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TOPIC: Mid Carpal instability

Mid Carpal instability 9 years 10 months ago #29338

Hey,

I suffer from mid carpal instabililty too.

I have had it for about 4 years now i had an operation which didnt work.

I have it in both of my wrists so find daily chores difficult sometimes.

The surgeon who did my operation told me it wouldn't get worse,

But I feel like it is getting worse. I found it hard to pull a christmas cracker today!

I just want to know what I should do?! will it get worse with time?

My left wrist is worse than my right and the bones in My left wrist move around quite freely.

I would just like to know what i should do!

Please help!

Thanks

Adie<br><br>Post edited by: Scott_1984, at: 2009/12/29 04:17

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Re:Mid Carpal instability 9 years 10 months ago #29340

  • tonypark
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Hi Adie....

My mother had a Mid Carpal operation about 6 years ago when she was in her 70s..

It has been a complete success and with little to no reaction.

She was told that the physio after-care was really important in improving recovery.


:) All the best xx Tony ;)<br><br>Post edited by: Scott_1984, at: 2009/12/29 04:19

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Re:Mid Carpal instability 9 years 10 months ago #29354

Hi Adie :)

Mid Carpal Instability (MCI) can be very complex for the consultant orthopeadic & trauma & hand upper-limb surgeon/s,

Some debate its not a disability, condition, &/Or a problem, & They say MCI is in Your head or a party-trick, or You've got hyper mobility syndrome, & These Consultants are often lazy & lack knowlodge, & State X-Rays & MRI-Scans reveal no instability patterns or arthritis, & They therefore see no problems, But most Wrist Instability Patterns at the being is Dynamic & Therefore will never show up on Stand Plan X-Rays, MRI-Scans, It can take serval weeks, months, & Even sometimes many years for Static Wrist Instability Patterns to show up on plan X-rays & MRI-Scans,

When Wrist Instability is in the early diagnoise, You Consultant has to relie on Special Test X-Rays & MRI-Scans, But mainly The Consultant has to relie on \"PHYSICAL TESTS & EXAMINATIONS OF THE FINGERS, HAND, WRIST, ARM, ELBOW, SHOULDER, NECK\" \"AND TAKING A DETAILED HISTORY\".

Each Wrist Instability Pattern will be dealt differently by each Consultant, An Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, Will always try to be honest with there patients & explain that MCI is Complex & Serious, & Will in its self bring rise to complactions,

That might include the mci being ignored for years, referred from Doctors, Consultants, Hospitals, Physiotherapists, & Being let done, etc.

But once Your in the hands of a Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, Will always try to be honest with there patients & explain that MCI is Complex & Serious, & They will often advise twice a day physiotherapy finger, hand, wrist, arm, strenthening exercises, followed by 6 - 8 weeks in a wrist splint/brace, hot & cold therapy for pain & swelling, Painkillers & NSAIDs, Then followed by Special Stress X-rays, The best MRI-Scanners, Physical Examinaton of both sets of fingers, hands, wrists, arms, elbows, shoulders, both sides of the neck, (This is to rule out hpyer mobility snydrome),

Once all these tests have been studied & If after 6 - 8 weeks in a wrist splint/wrist brace, twice a day physiotherapy finger, hand, wrist, arm, strenthening exercises, Painkillers & NSAIDs,, hot & cold therapy, Has not helped with the Wrist Instability Pain, Discomfort, Clicking, snapping, clunking, popping,

Then The Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, Will discuss optitions, So of which will be try to live with the mci for life without any operations, Or discuss many operations,

They often will not ccarry out a limited or full wwrist fusion on young people, Sometimes not on people in there 70's,

So young people are often left with living with the mci for live without wrist spints/wrist braces, hot & cold therapy for pain & swelling, Painkillers & NSAIDs, & Then carrying on with twice a day physiotherapy finger, hand, wrist, arm, strenthening exercises, for life,

Or live with the mci & Carry on with all the above for live & Without Any Wrist Stablizing Operations, & Carry on with wrist spints/wrist braces, hot & cold therapy for pain & swelling, Painkillers & NSAIDs, & Then carrying on with twice a day physiotherapy finger, hand, wrist, arm, strenthening exercises, for life, (You'll Always Be told Not To Over Use the Wrist That Has MCI, But At The Same Time To Also Never Stop Using The MCI Wrist Either),

Young often will only be given the following standard stabilizing mci operations:

* Wrist Arthroscopy *

* Ligament Tightening Operation & May Use K-Wires To Fix/Stablize A Few Unstable Carpal Bones For Few Weeks, While In Wrist Cast For 3 Months or So *

* Arthroscopic Thermal Capsulorrhaphy for Palmar Midcarpal Instability *

All those mci stablizing wrist operations do not carry any sort of Guarantee of ever working to stablize the carpal bones or being a life time fix for Pain & Discomfort, & After the go ahead You must continue with wrist spints/wrist braces, hot & cold therapy for pain & swelling, Painkillers & NSAIDs, & Then carrying on with twice a day physiotherapy finger, hand, wrist, arm, strenthening exercises, for life.

Most of those 3 standard wrist operations for mci can be hit & Miss, Depending on the level of the carpal instability patterns & Other complactions, Such as developing RSD/CRSP, Or other nevere damge, or carpal tunnel syndrome, & So on can all effect the outcome of such an mci stablizing wrist operation, & Were to go if the above treatments have failed, etc,

All though any of the above 3 opertions could last for years, They often will need a limited &/Or a full wrist fusion, Which most Suregons refuse to carry out on the young, Let alone the old,

Those who get a limited &/Or a full wrist fusion are often luck, But still have to carry out physiotherapy & May need splints, aids, & painkillers, But in the long furture & depending on your job/s & hobbies, the limited or full fusion could later out added pressure on the joints that are now supporting the wrist with the plate or someing the size of a fifty penece holding the carpal bones together, & Some develope RSD/CRSP, Carpal Tunnel Syndrome, Other nevere damage,

&

Then if You get other disabilities/conditons on top of Your already Pianful MCI, & Other outside factors, The Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, May no longer want to go ahead with a Your best opition/s of a successfuk out come & More use from Your wrist, & Decide its to risky to go ahead with an limited &/Or full wrist fusion to stablize the carpal bones & Even though its Your best shot, They won't go ahead with it, So Your stuck or left to Struggle on.

I Suggest Pain Managerment too.

Adie You might want to chat with Myself, Julie, & Ryan, @ www.ablehere.com/component/option,com_jo...iew/id,2097/catid,47 & www.ablehere.com/component/option,com_jo...ew/id,15798/catid,47

They might be able to discuss about there views/opinions on mci & How they've been treated, etc.

You can read Micks thread, Sadly His not been on Ablehere.Com in ages & I am slightly worried about Him, As the last time we spoke, He seemed very depressed/low, His thread @ www.ablehere.com/component/option,com_jo...iew/id,5675/catid,47

My Website/Story Can Be Found At: reynolds1984.multiply.com

&

For places to go for informaton on: Wrist Instability, Carpal Instability, Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) & By Many Other Names, Visit My Online Support Group For MCI/PMCI, RSD/CRSP 1&2, & Other Upper-Limb DisaBilities, Visit: wristinstability.multiply.com

Hope this helps & Sorry for typing, spelling.

Sounds like Tony Your Mum had a good outcome :)

Scott

Take Care & Take It Easy :)

Happy Holidays :)

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Re:Mid Carpal instability 9 years 10 months ago #29355

tonypark wrote:

Hi Adie....

My mother had a Mid Carpal operation about 6 years ago when she was in her 70s..

It has been a complete success and with little to no reaction.

She was told that the physio after-care was really important in improving recovery.

:) All the best xx Tony ;)<br><br>Post edited by: Scott_1984, at: 2009/12/29 04:19


Hi Tony :)

May ask what type of MCI Stablizing Wrist Operation She went under?.

Was She under an Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, Or was She under another type of Consultant Surgeon &/Or An General Consultant Surgeon?.

How long was it before The MCI had been diagionsed, Before they operated?.

Was She at point told The MCI was in Her head, A Party-Trick, Been there all Her life & She'd never noticed it &/Or never caused Her Pian, Discomfort, Disability, Or Any point suggest She had hyper mobility snydrome?.

Was She treated first through 6 - 8 weeks in a wrist splint/wrist brace, with physiotherapy, painkillers, ect, While MRI-Scans & Stress X-Rays & Physical Examinations were taking place, Or did they \"JUMP STRAIGHT INTO SURGERY BECAUSE OF HER AGE & WRIST DISABILITY\"?.

Were they any signs of arthritis in the hand/wrist.

Was She told any MCI Stablizing Wrist Operation Doesn't Equal A Cure/Fix, But Might Help For 8 - 10 Years, Depending On The Type Of Wrist Operation Carried Out.

Sorry for type o' s & Spelling mistakes :(

I am looking forward to hearing loads of replies from The Ablehere.Com Group/Family,

As I Know We As An Online Group/Family On: Ablehere.Com We Have A Few Mid Carpal Instability Suffers From All Around The World & Diffent Ages & Sexies,

So Adie, You Should Find Alot Of Help, Advice, & Support, & Understanding & Knowledge In Mid Carpal Instability (MCI)Palmar Midcarpal Instability (PMCI) & Wrist Instability/Carpal Instability Suffers & Support From Patients/Suffers.

Take Care & Take It Easy :)

Scott (Scott_1984) :)

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Re:Mid Carpal instability 9 years 10 months ago #29356

adie 582 wrote:

Hey,

I suffer from mid carpal instabililty too.

I have had it for about 4 years now i had an operation which didnt work.

I have it in both of my wrists so find daily chores difficult sometimes.

The surgeon who did my operation told me it wouldn't get worse,

But I feel like it is getting worse. I found it hard to pull a christmas cracker today!

I just want to know what I should do?! will it get worse with time?

My left wrist is worse than my right and the bones in My left wrist move around quite freely.

I would just like to know what i should do!

Please help!

Thanks

Adie<br><br>Post edited by: Scott_1984, at: 2009/12/29 04:17


You should always seek an Exprinced Consultant Orthopeadic & Trauma & Hand Upper-Limb Surgeon/s, & Some one to one Physiotherapy Sessions, hot & cold therapy, & Wrist Splint/Wrist Brace For 6 - 8 weeks, Followed by advice on weather to continue wearing the wrist splint/wrist brace.

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Re:Mid Carpal instability 9 years 10 months ago #29357

Hi again Adie & Ablehere.Com Group/Family :)

It also sounds like from Your Penpal Blog type thing, That You could also be suffering from hyper mobility snydrome, & I believe You shoud ask if You'll benefit seeing An \"HYPER MOBILITY SNYDROME SPECIALIST & PAIN SPECIALIST\"

\"AS THEY MIGHT REFER YOU TO SPECIAL PHYSIOTHERAPY STRENTHENING EXERCISES & HELP PAIN MANAGERMENT TECHQUIES, & SO ON\"

Julie maybe able to advise on Hyper Mobility Syndrome.

This NHS Hopsital Offers Pain Managerment - General: www.nhs.uk/ServiceDirectories/Pages/hospital.aspx?id=RBT20

&

Full Lists At: www.nhs.uk/ServiceDirectories/Pages/trust.aspx?id=RBT&v=1

I'm amazed they have there own hand/wrist only clinics in orthopeadics & Even Elbow Only Clinics IN orthopeadics, I've not come across that before, LOL :P

www.ablehere.com/index.php?option=com_bookjoomlas

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Re:Mid Carpal instability 9 years 10 months ago #29359

  • tonypark
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Hi Scott...To be honest ,I wasnt too involved at the time apart from hospital delivery and collection.....and the usual son duties.....She has had Dementia for past three years and no chance of asking her ;)

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Re:Mid Carpal instability 9 years 10 months ago #29360

tonypark wrote:

Hi Scott...To be honest ,I wasnt too involved at the time apart from hospital delivery and collection.....and the usual son duties.....She has had Dementia for past three years and no chance of asking her ;)

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Oh ok, Thanks anyway tony :)

Sorry to hear about Your Mum's dementia, *HUGS*

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Re:Mid Carpal instability 9 years 3 months ago #30821

adie 582 wrote:

Hey,

I suffer from mid carpal instabililty too.

I have had it for about 4 years now i had an operation which didnt work.

I have it in both of my wrists so find daily chores difficult sometimes.

The surgeon who did my operation told me it wouldn't get worse,

But I feel like it is getting worse. I found it hard to pull a christmas cracker today!

I just want to know what I should do?! will it get worse with time?

My left wrist is worse than my right and the bones in My left wrist move around quite freely.

I would just like to know what i should do!

Please help!

Thanks

Adie<br><br>Post edited by: Scott_1984, at: 2009/12/29 04:17


Hi Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) Suffers & Reflex Sympathetic Dystrophy\Complex Regional Pain Syndrome 1&2 (RSD/CRPS 1&2) & The 3 Stages/Phases Of RSD/CRPS 1&2 Suffers,

Its Me again & Just remembered I had found this USA Legal Firm Years Ago Through Doing My Mid Carpal Instability & Wrist Instability Searches & Legal Cases Too.

Mid Carpal Instability: www.hickeylawfirm.com/html/injuries.html?submit=

Arm, Hand, Wrist, Elbow, and Shoulder:

Arm, hand, wrist, elbow, and shoulder injuries can be the result of fractures, ligament damage, carpal tunnel syndrome, sprains, nerve damage, or muscle problems. Causes of these injuries include repeated job duties (carpel tunnel syndrome), car accidents, sports accidents, work-related accidents, and falls.

The wrist is one of the most complicated joints in the body. The hand is at the top of this joint. In the hand, the bones in the finger meet at the carpal bones. This is a series of eight bones arranged in two rows that articulate - that is, move in relation to - the lower arm bones, the radius and ulna. The lower arm bones, the radius and ulna, move in relation to each other. If the distal end of one those bones, that is the end farthest away from the shoulder, is fractured, it may alter the way the two bones move about each other, and thus, may alter the range of motion and general ability to move.

The Legal Team at Hickey Law Firm, P.A., is experienced with handling many severe hand, wrist, and arm injuries. These injuries have included mid-carpal instability caused by ligament damage to the mid-carpal ligaments in the right hand of a chiropractor who had tripped and fallen onto his hand (resulting in a settlement of $650,000). In that case, the plaintiff received only one surgery, a pinning of two of the bones in the hand. That did not work. There is no type of surgery to repair the ligaments that result in mid-carpal instability. This is instability between the two rows of bones that sit at the top of the forearm bones, radius and ulna, and below the finger bones. This instability resulted in popping of the arm bones whenever the plaintiff moved his right hand and an inability to put weight or pressure on his hand. This is a permanent injury and has caused the plaintiff, a chiropractor, to lose substantial income in his practice.

www.hickeylawfirm.com/html/injuries.html?submit=

&

RSD/CRPS: www.hickeylawfirm.com/html/injuries.html?submit=

We also have been involved with a case in which a restaurant allowed a booth to remain in disrepair. The booth had a hole in the seat. When the Plaintiff put her hand on the seat to slide over, her hand thrust into the hole and onto the edge of a slat underneath the seat. That slat, without breaking the skin, tore or severed the scapho-lumate ligament. That is the ligament that holds together the two bones that are the cornerstone of the bones in the hand, the scaphoid and the lunate bones. Various surgical repairs were attempted on this very serious injury, mostly without results. Our client also suffered Reflex Sympathy Disorder (RSD), which caused her hand to swell, become reddened and mottled, and to be sensitive to both heat and cold. The RSD was treated with 11 nerve block injections. Our client underwent five separate surgeries, three of which were fairly minor. The last surgery was a fusion of her right wrist. Our client was an accountant and now is a part-time bookkeeper and lost income. This case resulted in a jury verdict of $1.733 million.

So In America Thanks To Mr. David Litchman & Other American Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeons Bring Both Mid Carpal Instability & RSD/CRPS To Light World Wide & In America.

Take Care & Take It Easy :)

*HUGS*

Scott :)

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Re:Mid Carpal instability 8 years 6 months ago #35190

I Have Finally Today Sent Off A Few E-Mails To My Local Labour MP - Mrs. Meg Hilier & Her Key Staff/Team For Hackney South & Shoreditch & Shadow Secretary Of State for Energy And Climate Change Teams/Staff

&

The Department Of Health & The British Society for Surgery of the Hand (BSSH), Seeking Where I Can Obtain NHS & Private Hospitals STATS/RECORDS On Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI)

&

Could You Please Kindly Ask:

The National Institute for Health and Clinical Excellence (NICE),

The British Medical Association (BMA),

The British Society for Surgery of the Hand (BSSH),

The British Orthopaedic Association (BOA),

The British Orthopaedic Research Society (BORS),

The British Orthopaedic Specialists Association (BOSA),

The British Trauma Society (BTS),

The British Orthopaedic Sports Trauma & Arthroscopy Association (BOSTAA),

The British Orthopaedic Trainees Association (BOTA),

The British Society for Children’s Orthopaedic Surgery (BSCOS),

The British Limb Reconstruction Society (BLRS),

The Royal College of Radiologists' (RCR),

The Chartered Society of Physiotherapy (CPS),

Asking Them What They Are Doing To Train Thier " Staff/Hospitals/Consultants/Doctors/Nurses/Radiologists/Physiotherapists " In Diagnosing & Treating " Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI), Carpal Instability, Wrist Instability, ".

Its Taken Me Months To Deal With It, I Am Hoping To Get Some Good Facts,Stats, & Records, On Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) & How To Treat It,Diagnose It, & All Kinds Of Advice.

To Date The NHS Wesbite Doesn't have Any Information Or Advice On Mid Carpal Instability (MCI)/Palmar Midcarpal Instability, Although There asn't NHS Advice On: Reflex Sympathetic Dystrophy\Complex Regional Pain Syndrome 1&2 (RSD/CRPS 1&2) & The 3 Stages/Phase Of: Reflex Sympathetic Dystrophy\Complex Regional Pain Syndrome 1&2 (RSD/CRPS 1&2), Until 2007 On The NHS Website.

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