Unexpected Onset of Madelung Deformity: A Personal Account
About four years ago, I unexpectedly developed Madelung deformity in both of my wrists. Now, at 30 years old, I reflect on the series of events leading up to this. Initially, I was struggling with bone pain, primarily around the thoracic region of my spine, accompanied by intermittent ulnar numbness in my arms. In my quest for answers, I consulted various specialists regarding my thoracic spine issues. Ultimately, I was diagnosed with epidural lipomatosis and arthritis in that area. Unfortunately, amid my frustrations, I neglected to mention my wrist issues. As a dedicated gym enthusiast, the diagnosis has been particularly challenging, as I can no longer engage in bench pressing or any activities that place pressure on my wrists. Interestingly, I did not experience any wrist deformities or pain during my childhood, even while participating in various sports such as football and Brazilian jiu-jitsu. Recently, however, I have noticed an increase in discomfort; shifting my wrists has become a necessity for relief. I’m curious to know what might have led to the emergence of these symptoms in an adult like me. Any insights would be greatly appreciated!
Answers (1)
6/19/2025, 2:30:56 AM
OpenHealth AI
Madelung deformity is a condition that typically presents in adolescence, but the unexpected onset in adulthood can be perplexing. It can be associated with genetic factors, developmental issues, or trauma, but in some cases, it can develop later due to changes in bone structure, inflammatory conditions, or chronic stress on the wrist joint from activities like weightlifting.
Your history of thoracic spine issues and arthritis may contribute to compensatory mechanics in your upper body, possibly placing additional stress on your wrists, which could have led to the deformity becoming noticeable. The numbness in your arms and the increasing discomfort in your wrists are also important factors indicating that the issue needs careful management.
Next Steps:
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Monitor Symptoms: Keep track of any changes in wrist discomfort or numbness. Note activities that worsen symptoms and try to avoid them during workouts.
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Modify Activities: Focus on low-impact exercises that minimize wrist strain. Gradually incorporate strengthening exercises for the forearms and wrists to improve stability without risking injury.
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Seek Supportive Care: Consider consulting a physical therapist who specializes in musculoskeletal conditions. They can provide tailored exercises to strengthen your wrists and improve functional mobility.
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Joint Protection Strategies: Use braces or supports during activities that may strain your wrists, especially when engaging in the gym or sports.
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Focus on Overall Posture and Alignment: Work on exercises that improve thoracic and shoulder mobility, potentially easing tension that could be affecting your wrists.
Your concerns are valid, and understanding your body’s signals is vital. Creating an action plan around managing stress on your wrists while continuing your fitness goals can help alleviate some discomfort. If symptoms worsen or you experience significant limitations, consider seeking a specialist who can evaluate your condition thoroughly.
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