Re: Sudden Hand Pain
- From: "d'huit" <threecedars@xxxxxxxxxxx>
- Date: Mon, 18 Jul 2005 15:29:50 -0700
i second what she said.
kate
"Gwen Love" <cglghl@xxxxxxxxxxx> wrote in message
news:20f58$42dc2448$45491f2b$757@xxxxxxxxxxxxxx
> That is an excellent report to give to your doctor. However, I would
> suggest
> that you have that doctor refer you to a rheumatologist, who is the only
> one
> qualified to deal with arthritis, of which fibromyalgia is a part. And it
> sounds as if the hands and feet problem could also be arthritis.
> Gwen
>
>
> "CASun" <jadams@xxxxxxxxxxx> wrote in message
> news:1121722940.486804.178870@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> I'm new to this forum, though I have had fibrmyalgia since 6th grade.
> I'm now 43, so I am used to the FMS and know how it feels for me. I
> have been off all medications for 5 years, to have a child and now I
> have restorative sleep, since I am an exhausted parent. Who would have
> guessed. I still have problems with eposodic trigger points and pain,
> but less spasming.
>
> Two months ago I developed a new set of symptoms: bilateral hand and
> foot pain. When it got worse and had become consistent, I went to my
> general physician. Since I was having a bad bought of FMS with
> generalized pain, she disregarded my report of a new type of pain.
> Even though hand and foot pain has never been part of my FMS.
>
> That was 5 weeks ago and the FMS attack has completely receded, not so
> the hand pain. It has gotten progressively worse. I would appreciate
> anyone's 2 cents on possible diagnosis, tests to request, symptom
> relief. Has any one experienced a similar onset?
>
> Below is my written summary for my doctor (appt in 1 wk). Let me
> preface it with there being no causative trauma or event. Also the
> hand pain came on gradually but is now constant.
>
> MEDICAL SUMMARY
> Duration: 2-3 months with symptoms increasing in severity. These
> symptoms were noticed prior to a recent severe flare-up of fibromyalgia
> (6 wk duration), were present throughout the flare-up and have not
> improved with the resolution of the fibromyalgia flare-up.
>
> Consistency of Symptoms: The symptoms have been present on a daily
> basis with a couple of periods of slightly improved symptoms. These
> slightly improved periods were only 1-2 days in duration. The symptoms
> have been consistently worsening and having a greater impact on
> functionality and pain levels.
>
> Symptoms
>
> Pain in hands and feet
> Mainly aching with some jabbing sensations. This was my first symptom
> and remains my primary complaint. The level of pain is impacting my
> abilities both at work and home. The hands were affected first and
> remain much more affected than my feet. It is bilateral with the
> dominant hand becoming more severe during day as I use it. It is much
> more severe in the day than the night with use of my hands being the
> triggering agent. At night my hands ache slightly and tend to be
> stiffly curled in my sleep. It is not significantly affecting my sleep
> and I awake refreshed.
>
> The pain is limited to my fingers, hands, wrists and toes. Since my
> fibromyalgia flare-up resolved my pain level in all other parts of my
> body has been minimal. Pain in my hands and feet were never a part of
> my fibromyalgia flare-ups in the past.
>
> Intolerence to temperature extremes in my hands
> A early symptom was an extreme discomfort in my hands when holding
> very cold items (iced water) after less than a minute. This is still
> a major symptom. Recently very hot water has become increasing painful
> and causes short term itching and pain in the skin of my hands. Cool
> and slightly warm water is pleasant.
>
> Stiffness in my hands
> A more recent symptom, but increasing in impact and severity. Some
> loss of range of motion overall but most evident when moving each
> finger independantly rather than all together. Typing is painful. The
> stiffness and pain has significantly reduced the strength in my hands
> for daily tasks, both heavy lifting and opening jars. At rest, my
> hands tend to be stiff and curled.
>
> Swelling in my hands and feet
> A more recent symptom. Moderate visible swelling in both hands and
> feet. This is not related to the time of day.
>
> Medication results
>
> Tylenol is ineffective. Vicoden at low doses is only moderately
> effective. Aleve is the most effective in lowering the pain level and
> increasing functionality. Aleve taken at the start of the day seems
> to improve the level of pain throughout the day. Currently taking 2
> Aleve BID, at breakfast and dinner. At this dose, I have fewer
> occurrences of pain that is not resolved by ceasing the offending
> activity but I still have constant aching with episodes of increased
> pain as I use my hands throughout the day.
>
> Painful Activities
> Any pressure on my hands
> NOT skin sensations (except hot water and icy cold items)
> any movement of my hands or wrists NOT related to position of my joints
> Typing
> Opening door handles
> Holding hands
> Gripping (even very light things)
> Lifting things when holding them with my hands
> Holding very cold items
> Walking (occasionally)
>
> Concerns
> What has changed? What is the cause of my hand pain?
> Suggestions for controlling symptoms short-term
> Diagnostics: How to pursue determining cause and effective treatment.
> Referral
>
>
.
- References:
- Sudden Hand Pain
- From: CASun
- Re: Sudden Hand Pain
- From: Gwen Love
- Sudden Hand Pain
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