Four years back, my wife was diagnosed with post partum Carpal Tunnel Syndrome (CTS). She used splints and took Pregabalin for 3 months. Her symptoms for CTS are gone. We have undergone NCV test twice in last 3 months and Drs are saying that there is no CTS at this point of time. However, she is having severe pain in her right arm (whole arm, shoulder to fingers; many times in wrist and finger joints). We have also consulted Rheumatologist and undergone ANA, vit-D, Anti-rheumatic factor test, uric acid etc. and all other advance tests as well. Reports of all tests are normal and Drs. are saying that she does not have RA. She has been taking 5 NSAIDs per day but still having pain. All the NSAIDs donot even work.
It would be great if anybody can help us to resolve her symptoms. Will physiotherapy work? What could be the underlying cause of pain?
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Due to CTS there is spasm ya tendonitis is possible which is radiates pain in full arm and unable to activity so don't tk tension tk ultrasonic therapy and tens therapy and avoid lifting heavyweight and computer work it will help u and come out this problem according ur nw no CTS symptoms available so do that
Cervical root compression also causes arm pain for this physical test like spurlings test, distraction test are done by physiotherapist. Visit a qualified and registered physiotherapist nearby he will help u needful
A radiating pain from shoulder to wrist and fingers is suggestive of nerve pain which may originate from neck or shoulder.... Further clinical evaluation is necessary... I would suggest physiotherapy as other types of medications seems to be ineffective in her case... But even physiotherapy would be effective only after the correct diagnosis... Make sure you visit an experienced physiotherapist for correct diagnosis...
For physiotherapy to work....first pain should be subsides completely....ok....if nothing comes in diagnostic test......then most of the time i think in u r case it may be psychological ...tell her to relax.....not to preoccupied with the thought of pain.completely not to take so many nsaids they having side effects specially on liver....consult to a physiotherapist take some pain relieving modalities.......and relax.......upto extent that unaware about pain of arm...and hand......can ask for muscle relaxant to u r doctor ....if muscle spasms are there ......occupational therapy wil also help ..........i think pain is there due to muscle spasms and inactivity of arm and hand....if pain is reduced and bearable then do the rom excs ......streching ....
under guidance of occupational therapist .....th u....relax dont worry she wil be fine......th u...
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