that I could have my second opinion but by that time I just have to wait longer because from what I hear this new doctor is brilliant and will be able to fix what is wrong with me and what makes it worse is that it's not just my hand anymore it's my whole arm and as went into my shoulder and neck so I don't know what is making it do what it's doing but the only one opinion I have is to go through the ER because that's the only way my regular medical insurance will pay for it. I'm just screwed either which way you go. All the extra things started happening to me after the doctor gave me a Cortisone Injection, it was like he hit something that he shouldn't and it has progressively gotten worse ever since.

      What was your initial injury ? was that the reason that you went into a coma ? I would like to know because all the knowledge I have could better my situation somehow maybe. I wish you all the best in your endeavors and I'm glad that you found a doctor to take care of the problem's that you were having and I hope things only gets better for you. God Bless You and thanks for your story...

       

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  • Posted

    My advice is to go to a completely different doctor. If this is not possible go into a free 'ask a doctor' site. You need an opinion that comes from a completely new page, you need to be treated for something!

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