Return of symptoms

Dear Emma,

I hope this email finds you well.

The last injection in the right wrist has worn off. I now find that I am symptomatic most of the day and am woken up every night with the discomfort.

Tingling sensation has increased in thumb and three fingers with more discomfort in the palm.

I think the time has come to take the option for surgery to relive the symptoms. I am concerned about the recovery period and would like some information as to what I can and can’t do following the procedure.

I look forward to hearing from you.

Regards,

Paget Silvester

Symptom Severity Score

Hi, I submitted a new symptom severity score on the 15th January 2018 and was just checking up to see that you have received it. Thanks.

Steroid injection follow up

Dear Dr Bland
I have completed another online questionnaire following my injection on 18/12/2017.
My sleep is greatly improved which is wonderful, thank you.
I had some "twanging"sensations on using my left hand in the weeks afterwards. At present I get mild numbness quite often during the day but this is nothing to the pain numbness and tingling I was getting before this second injection. I also feel my grip has improved a little in my left hand.
I know have an appointment to see an orthopaedic surgeon regarding the triggering middle finger of my right hand.yours sincerely Bozy

2weeks after steroid injection

I had a steroid injection on 18th Jan, used a splint for 4 nights and so far have not had any night time pain and pins & needles, I only have an occasional dull ache at the base of my thumb which is easily ignored. So far so good.

Week after injections

Hello
Is it normal to still be experiencing pain and pins and needles a week after please ?

2 months on

re-done questionaire,no after affects from injections and at the moment still no trouble.

Pins and needles

I came for a consultation on 26/10/17 and had a steroid injection in my right wrist, I have started back at work this month since returning from maternity leave and I am experiencing a lot of pins and needles and loss of feeling in my fingertips.

I was offered an operation in October which I declined as I wanted to see if the steroid injection would work first.

As it seems the injection is wearing off, please could I make arrangements to have the operation completed?

Symptom Severity Score

Thanks for the email. I did a Symptom Severity Score on the 15th January and just wanted to check whether or not you have received this.

Appointment Request

Good morning Dr Bland. Been quite a while since my last visit to your clinic. Can you please let me know if you have any appointments available for me as I am waking up at night with awful pain in both hands again. Many thanks

4 week feed back

FAO Dr Bland
Having spend the last weeks since my appointment with you wearing my splints at night, I can report a major improvement in both hands, with only a few instances just recently of numbness when I woke up. I still get numbness and pins and needles when on the phone or driving but not as much.