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  1. #1
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    Aug 2020
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    Illinois
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    Brief Medical History Overview

    Age: 40, Male, Presenting Problem Since: 10 days, Symptom Behaviour: constant, Aggravating Factors:: Resistance or weight, No Investigations, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: No

    Major problem / Symptomatic Areas

    Wrist, Hand - Posterior - Right

    Ulnar deviation wrist motion causes acute hand pain after injury.

    Physical Agents In Rehabilitation
    Hello,

    I have had hand pain for 10 days after falling up the stairs and catching my weight on the upper palm of my right hand, it bent my had backwards a little to much I think, and my doctor cannot get me in for 5 weeks.

    The facts:
    I have used Ibuprofen 400mg twice a day along with ice for treatment.
    The pain only presents when I try to open a jar or hold any weight in a pouring motion, like pouring out orange juice from a gallon jug.
    The pain is intense and acute on the posterior right hand and is located in the center of the hand between the extensor tendons of the middle and ring finger.
    All other motions seem to feel fine it is only when I place weight or resistance on the hand while in a ulner deviation motion. For example I can hold 5 pound weights in a hammer curl position with no pain.

    Any ideas on what I have injured here and how I can treat from home over the next 5 weeks until I see the doctor?

    Thanks in advance.

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  2. #2
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    Re: Ulnar deviation wrist motion causes acute hand pain after injury.

    Aircast Airselect Short Boot
    Hi polisasimo,

    From what you said it seems like you had a FOOSH (fall on an outstretched hand) injury pattern. This generally causes a variety of injuries, ranging from soft tissue damange to bone fracture.

    An X-ray may be beneficial to rule out fractures.

    From the little information you provided, it also seems plausible that the triangular fibrocartilage complex (TFCC) may be involved. This is justified by the pain during ulnar deviation.

    I think that a physical examination is essential to better clarify your case.

    Rest and ice is what I would do if you can not have any medical advice in the short term.

    Let us know how your situation evolves.

    Regards



 
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