OpenHealth Q&A

It sounds like you are experiencing significant challenges with your ECU tendon subluxation and the resulting tendinitis, especially in relation to your activities like playing the guitar. Managing a condition like this, particularly with your hypermobility, can be complex and frustrating. Here’s a structured approach to help you address the pain and improve your wrist function.

Main Points:

1. Understand the nature of your condition and its management.
2. Explore alternative supportive devices.
3. Consider practical strategies to manage symptoms and seek further medical support.

Explanation:

ECU tendon subluxation occurs when the tendon moves out of its normal position, leading to pain and inflammation. This is common in hypermobile individuals, where joints are more flexible than usual. The discomfort you’re experiencing, especially during activities, indicates that there may be instability in the wrist that needs careful management.

Since the splints you’ve tried haven’t worked as expected, it might be beneficial to reevaluate your options and consider some targeted strategies.

Next Steps:

1. Reassess Wrist Support:

   • If the wrist widget is not providing adequate support, consider consulting a physiotherapist who specializes in hypermobility. They can assist you in finding a splint or brace that suits your specific needs.
   • Explore custom-made splints if necessary, as they can be tailored to your wrist’s specific contours and potentially offer better support.

2. Physical Therapy:

   • Engage in a targeted physical therapy program focusing on strengthening the muscles around the wrist and improving stability. A therapist can introduce you to exercises that enhance joint control without provoking your symptoms.

3. Activity Modification:

   • During flare-ups, modify your activities to minimize stress on the wrist. For playing the guitar, consider adjusting your playing techniques or taking regular breaks to allow for rest and reducing strain.

4. Pain Management:

   • Implement topical treatments, such as NSAID gels, which can help reduce inflammation directly at the site of pain. Always ensure to follow usage guidelines.

5. Follow-Up with Specialists:

   • Since you are looking to return to orthopedics, you can request a referral back from your GP, especially noting the ongoing issues with your wrist. If your GP is unhelpful, you might consider addressing this at your clinic or directly advocating for a specialist appointment.
   • Document your symptoms and experiences to share with your healthcare providers, as this can help in communicating the necessity of further interventions like an MRI.

6. Symptom Tracking:

   • Begin maintaining a symptom diary to track your pain levels, activities, and any correlations with wrist use. This can provide valuable insights for your health providers and assist in refining your management plan.

Remember to approach your treatment with patience and persistence. Self-advocating for your health is crucial, and gathering detailed information will support your efforts in getting the appropriate care. If you have further queries or need more guidance, don’t hesitate to ask!