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Painful hand and wrists Options
Julia17
#1 Posted : Thursday, April 08, 2010 9:53:59 AM Quote
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Morning

I commenced treatment in early January, after being on and off pred. since last June. I am having really painful wrists and hands and can t do really anything,( nothing new ! ) and have been on the following since early Jan - 200mg of hydro til early Feb, the this was increased to 400mg daily and leflunomide was included together with a reducing dose of pred, ( 7.5mg first month, 5mg, second month and now since last friday down to 2.5mg and 5mg alternate days .

Til the meds kick in, should I just keep taking painkillers however many it takes ( co- cod ) to give me some level of relief, as I gather DMARDS do take some time to kick in properly I don t really want to up the steroids as I have been taking so many in the past.

Many thanks for your support.

Julia x
dorat
#2 Posted : Thursday, April 08, 2010 10:23:50 AM Quote
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Hi Julia,

Sorry to hear you are suffering.
Yes, it's still early days with the meds so keep on with the painkillers and take them regularly.
Have you seen an occupational therapist? They can give you wrist splints if you need them .
Hope you can get some relief from the pain.

Love, Doreen xx
Julia17
#3 Posted : Thursday, April 08, 2010 11:57:53 AM Quote
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Hello Doreen

I saw the GP a couple of weeks ago and said he would refer me to an OT, but haven t heard received an appointment as yet. I see him tomorrow so will let him know how things are just now.
Many thanks for your advice, I will keep up with the painkillers, I have always tried to keep them to a minimum as I didn t want my system to get too reliant on them, so now is the time! BigGrin

Take care, love Julia xx
MrsWoman
#4 Posted : Thursday, April 08, 2010 7:50:01 PM Quote
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Hi Julia,

My RA Is mainly in my wrists and its seems that if I use one the other acts up. Dont know if thats the same with you. But they would have me in tears of frustration at times as forced to rest them Anyway i have splints and I tell you need to ask for them because I got messed around. So we may be all different but what helped me was to know that I can use splints when doing repetitive work and at night if my wrists were particularly achy. I had 2 different sizes as my hands would swell and I took the bars out otherwise uncomfortable. Also applying cool packs, some people might use hot and cold it depends on what works for you. Also I hated the look of the splints and got a tennis sweat band and do not recommend it as it restricts you and it may the swelling worse. You may know all this allready but thought its worth letting you know as it took me a long time to understand what I needed to do.

I hope your drugs kick in soon.

Mari


amanda_lewin
#5 Posted : Thursday, April 08, 2010 11:29:56 PM Quote
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Hi Julia,

It must be very difficult with such pain in your wrists.

I hope the meds settle and you find one/two/three! you can tolerate well.

The splints are a great idea as they will really support the arms and wrists. I agree about those pads, they feel so tight and restrict one so much. I have these elbow pads (admittedly some very cheap ones) and they make my skin all red and hot.

Love,

Amanda
Julia17
#6 Posted : Friday, April 09, 2010 2:07:34 PM Quote
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Thanks Mari and Amanda for your thoughts, of great help.

Its such a nuisance, as it restricts you so much not being able to do much, as you say the frustration let alone the pain reduces you to tears. It was only due to our forum that I learnt about splints and OH, saw the GP month ago about splints, to cut it short, sent letter to wrong place, so now waiting for a reply from rheumy nurse at hospital to try and get an appointment. I seem to gather constantly from posts the medical world just don t understand just how painful and debilitating it all is ( you just wish they could have it for one day so they at least understand how we feel and are not trying to impatient or anything ) I m going to Google for hot/cold pads currently using peas and hot water bottle. I will look into the elbow pads Amanda as it does run up my arms and into shoulders, ( have a nodule on my elbow )I wonder if all this has damaged the tendons as well.

Thinking of you Julia x




jenni_b
#7 Posted : Friday, April 09, 2010 7:31:53 PM Quote
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Hi

Just remembered my parafin wax bath it is heaven on the hands (and feet)
wax bath link here

Love Jenni xx

how to be a velvet bulldoser
LynW
#8 Posted : Friday, April 09, 2010 7:49:10 PM Quote
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Hi Julia

Sorry to hear about your hands/wrists; I know exactly where you are coming from! Wax baths are brilliant and will give you a much needed break. Definitely worth the investment ThumpUp

Perhaps worth asking your GP for a slightly stronger pain killer which might help you through this difficult period. I take codydramol during the day and it is very effective. Sounds to me like they have had you reduce the steroids too quickly and it has had a knock on effect. Hopefully the other meds should be kicking in very soon and you will find some improvement.

When you get your splints fitted do make sure that they feel right for you. Taking the metal bar out is not really recommended as that is what gives the splint the support you need, without it there is no support! The bar can be adjusted (bent) to fit neatly into the palm of your hand (they might tell you otherwise!). The other thing is, and I know this sounds really silly, make sure they are fitted the right way round! I know someone who spent two months in a lot of discomfort because she was instructed to wear the splint with the support bar along the back of her hand!!! Painful or what?!RollEyes

Let us know how you go on Julia.

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Julia17
#9 Posted : Friday, April 09, 2010 10:34:55 PM Quote
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Thanks Jenni and Lyn for the Wax bath info, can t wait to get some - sounds really good !!

I totally get your drift Lyn about all the points, I felt I was coming off the steroids little too quick. The GP added diclofenac today so given time hopefully things will settle down. I know the splints will be of great benefit and will make sure they are fitted correctly and heed all your thoughts I will make sure they are the right way round - nothing these days would surprise me ! Will keep you posted.


Hope you both have a lovely Sunny weekend.

Love Julia xx
amanda_lewin
#10 Posted : Friday, April 09, 2010 11:30:53 PM Quote
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Funnily enough i spotted a paraffin wax bath tonight in the Argos catalogue (one of my boy's favourite magazine!LOL) and they were about £39.99, and look very good.

Love,

Amanda
Calmwater22
#11 Posted : Saturday, April 10, 2010 1:12:01 AM Quote
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Hi julia
so sorry see rotten RA causing you such griefin hands,wrists i to hae it there worst.
ive found wrist splints from OT helpful along wiht a course in joint protection done by hand therapist.
wax baths are divine me mam says she gets it done at chiropdist for her feet.


hope it eases of for you.
smily hugs.
Melly
cuddly cats make my world seem so much more fun
Julia17
#12 Posted : Saturday, April 10, 2010 11:44:20 AM Quote
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Thanks Amanda and Melly

Have just been on Argos, sounds brilliant and very good reveiws, and am getting one asap. The joint protection course sounds very interesting and when I DO get an appointment for splints will discuss this point.

Lots of best wishes,

Love Julia x
jeanb
#13 Posted : Saturday, April 10, 2010 3:51:27 PM Quote
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Sorry to come in so late on this, Julie. I find that the plastic splints which were moulded specially for my hands/wrists are by far the best for resting. I can't drive in them, but they are SO supportive and comfy.

Take care

Love Jeanxx
merryberry
#14 Posted : Tuesday, April 13, 2010 10:37:19 PM Quote
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AH GOOD, WAS JUST WHIZZING DOWN THREAD TO SAY MAKE SURE YOU HAVE ANTI-INFLAMMS WHEN I SAW oops sorry caps lock, didn't mean to 'shout' that your GP had prescribed diclofenac. Excellent, for some weird reason i find it much more effective on the smaller joints than the larger, so hopefully that will help you a lot. I do find however that after a few days of it, I get nauseous a lot, but that omeprazoletkane just once a day stops it in its tracks.
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