3 Weeks Post #Steroid #CMCjoint

Archive, Arthritis, Health, Hips, Hypermobility

I’ve had a full 2 weeks on etoricoxib now and I’ve discovered that taking at 4pm onwards seems to be more beneficial to me than taking earlier.

So I’m glad I experimented with timings, to see how it affected me. Had a few days of icing my left hand, which really helps which I never knew before. But the right hand that had the recent steroid is doing well.

I’ve tentatively gone back to exercise too,as I’m also rehabbing a hip replacement, so I need to move as much as the body will allow.

So onto my Xbox Kinect I have EA Sports, and using my lightest weights 2kg I have created a custom workout, to help lubricate the joints.

* Note others with cmc joint arthritis don’t do this unless you’ve spoken to a physiotherapist or doctor * For a warm up I did

  • Shoulder rotation 4 reps each side
  • Rainbow squats 4 reps each side
  • Good mornings, yoga move 8 reps
  • Bicep curls 8 reps
  • Bent over rows 8 reps
  • Lateral raises 8 reps
  • Heel raises

Not a lot, but early beginnings of moving and trusting the hands once again. I do feel like They need splinting to help stability, so I will do that in future.

Still getting a few moments of heart palpitations so I wonder if it’s worth mentioning to the gp?

#Blogmas 1 Week Post Steroid Injection

Archive, Arthritis, Blogmas 2019, Health, Hips, Hypermobility

What a change a week makes!! It was pure agony prior to the injection, and obviously after the cortisone it went predictably stiff and swollen but not for long.

Injection Day

I was a bit shocked it wasn’t as painful as the last one, and very very relieved too. I had some family visit for birthday celebrations straight afterwards so they took all energy to focus on, a great distraction from my swollen stiff hand. Quite sore once the local wore off. Splinted for protection.

Day One Tuesday

Tuesday morning I woke up early due to needing medication. I’d had it done early Monday morning, and it was stiff and felt full all day. But the dull nagging pain started Monday night, and I awoke with it too. Wore splint Monday night and Tuesday day. Can’t use hand much at all.

Day Two Wednesday

Pain easing off, but still can’t hold a pen, or cope without my splint for long. Bruising going down as is the swelling too. Can’t lift anything as grip isn’t there yet.

Day Three Thursday

Slept last night with no splint, felt risky but I wanted to make sure I wasn’t relying on it too much. And it went well. In fact I woke up feeling so so much better. The boney point of the cmc joint is tender to touch, but the full feeling, and stiffness has eased off. I can now touch the ring finger.

Day Four Friday

I’m still taking paracetamol and ibuprofen to help stave off pains, rubbing gel into hands. In stark contrast the left thumb is crunchy and sore, but this right one is feeling good. Just need to start trying some exercises now. But ridiculous emotions have started, why does steroid affect me like this. Feel like crying though there’s nothing to cry over. Clearly sensitive for no reason.

Day Five Saturday

After a weird Friday full of tears and sorrow, it’s time to pick myself up as it’s merely days away from Christmas. It’s Yule tomorrow. So now my hand moves more free, I can finally wrap up presents. I’m glad I got the steroid injection for this hand. I can even touch my pinky finger now. Some dull aches and twinges but definitely improved.

Day Six Sunday

I’m glad the weird emotions have settled down. All I have is some resistance in movement and the occasional ache and twinge, but nothing too major in the right hand. Left hand however is getting progressively worse, so returning to ibuprofen gel and splints for that side. I even lifted a kettle!!

Day Seven Monday

It’s a week already, that flew by. Had a few twinges, worn both splints at times. But overall it’s all good, not needing gel as often or as many pain killers. Just some activities make it feel weak at times, so the splint supports it. The left needs more help, but that’s expected now.

#Blogmas 10 Weeks Post #SteroidInjection

Archive, Arthritis, Blogmas 2019, Health, Hips, Hypermobility

It’s finally #Blogmas and yes I’m a day late, but Happy December, it’s such a busy month, but should be good.

This month I am attempting to take control of pain, as some days it’s consuming very thought I have, and it’s ruining my positive mentality slowly slowly.

December brings two birthdays, 1 for my husband, and 1 for my third daughter, and also a birth too!! Due in 18days.

These are the reasons for chasing the help I can, so I can be present and happy for these occasions.

Today is the day I see the GP for some guidance on reliving this ever present burning thumb and mcp pain in my index and middle fingers.

Not sure what I expect, but I’m feeling desperate at times, with lots of tears at night from pain.

Left hand which had the steroid injection 10 weeks ago.

See above the MCP joints are swelling up.

Right hand swells overall, not as localised over MCP and DIP joints.

It’s like lightening at times, dull aches other times, and it’s getting me down.

I’ve been wearing gloves, and splints religiously, and taking medication that I have too.

I bit the bullet and booked my right cmc steroid joint injection in for the 16th Dec. So that’s 2 weeks from today. I’m very very scared and nervous. Especially after last time. But I’m hoping I can hold my baby granddaughter due near Christmas, and have a pain ish free Christmas day.

But at the same time I know it needs doing, as holding a pen, or my cup is becoming an issue. And forget shoelaces, I can’t do it!!

And I need my hands to build the Christmas tree up!!

9 weeks post #steroidinjection

Archive, Arthritis, Health, Hips, Hypermobility

It’s been a journey for sure, not like the first injection I had at all. It took nearly a month to work and it’s only worked marginally as well. But here I am contemplating the one thumb, as it badly needs doing.

As I’m finding that yes the cmc joint of thumb is ok. But higher knuckle of thumb is agony. Along with mcp joints of first two fingers as well. These are swelling mainly at night. And when I use my walking stick, the hand hurts with me gripping on tight. Can’t not grip tightly once my hip gets tired, it’s a vicious cycle.

Seeking the GP advice next week (it takes roughly 2-3 weeks to get in to see them) see if there’s anything else besides the gloves, splints and Injections. Though I’m not hopeful.

Winter sucks!!

7 Weeks post #SteroidInjection

Archive, Arthritis, Health, Hips, Hypermobility

For the last 2.5 weeks I finally have had some relief from that most painful steroid injection I had back on 7th October.

Think it was more painful this time as the space between the joint is so small now due to the arthritis.

Took a long long time to kick in, almost 4 weeks, and it’s either wearing off already, or the huge dip in weather temperature is to blame. As it’s nagging, not hugely, but I am aware of it most of the day.

I was hoping for the 9months relief I had gotten the first time. Alas not meant to be, though it’s nagging, at least it’s not that white HOT bone pain that I had previously.

The right thumb is flaring up, but I’m still too scared to go and get it done. Though I’m starting to get tempted. I’m trying to leave it as long as possible though.

Back to almost bathing in ibuprofen gel, and wearing splints. Curse you #Arthritis #EhlersDanlosSyndrome

Physio appointment day

Archive, Arthritis, Health, Hips, Hypermobility, Hip replacement

Well this is going to be fun, not done any physio for weeks. And now my hand (left) is absolutely useless, as it’s so painful from the steroid injection.

Hoping I can nurse the hand while working out the hips. I will wear the splint to protect it as well.

Sidenote, tiny bat was in the corridor, he made my day.

Thankfully none of the exercises I did needed my hand.

Stationary bike level 2 x 5mins

Side Leg Raise (ankle weighted) x 15reps

Supine Hip Abduction (ankle weighted) x 15reps

Supine Hip Abduction (Resistance Band) x 15reps

Prone Knee Raise (ankle weighted) x 15reps

We tried 2 new exercises to me, to test out the hips (both sides)

Sumo squat, (pivot on foot, to face opposite way) x 8reps each side

Knees hurt doing that one.

Bosu Ball Side Lunges x 5reps each side

Had parallel bars to stabilise myself, right knee hated this exercise the most.

CMC joint steroid injection

Archive, Arthritis

So today is the day, I get my steroid injection in my left (worse hand) with a view to getting the right hand done within 3 months. Opted for this instead of both together, as right hand is slightly better, so I’m waiting for it to get worse.

So what are steroid injections and where do you get them?

Steroid injections can be used to treat some problems in the arm and hand. These can include trigger fingers, tendonitis, carpal tunnel syndrome, arthritis, tennis elbow and rotator cuff tendonitis. These injections usually contain cortisone and a numbing medicine.

Mine is the CMC joint as seen below.

Cortisone is the steroid normally produced by your body, and it is a powerful anti-inflammatory. Corticosteroids tend to shrink, thin and slow things down. These steroids are different from anabolic steroids, which have been abused by athletes to build muscle and enhance performance.

I get mine in my CMC joint, which is the base of the thumb. And usually done under ultrasound for precision at MiCats. However some GP surgeries also carry them out without the ultrasound.

What happens afterwards?

The injection should take effect within a few days, and the benefits can last for many weeks or months; however, results are not the same for everyone or every problem. For some conditions, one injection solves the problem. For others, several injections may be required. There is no set rule as to how many injections a person can get. Your doctor might limit the number of injections because repeated cortisone can damage tendons and/or cartilage.

Side effects?

The most common side effect of steroid injections is known as a “flare.” This pain is felt for one or two days after the injection. It can be treated with ice and by resting the area injected.

Other side effects might include:

  • A rise in blood sugar level for diabetic patients for about five days
  • Thinning of the skin
  • “Lightening” of the skin at injection site (more common in patients with dark skin)
  • Weakening of tendons, making them more likely to rupture
  • Allergic reactions (rare)

One of the rare but more serious problems is an infection, especially if the injection was given into a joint. If you notice redness, extreme pain or heat at the injection site, or if you have a fever greater than 101° after an injection, you should call your doctor.

Hoping to get similar results as last year, I know it will increase pain for up to a week, so I’m well prepared. So fingers crossed it all goes well.

OMG that was actually horrendous, way way way more painful to previous ones, the sharpness of the needle I expected. But the joint space was really tight, and small. Having the steroid (kenalog) put in, I went hot, faint and sick all at once. I even nearly cried. So unlike me.

And the pressure was worse than just the crushing. It felt like it was going to explode!! Wow that was awful. I had to lie down for a minute or two. Thankfully it passes pretty quickly though.

Home resting with splint on, and little pillow to help rest it.

Day 20 it’s OT day

Archive, Arthritis, Health, Hips, Hypermobility

In the last few weeks it’s all been hips and I’ve had to take a step back from my hands. Thankfully the recent weeks has been kind to me and they’ve swelled up minimally. But I’m kinda thinking that’s due to taking dihydrocodeine?!

My worse area was the CMC joint and where they put the cannula in. But now it’s all settled down and being reasonable.

After a week it was minimal

And now it’s completely cleared up.

So today is the day to show my lovely occupational therapist how I’ve done my exercises to build up the thumbs, and lengthen the finger ligaments. The physio I’ve done for them has helped, but so did the steroid injection.

Now medication is absolutely minimum, I’m feeling the familiar aches, pains and swellings. So I need advice on how to move forward.

Advice is to make the stretches harder using an elastic band or bobble, like what MiCats told me to do back in July. Now I have better strength and alignment, it should be easier to do.

Ive also got a new splint for my DIP joint of middle finger, as it’s extending all the time. I need to wear this when I’m doing things, like my thumb splints too (see above)

So hideous, but so needed as well. Back in 6 weeks time, to monitor how well they respond. But this is one thing that will get progressively worse over time, with little we can do about it to slow or control it.

#Blogmas 2018 Post #SteroidInjection day 4,5,6

Archive, blogmas 2018, Health, Hips, Hypermobility

Not exactly a Christmas story blog post, but this blog chronicles my actual life, so it makes sense to me o include it.

Following on from 6 days ago, I received an intra articular steroid injection in the right hand, the CMC joint to be precise.

Each day I’ve seen and felt an improvement in the functionality and pain levels, and in swelling too.

Day 4

I’m still doing my daily exercises with the bobble as a resistance band. I’m also not protecting it from normal daily chores. It’s ok, it’s not entirely painfree. Started to notice the DIP joint is tender, and stings at times.

The DIP joint is the top knuckle of the thumb (or fingers) this is a new pain? Also I’ve felt ridiculously tearful, literally over nothing!! But I know it’s a side effect so I’m not reading anything into it.

Headaches are pretty frequent as well, but again I know they are a common side effect, so I have to just ride it for a while. And hope it settles down.

Day 5

I’m noticing it’s not as painfree as the other hand was immediately, so that’s a bit frustrating. But at least it’s after the days exercise and only aches at night time after a full day of use. Maybe it’s slower to heal as it’s my dominant hand.

Some evenings I’m putting the brace on, to support it and rest it when I know I’m physically resting more. It’s mainly to stop the joints from flexing too much.

Both hands went sore and swollen at the MCP joints and CMC joints because I went for a woodland walk, only outside for 1hr 30mins with plenty of stops and rest. Not sure why they flared up? Thankfully they went down after 30mins.

Day 6

Wow nearly a week has passed, and though it has niggles it’s 90% better than before the injection. So for that it’s totally worth the added pains, swellings and mood swings. I just pray it will last a while, as really all that’s left to manage it, is bone removal, joint replacement (I’m going to end up as mostly machine)

In this the trapezium bone is removed and the fingers ligament is used to fill the space instead.

Here we have surface replacement, bit like a total hip replacement, creates new smoother surfaces that don’t rub together, unlike bones.

Next week I see the OT and I’m keen to see what they say, I honestly can’t face more surgeries, but then this pain can be so disabling as well. Torn by decisions.

Steroid injection day

Archive, Arthritis, Health, Hips, Hypermobility

Well the day is finally here, after the disappointing Friday. Where I had an appointment but sadly no ultrasound machine to carry out the said procedure.

So, what am I having done, it’s an intra- articular injection which simply means injection directly into the inflamed joint.

The injection itself is usually quick and easy for them to perform, I say quick but to me it feels ages!! And when guided by an ultrasound machine, they can easily guide the needle directly to the inflamed area.

This time however I had the injection site through the thumb pad, not like the picture above, but like the photo below. Thicker tougher skin, I definitely felt it more this time, and the wiggling needle, seriously ouchie. And let’s not forget the joint feeling like it’s about to burst when the steroid kenalog is filling the joint space.

I came prepared with a mango coke, as last time I felt dizzy, sick and almost fainted. And this time was no different. Instantly sick feeling as needle comes out, woozy and dizzy, the sugary drink helped level me out. You have to sit around afterwards to ensure you don’t have an allergic reaction. But once my head cleared and I felt normal again, we left to go home and rest.

As you have a local anaesthetic as well the area is numbed a bit to help ease the pain of the steroid, but I will admit you still feel it a fair bit. And certainly after it wears off about an hour or two, the area will be achy and sore for a good 24-36 hours afterwards.

So no exercise or strenuous exercise on the joint while it’s sore and stiff. You may even need to brace it, juts to protect the area for a few days. Certainly what I did last time. As it’s my dominant hand, I feel it’s going to be harder to rest.