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Micks
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Click here to see the profile of this user 		Scapholunate Weakness - 2008/07/18 22:33 I’d like to start off and say this site is an amazing resource! I’m glad I found it.


Hello,

I'm a 22 year old electrician and have been suffering from right wrist pain since December 06 and as a result been on and off work since.

Due to RSI and Tendonitis injury, I’m Experiencing clicking and cracking in wrist (when doing physio exercise no pain really), and a lot of pain in the scapholunate region when bending wrist back and down. I don't dare do push ups, surf, fish or gym.

I had seen wrist Specialists and an array of physios. I've previously had 2 quaterzone injections, had ultrasounds, bone scan, and MRI. These seem to be normal and nothing to mention apart from a very small cyst that can be left alone.

I encounter pain from doing small things like bending my wrist forward and back and a little bit side to side, but most of my pain is when I try do push ups.

Recently had an arthroscopy which I think has made the pain worse, in a certain area. Arthroscopy revealed Grade 2 weakness in the ligament between
Scaphoid and Lunate. Surgeon couldn’t put the probe in and separate bones, but could push it in a little, so there is some weakness. Everything else seems fine.

I cop a fair amount of pain most of the time, physio doesn’t seem to help.
It’s been 18months, my career is suffering.


What are your thoughts?

Would anyone have any advice for me,
Any Doctors or physios you can recommend? (I’m in Sydney.)


Thanks Heaps
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Scott_1984
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Click here to see the profile of this user 		Re:Scapholunate Weakness - 2008/07/18 22:54 Welcome Mick

This websites real cool & useful & its owned & run by Karl Dean

As you can see I run 2 forums on here

It sounds like your suffering from Carpal Instability & sadly there's not much that can be done with soft tissue wrist injuries after 6 - 8 weeks

Consultants will often be very careful in the feild of Carpal Instability & we try the basics first:

Twice a day hand, wrist, finger, Physiotherapy & Strengthening Exercises,

Wrist Splint/Wrist Brace,

Painkillers, (Paracetamol & Codeine),

Non-Steroidal Anti-Inflammatory Drugs (NAIDs),

Hot & Cold Therapy,

Ice-Packs,

RICE, (Rest, Ice, Compression, Elevation),

Wrist Arthroscopy (Triming Cartalige, Diagnose, Ect),

Wrist Surgeries (Limited Wrist Fusion, Full Wrist Fusion, Ligament Tightening Operations, Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability),

No Wrist Surgery or Diagnose.

Post edited by: Scott_1984, at: 2008/07/19 00:20
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Scott_1984
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Click here to see the profile of this user 		Re:Scapholunate Weakness - 2008/07/18 23:35 Mick you might to see your Consultant & talk about having this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability,

As it appearently has a great/excellent success rate for minor - milder Carpal Instability in the wrist/s.

Although I have suffered from Mid Carpal Instability/Palmar Midcarpal Instability (Wrist Instability/Carpal Instability) since: 13-10-2002 & had 2 wrist operations,

I am due to have this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability, next Thursday.

As the surgeon wants to delay any limited or full wrist fusions on my left hand/wrist, due to how young I am & there's no harm in having this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability.

Julie has MCI/PMCI & She just had this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability, done a few months back this year,

& there seems to be some improvements/changes in the level of pain, discomfort, movements, ect.

I am sure Julie would be happy to talk to you.

Julie was really glad to find this website, & so was I

I don't know much about surgeons in Sydney, But there are some great Surgeons & Physiotherapists,

So I've heard in Australia/Sydney,

One Physiotherapist is known as: Andrea Bialocerkowski & there's another one who helped Mr. David M Lichtman from America in 1981 to make a Mid Carpal Instability Splint,

When he visited David M Lichtman in America in 1981 I believes.

Post edited by: Scott_1984, at: 2008/07/19 00:17
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Scott_1984
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Click here to see the profile of this user 		Re:Scapholunate Weakness - 2008/07/19 05:36 Hiya Michael, try some of these websites for more information on Consultant Orthopaedic & Trauma Hand & Upper-Limb Surgeon's or where to find them.

http://www.aoa.org.au/surgeons.asp & http://www.so.com.au/referral.htm

The Sydney Hand Surgery Clinic (SHSC): http://www.sydneyhandsurgeryclinic.com.au/about_us.asp

The Sydney Hand Specialist - Injury Update Forum: http://www.injuryupdate.com.au/forum/showthread.php?t=380 & http://www.injuryupdate.com.au/about_us.php

The Sydney Hospital Hand Unit provides a comprehensive elective and emergency service for all hand and wrist disorders within South East Health: http://www.sesiahs.health.nsw.gov.au/sydhosp/services/handunit.asp & http://www.sesiahs.health.nsw.gov.au/sydhosp/services/physiohand.asp &

The Australian Hand Surgery Society: http://www.ahssociety.org.au

The Australian Orthopaedic Association: http://www.aoa.org.au/visitors.asp

The Australian Hand Therapists: http://www.ahta.com.au

The Independent Physiotherapists Australia (IPA): http://www.1300physio.com & http://www.1300physio.com/aboutus.html

The European Federation of Hand Therapy: http://www.eurohandtherapy.org/links.html

Always seek an: Consultant Orthopaedic & Trauma Hand & Upper-Limb Surgeon.

Hope The Above Websites help
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