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» LymeNet Flash » Questions and Discussion » Medical Questions » Lymebrat: regarding Derek's hand/joint pains

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Author Topic: Lymebrat: regarding Derek's hand/joint pains
Deb
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Hi Missy,

In regard to Derek's joint pains in his hands due to Lyme Disease, I was wondering if a consult with an orthopedic might be worth while?

Early in my treatment for Lyme Disease my orthopedic prescribed splints for both my hands due to the extreme pain I was experiencing.

These splints given to me by the orthopedic were better than what is available at drug stores. My splints actually have a metal bar within the splint that supports the bottom side of my wrist and palm of my hand. It virtually is like wearing a cast.

The purpose of the splints is to rest my hand joints when they are painful. Thus, I was told to wear them at bedtime each night. Should my hands become painful during the day, I was instructed to wear them on those days.

This really has helped tremendously. I rarely wear them during the day now. I have found that just wearing them a couple of hours during those days that were painful seemed to give me enough relief to go the rest of the day without them. Currently I do not need to wear them nightly, but tend to wear them just as the need arises. This took almost a year of wearing the splints nightly before I just needed them now and then.

Resting painful joints is commonly used approach with arithritic joints. However, the goal is to only rest the joint for brief periods of time, not to immobilize the joint which can lead to muscle weakenesses etc.

Best wishes - Debbie/RI

[This message has been edited by Deb (edited 24 August 2005).]


Posts: 162 | From RI | Registered: Aug 2003  |  IP: Logged | Report this post to a Moderator
lpkayak
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the ortho docs couldn't help my hands at all until my thumb arthritis reached level 3 and required surgery. with abx and toxin treatment all my other hand pain has gone away. the splints never helped me-but i may have been using them wrong. they made me worse-gelled up. good luck. (also-i always felt like my hand and foot pain were similar with lyme. when my son was 3 he had severe foot pain that went away with abx)
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Deb
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I agree that antibiotics need to be continued. However, I figure that if something as simple as hand splints to rest the joints might aid in attaining some relief, than it is worth a try.
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Lyddie
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I wrote somewhere in a response to Lymebrat, recently, that a splint really helped my daughter in a similar situation.

Her OT (specializing in hands)custom made it on the spot. She wrapped some sort of waxy stuff around the arm/wrist/hand and made a mold, I think, then baked something in that shape, so it fit perfectly.

Even as she got better, she still used the splint for writing, until she was totally recovered.

Of all the things we did during that period, the splint was perhaps the most helpful (besides antibiotics). Exercises helped too.

I forget if it was the orthopedics guy or the rheumatologist who referred her to the OT. I think it was a rheumatologist. A Lyme doctor could refer also...

[This message has been edited by Lyddie (edited 24 August 2005).]


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Deb
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Hi Lyddie,

My husband was sent by our orthopedic to have those very splints made for his hand. He actually did not like wearing it because it made him sweat more. We even lined it with a cotton, wide weave fabric. So he chose to wear a hand splint that he could loosen up but still get the support from.

Having splints for my hands really did and still does help when things flare up. It is worth trying since it is non-invasive and relatively inexpensive.

In my husband's case he is in need of a wrist fusion. However in my case, I am not in need of surgery but pain relief. Thus, the splints were of help. I am happy to hear that your daughter too received benefit from wearing a splint.

I truly can empathize with Derek's pain and I hope this thread and your's Lyddie might be of assistance for little Derek.

Please keep us updated Missy.

Best wishes-Debbie/RI


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Aniek
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Deb mentioned this, but I want to make sure it is clear. Do Not Use Braces to Immobilize the Hand and Wrist!

I was misdiagnosed with tendinitis and put in wrist braces for months. I had muscle atrophy because I was told to not use my hands and wrists, but to let them heal.

My pain was so much worse because of this. I lost the use of my hands for about a year.


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HaplyCarlessdave
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I had one of these splints when recovering from a nasty hand injury, after they took the cast off. It was mainly to remind me not to do anything that would risk re-breakinf it, as it was still not fully repaired, but I was able to start physical therapy.
I can imagine lyme might weaken joints, so the splint could be a good idea in somes cases. And yes, the ability to completely rest it several times a day may enhance healing.
But for me, with lyme, the worst thing would be to completely immobilize. The more I did, the better I got. up to a point-- totally different than other bouts of arthritis I've had- in hands (from overuse getting ready for concerrts --too much of one kind of motion).
So you definitely want to move, but keep it controlled and be careful. Physical therapy will probably help, if you can swing it. It can do wonders, if you find a good therapist.
DaveS

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Deb
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Aniek, that sounds like a terrible, avoidable experience. I hope things are better now for you now and that you have attained full range of motion of your hands as well as no longer being in pain.

Thanks for reiterating the importance of not immobilizing the hands for long periods of time.

HappyC.D. - I agree that the use of the splints, if recommended by the doctor, should be just for short periods of resting the joints. I guess when it comes to keeping the use/mobility/strength of joints the old saying goes something like this, you lose what you don't use, so keep it moving.

Debbie/RI

[This message has been edited by Deb (edited 25 August 2005).]


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Aniek
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I also found that some use of my hands reduced pain. In particular, typing in a good ergonomic setting helped. I think it relaxed the fingers.

I worked with a feldenkrais specialist who says "when moving comfortably, muscles relax."

I'm always amazed they try to take my Dr.'s license away, but they wouldn't dream of going near the guy who gave me Vioxx, told me to wear splints all the time, and when the pain got worse told me to consider a new career (at age 28!).


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Deb
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Aniek - I am unfamiliar with what a feldenkrais specialist is. Could you please explain?
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Lyddie
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Just to clarify, the waxy splint the OT made my daughter was open on one side, with straps. It came on and off really easily.

She used it almost all the time for a couple of weeks, and then just for activities like handwriting that required a lot of support. So she then sort of weaned off of it gradually. Even months later, she would use it if she had pain, just for a few hours.

It was also in a kid-friendly cool color, which she could choose!

BTW playing classical guitar has helped her hands a lot and kept them healthy, we think.

If only my typing would do the same for me...I had to retype this post due to all the typos and reversals!

[This message has been edited by Lyddie (edited 25 August 2005).]


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Meg
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Missy~~I agree with all the above, especially keeping up with abx.

If he has tendonitis/carpal tunnel, extra B-6 with the usual B vitamins does help with my thumbs.


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lymebrat
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Hey Everyone,

Thanks for all the advice. Our appointment for today, was moved to tomorrow morning, so I will be sure to mention this to the OT, if she doesn't bring it up first.

She is talking about putting him on a 504 health plan and getting him a laptop computer to use in the classroom, instead of writing when his hands are in pain.

Derek is very skeptical about the laptop, as he said kids will pick on him and call him stupid as they will think he is too stupid to write.

It really stinks that kids can be so mean.

We plan on talking it over with the OT tomorrow and get her take on it.

I also have a meeting at the kids school tomorrow afternoon for Mikayla's health care plan for her diabetes..I have been so busy trying to get everything together..

Thanks again and I'll stop by tomorrow night and let you all know how it went.

~Lymebrat


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Lyddie
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Missy, I met with my son's college yesterday and I meet today with our school about my daughter's diabetes, adrenal problems, and headache.

This time of year is always stressful. I hope that you have a really good meeting about Mikayla today, one that makes you feel confident and safe on her behalf.

Good luck with Derek too. The other kids get used to things that are unusual (whether meters ir laptops) pretty quickly and deep down they will respect Derek (and MIkayla) for how they handle what they have to handle


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Aniek
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quote:
Originally posted by Deb:
Aniek - I am unfamiliar with what a feldenkrais specialist is. Could you please explain?

Feldenkrais is a method of learning how to use your body to reduce stress and pain. It never helped me, but I worked with a practitioner before the lyme diagnosis. In reality nothing helped reduce the pain until I started muscle relaxers, because the infection would cause so much inflammation of my shoulder and back muscles. That was the root cause of my hand pain.

There is a link to info below:
http://www.feldenkrais-resources.com/backgroundinfo.htm


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