Hand Injection Techniques - Base of Thumb (Thumb CMC Joint) Osteoarthritis
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- General Practitioner Education Series
Hand Injection Techniques
* These videos are intended for the education of licensed suitably qualified health professionals only *
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I have had this injection done by my hand surgeon today on my left thumb and it is the 3rd time that I have had him do this over several years. Initially my doctor X rayed the hand and determined the location of both the inflammation and the site of his injection. He typically begins by topically numbing the injection site with a cold spray and then inserts the needle. In all honesty I felt no pain and the end result is a joint that is more pain free afterwards
You felt no pain?????? Wow! I need your doctor!!!!!😖😖😖😖
Can xray detect inflammation? Thank you
I had this injection done Friday. I’ll never do it again. It hurt really bad for hours after I go home. Feels good now.
Can anybody tell me whether the injection in the thumb is painful.i am having second thoughts about getting it done
Alison Plummer don’t do it.
Had this done in both thumbs today. Pain was a 10 on a 10 scale for a few seconds and sore as hell now. Hopefully, it’ll help.
Thomas Cuddy it won’t. i am sorry.
Baran Topal - it helped for a week to ten days. Now I’m back to same old pain. Lidocaine rollon helps.
Thomas Cuddy well the literature is clear about this. These injections are simply to extort money from you. Change your doctor.
I just had one done 2 days ago . My thumb is in more pain than before !!!!
Thanks for the very informative video. Having it done soon, very scared it will be very painful! :(
and both you will have the pain back really soon. i bet for a beer that you will be at square 1 in 1 year max. and you ll be offered this again. another bet, another beer.
@Nunsuch so how is it now?
@Nunsuch well statistically that’s nearly impossible unless you had an operation. if you didn’t have an op, then i owe you a beer!
@Nunsuch well after corona probably. i live in stockholm btw.
I had this today in the left hand, I just hope it helps a little painful nothing not as bad as when I had my elbow joint done, I'll have my right hand done next week.
Angela Bailey it will help max a year. you will be at square 1 in one year
oh 1 year is highly optimistic. it can be less than 2 months.
oh if it is your first time, your surgeon/orthopedist will suggest yet another one, say after 6 months. this is their routine to drain money. finally you will be offered interposition or suspensionoplasty, probably with a tendon.
@@BT-km7nl what are you the surgeon General. You are being a real downer to everybody. Each case is different. You must be really interested as you all over every video and comment. Hate to tell ya i got one and pain never came back. Been years. Give some hope buddy to others. They may have tendonitis. Your giving headaches. Go have a drink
@@kevinheskin5105 pain can leave but the structural issue is there. Yes, i am probably all over cmc joint videos. That’s because i want to see progress. And there is none. Sorry for a downer here but it is what it is. Even you check the arthiritis foundation 2021 sessions, you can see the videos of veteran researchers who practically gave up.
Got another on last Friday. Arthritis pain too much to tolerate. Injection did hurt like a SOB. Still a little sore.
Have this done twice a year, effect lasts about 3 weeks then back to the swelling and pain!
Can anyone recommend the operation?
Im one month out from left hand surgery, they say my right hand is terrible, actually worse than the left. It’s very painful and I don’t want to do it again
I'm 7 months out on my trapeziectomy. Its a painful surgery but once recovered well worth it. I need to have left thumb done but I'm reluctant even though the outcome is good.
I had my left thumb injected today the injection is painful as you can feel the fluid going into your hand not nice, after about 1 hour I could not use that hand (typing this 1 handed) thumb and forefinger swell right up and the pain!!!! don"t think I will have it again,
Neville Gooch you shouldn’t.
Good, thanks
I had this done yesterday to both lower thumb joints,hurt like f...n hell.It felt like I was being lifted off the floor by my thumb.I won't do again.felt like my thumb was going to exlpode,just my experience.
oh no proper surgeon or orthopedist would suggest this. literature is full of solid evidence that this technique is bullshit.
@@BT-km7nl the beat goes on with you everbody dont listen to this douche. Hence guess he had bad time.
@@kevinheskin5105 well there are tons of papers in lancet proving A J’s state.
This hurts so much!
I have had this done twice. First time I had an experienced registra do it. Not too bad and pain relief quite good. Just had it done again, two years later and done by junior doctor. Soooo painful and four weeks on my hands are more painful than ever!! Now going for operation.
Tina McNab how are you doing now?
@@BT-km7nl better than you. Troll
@@kevinheskin5105 hahaha. Why are you mad now? What she experienced is defined exactly like that in many papers. I would really wanted this to work for her but evidence says otherwise. Just a simple lancet check shows this 🤷🏻🤷🏻
@@BT-km7nl man. Get a life. You really are a troll
Had this done today by my GP, and had no pain at all. When the socket was filled, there was a moment I thought it was going to turn painful, but as it turned out, there was none and I felt a complete idiot over reacting and wincing!!!!!
I'm hoping that after 5 years of pain in the joint, I will now be pain free, somehow though from reading the other comments, I don't think I will be!!!!!........All good at the moment though!!!
I have rheumatoid arthritis that joint has been hurting. I'm having problems lifting a cup of water. What was your symptoms? How many times did you have this shot ?
Did it feel better that day? My hips and caudal injection hurt for 3 days .
i bet you had the operation now.
@@BT-km7nl oh course mr positive again. Screw off
@@kevinheskin5105 hahaha. I am a realist here. I guess Bobbie is doing fine now. Probably on anti tnfs
oh what a crime. it is widely known among surgeons and orthopedists that this technique is not a solution for long term. it is just making easy money for the doctors like neil. tell us neil, did you operate that patient a year later? i bet you did a bit stem cell injections for more easy money and then convinced the patient for interposition. i would be impressed if you are able to do suspensionoplasty, then i ll call you a formidable surgeon.
Medical student here: Do you have any data on the outcome of Suspensionplasty useing an APL graft. im currious. Thank you and regards from Austria!
@@anifler i don’t have the data but you know the answer already. maximum dorsiflexion will be impossible with apl graft. whichever tendon you use the answer is simple, you lose some ability. from all the readings i read, the only viable option is mini tight rope IF the patient does not produce a foreign material reaction or other way is massive physiotherapy to strengthen the surrounding muscles. D vitamin depo injection is also a way but risky. you don’t want super high Ca levels and mess up with pth which makes the patient clinically insane.
@@anifler if you want to be a ground breaking in this field, focus on how we can build up the native cartilage or grow it in vitro and in situ and you will just have a nobel price. there are promising tests done by merck in 2020 which managed to grow cartilage in knees but not only specific to a knee but on whole body which sounds like gambling. they couldn’t fix the pain though after growing the cartilage.
@@anifler another thing is that start learning to play piano and understand the limitations for a pianist. for example, none of the tests for suspensionoplasty addresses the flexing of a thumb on z-axis. a patient or a human rarely streches the thumb on z axis so focus on why that is harder with suspensionoplasty.
@@BT-km7nl thanks a lot! :) have a great day
i have to get this done every 3 months.. i have cartilage derteriation in the joint
Sara Burns and that means you reach eaton stage 3. i guess your surgeon offered you the operation and you had it.
Baran Topal no I haven’t had it yet.
Sara Burns that means you are still having osteoarthritis and manage to control the pain. is your finger z-formed, duck shaped now?
btw, in the name of medicine, i have to say, thanks for coming back after 7 years. this is something rare among patients. how is it now? how do you manage the pain?
@@BT-km7nl you boring. Utube surgeon
very helpful video. you suggest depositing the remaining steroid in the more superficial area above the joint. can this increase the chances of depigmentation, particularly in darker skinned patients? Thank you.