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The buzzing sound of the cast saw marked the beginning of the next phase in his wrist reconstruction project. With the removal of my husband's cast, all attention shifted away from the surgeon (whose job was done) to the hand therapist whose job was just beginning. Although, a question will always remain in my mind: Was that cast really necessary? Some research studies have come to the conclusion that early immobilization is not necessary following a proximal row carpectomy (PRC). But after seeing what my husband went through, I'd say that the cast certainly did help, if only to protect the surgical site while some healing took place and to prevent him from doing too much. As soon as that cast was removed, my husband noticed the vulnerability of his new hand and wrist immediately.
He experienced some initial swelling and increased pain in the first week without the protective cast. Fortunately, the topical anti-inflammatory , Pennsaid , helped keep those symptoms to a minimum. Th...
Alternative Names Pain - wrist Prevention To prevent carpal tunnel syndrome: Adjust your keyboard so that you do not have to bend your wrist upward while typing. Take frequent breaks from activities that require wrist movement. Work with an occupational therapist. To prevent gout attacks: Limit alcohol. Lose weight if you are overweight. Drink plenty of water. Eat lower amounts of liver, anchovies, sardines, and herring. Your doctor may prescribe medication. References Swigart CR. Hand and wrist pain. In: Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB, eds. Kelley's Textbook of Rheumatology . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 44. Wright PE II. Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale ST, Beatty JH, eds. Campbell 's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 73. Mercier LR. The forearm, wrist, and hand. In: Mercier LR, ed. Practical Orthopedics . 6th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 7.
Q. I’ve just been diagnosed with lymphedema. What are the treatments like? A. Depending on the seriousness of your case, treatments can range from a simple hand massage, exercises, and instructions to keep your arm elevated for a portion of each day; to daily hours-long treatments for several weeks, followed by wearing a wrist to shoulder elastic sleeve, potentially for life. In other words: HUGE possible range of treatments. You won’t know what YOUR treatment will be like till you see the physical therapist or lymphedema therapist for the first time. However, you can hazard a guess, based on how much swelling you see and feel in your arm/chest area: the greater the swelling, the more advanced the lymphedema probably is, the longer-lasting the treatment will be. Q. So, let’s take a middle-of-the-road scenario, just as an example. What might that look like? A. At your first visit, the PT will measure both arms very carefully, taking their circumference ...
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