6 week post injection update

Ian P
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Dear Dr Bland

The injection was in the left hand only, administered on 27th April 2013 at Deal hospital. I continued to wear the splint for a further week as advised. After which, I have had no symptoms in BOTH hands. Unfortunately, I was almost immediately diagnosed with a frozen shoulder but I don't expect this to be connected.
How often would you like me to report my condition?

Thank you

Ian

jeremydpbland
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Thanks for the report - curious how treating one hand sometimes seems to affect the other. It happens with both injection and surgery sometimes. I agree there is unlikely to be any link with frozen shoulder... and you are welcome to report progress here as much or as little as you like but the most important think is just to reprt back in when it starts to become a problem again rather than ignoring it. JB

Ian P
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Dear Doctor Bland

The symptoms are returning to both hands, although only mildly, while relaxing at home and at night. I am able to work as a mechanical engineer, using machinery and hand tools as normal without any adverse reaction. As it is no great problem to me at present I am happy to wait and see how things go. What do you recommend?
It seems this time I am noticing it first in the right hand which is the opposite to original symptoms last year.

Regards

Ian

jeremydpbland
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I don't think anyone really knows what to recommend in this situation. The treatment options remain (re)injection or surgery and we don't know whether it is better to do either of them early (as soon as symptoms start to relapse) or late (wait until it's a serious nuisance again). My feeling is that, if you are going to try again with injection then it tempting to re-inject early whereas if you are going to opt for surgery then the timing is probably more determined by when it is convenient to take the couple of weeks off to recover from surgery. What do you think? JB

Ian P
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I would opt for another injection but would like to see how the CTS progresses because it is very mild at present. IP

jeremydpbland
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Just let us know when you want it doing then - but don't grin and bear it until it gets worse than it was originally. JB

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