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Long lasting Forearm Pain 1.5y

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Posted 11/9/2015 4:09 AM (GMT 0)
When it first started it started with inter phalanges pain in index finger and ring finger, then the thumb inter phalanges started hurting mostly when using a controller.
I performed a squeezing forearm massage on both my forearms and after that i got a lot worse.

Both by posterior hand tendons hurt when using the hand, after month they started moving up arm it felt like arms was on fire it hurt so much, after it calmed down by tendon on hands stopped hurting and
arm stopped arm stopped burning, the pain that was still in my ring middle finger, and along the radial path.

I have been having Hand/forearm pain(mostly extensor side) for 1.5y now, i have tried trigger point treatment but did not help.
I have dry needling, but since i can't handle needle cause needle phobia, it did not go so well.

Pain is mostly Inter phalanges and proximal phalanges ring and middle finger, i cant wear watches because it gets really uncomfortable like contact friction soreness, but without the physical action of friction.
The friction like pain on the wrist is also felt when gently rubbing wrist against mouse mat.
The more i use a mouse and keyboard more then is progressively moving up the arm along radial nerve path til it stops at around Carpi radialis longus/brevis at the radial nerve.

This is present in both arms, worse in right arm as it was my mouse arm so a lot of radial and ulnar deviation, i got no noticeable weakness is both arms, i can stretch both flexor and extensor without any pain or restriction.

The soreness and pain usually gradually resolves if i stop the action causing the pain, i taken ultrasound of my nerves but they did not find any problems, but most nerve problems cant always be detected by ultrasound.

I also sometimes feel pain in lateral epicondyle once in a while, when it all started when pushed there it hurt but not anymore, i do no think this is tendinosis.

Also when i tap my wrist i get shocks in middle finger and ring finger on right hand, left it is thumb and index and middle. But i do not feel this carpal tunnel syndrome cause i got no weakness in thumb or index finger, but my ring finger starts shaking after typing on keyboard on both hands.

I have tried exercising both forearms but not decrease pain(exercised for 2-3 months each day twice a day) someone did trigger point treatment on my arms for 1 year with no decrease of pain.

If anyone got any idea what it is, it would make easier for me to find the right treatment for this,
i have suspicious this could be nerve friction something is irritating the nerve/muscle.
Possible things i think it is, is
Carpal Tunnel, Some type radial friction, chronic Lateral Epicondylitis, A though Trigger point with possible satellite source

Sorry for this long post i have almost given up on resolving this, but i don't want to live with pain rest of life
Posted 11/9/2015 10:55 AM (GMT 0)
Welcome Raz to the CP forum. Do the Dr's not have any idea's? I'm assuming you have seen some since you have had ultrasounds and nerve conduction studies?

My first thought was carpal tunnel syndrome when reading your post which by the way is medical jargon infused and many here are not going to have a clue what your saying, this is not a medical board, we are not Drs although some of us are retired medical professionals, we don't diagnose here but offer advice, support, and suggestions based on experiences from living with chronic pain.

We have some folks who have issues with carpal tunnel syndrome and they may be able to give you some ideas about what to try.

If you don't have a good orthopedics surgeon who specializes in hand surgery I would be looking for one.

For others reading here. Radial refers to the arm bone radius, ulnar refers to the parallel arm bone the ulna, phalanges are the finger bones. Flexor and extensor refers to the action of stretching your fingers and arm as extensor is retracting that stretching motion.
Posted 11/9/2015 11:57 AM (GMT 0)
Ye i am sorry, i learned mostly all the medical thing cause it consumed me for months searching for clue what i got.
The thing i was mostly looking for a clue what this is so its easier for me to get a treatment, that effectively identify whats wrong with me by guiding me towards like X-ray, MRI, nerve conductive, lidocaine injection, another ultrasound check last time was 13 months ago.

The doc thought it was tendinitis but that don't normally last for that long,
and ultrasound have problems with identifying certain nerve issues causing pain.

Hard for me to pinpoint it, as i can't on command trigger the pain, its more of slow grind to achieve the things causing the pain, a lot of the diagnosis don't line up with things i got problems with.

Post Edited (Razords) : 11/9/2015 5:00:00 AM (GMT-7)

Posted 11/9/2015 2:22 PM (GMT 0)
Have you had your cervical spine checked out? Are you seeing an orthopedist or a neurologist? I'd recommend the latter. You may have an impingement which is only triggered by the certain movements. Are you using a wrist rest at the keyboard? Do you use a brace in your 'off' hours? To rest the joint? I've found Aleve (naproxen sodium) to be the best help for me when my wrist/elbows/knees/ hips are hurting.

I've had an ulnar nerve transposition on the left elbow and carpal tunnel release on the left wrist. The surgeries are only part of the solution and not a 'cure all'.

Try soaking the joint in Epsom salts. This has been helpful to me as well.
Posted 11/9/2015 3:28 PM (GMT 0)
I have stopped using a pc in a normal sense for like 1.5y, now i only lay in bed with wireless keyboard and watch tv series and movies, as i can't use my hands/arms anymore, as the pain is not worth the pleasure from gaming, and non of my joins hurts its mostly tendons or muscles.

The only spot on both of my arms that i can push that hurts on both arms, is the closed fist extender
i can push on joints hand tendons, basically twist and turn hand/arm squeeze etc nothing will hurt more than normal pain

Post Edited (Razords) : 11/9/2015 8:36:37 AM (GMT-7)

Posted 11/9/2015 4:01 PM (GMT 0)
Hello & welcome to the chronic pain forum. You have been given some good info from the other members. Some of your symptoms could be coming from your neck & not just your arms. You should have the neck checked out & also have an EMG studies done on your hands to test the nerves to see if its either your neck, carpal tunnel syndrome or even an ulnar nerve problem. An EMG studies is not 100% accurate but beneficial in diagnosing upper extremity problems. The EMG is usually done by a neurologist or a dr that does nothing but EMG studies. Your primary care dr can make the referral to have this done & once the results come back decide what type of specialist you need to see. An ultrasound would pretty useless in trying to see what you have going on so I would not bother repeating that again.

Let us know what you find out.
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