Treatment Selected

After digesting most of the info on website I have elected to try the steroid injection as the first and hopefully the last treatment required, as I can't see any averse effect should I be unlucky and require surgery at a later date.

Carpol Trial

Good afternoon, I'm contacting you in regards of Mrs Hand Who attended your clinic on 3rd June.
After careful consideration she has decided to decline the offer of the trial offered due to the distance and cost involved.
Mrs Hand has decided to opt for the session of injections at the QEQM hospital Margate.
We look forward to receiving appointment details.
Kind regards.
Mrs Linda Summers
On behalf of Mrs Renee Hand.

Splint

Hi,

I saw you yesterday and you gave me a splint for my Left hand to wear at night, This might sound a silly question but how tight should it be when i first put it on it was moving around a bit so i tightened it but not sure if it was to much i did get a small mark around the thumb area so i loosened that off a bit,
Any advice would be great,
Many Thanks

Enter page title here OPERATION

Hello Dr Bland, have used splint for several months fine at first but pain in r wrist is getting worse.I would like my name to be put forward for the operation.

first time reporting symtoms since appointment

I have been wearing the splints to sleep in for approx. 5 weeks, I have found that my hands are better first thing in the morning and not waking me up so much during the night. I still have pain when driving for more that 10-15 minutes. And my hands and wrists still hurt in the night if I have been extra busy on that day.

Enter page title here

To Dr J D P Bland I saw you in clinic 6/5/16, you gave me a new larger wrist splint to try for a month. My hand is no better, in fact worse, the numbness and pain have increased, and, my fingers & wrist are swollen all the time now. As I am my Husbands carer, itt is making life very difficult. Mrs S D Elsdon DOB 20/07/48

Post steroid injection

It has been a week since I had my injections in both hands ,my severity was 2 in left,3 in right.I have had no improvement ,The first 2 days were uncomfortable as expected then my hands were still numb fingers and still finding it very uncomfortable driving ,carrying and numbness when sleeping all the same.

Update for Dr Bland

Hello! So it has been just over a week since I saw you and had my injection in the RH; I thought I would update you as requested. After the initial pain after the injection (yes, I am a wimp)... it is a little bit better.

The RH is waking me up less during the night, still having the odd night when it goes tingly and numb depending on what activities I have been doing throughout the day, eg: swimming, piano playing - which is still difficult. I also still get the tingly/numb sensation when driving, using a knife and using a pen.

Amy

Carpal Tunnel surgery

Dear Dr Bland,

Following my appointment at Canterbury Hospital on 18th April you wrote to Dr Sukumaran, the rheumatology specialist who had referred me to you, asking as to whether I could become your patient. Could you please advise as to whether you have had a response and if a date can now be arranged for carpal release surgery (left wrist).

Many thanks,

Helen Ryan

Effect of recent steroid injection

Dear Dr Bland. I had a second steroid injection 2 days ago. (Previous injection was on 12 April 2016). You asked me to report effects, if any, of the injection. There have been no adverse effects, including no pain either during the injection or since. Whereas the 12 April injection gave a 20% improvement in numbness after 48 hours, and that level stayed the same until my appointment on 24 May, the injection on 24 May produced no noticeable change. I shall continue to wear the splint until my next appointment in 6 or so weeks.