| What to do when NA doesn't work |
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06/26/2013 16:57
LubaM. 
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06/26/2013 16:57
LubaM.
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Re: What to do when NA doesn't work
mikes:
.......Perhaps I was just plain "lucky" or perhaps my NA practitioner (Dr. Denkler) was just that "good" but my small finger PIP contracture which he classified as 95 degrees (90 degrees to me) was reduced to 15-20 degrees in November 2006 and is still there - maybe slightly better........
So.....it can be done....with a highly skilled practitioner and some luck.....
Unfortunately I do have other symptoms, including a 20-30 degree contracture on the PIP joint of my opposite hand small finger, but have not yet quite had the "guts" to opt for my next NA. Someday (soon?), I'll likely have to face up to it.
I think when you mention "highly skilled practitioner" and "some luck".... you are right. I had the first, but I guess "no luck".
My previous two NA's on RH pinkie PIP joint (done in July 2006 and March 2010) were done by the two most highly skilled NA doctors around, and both times I wasn't lucky since contracture returned exactly after six months... both times !!!
Five weeks ago I had NA on my opposite hand pinkie, again PIP joint and the contracture is slowly but surely returning. I go to hand therapy twice a week and have worn a night brace since the procedure... in this weird disease, I think "luck" plays a big part in recurrence whether it is NA or surgery. Do we have a predisposition for this? For me it is disappointing to have such bad results three times...
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06/27/2013 15:11
mikes 
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06/27/2013 15:11
mikes
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Re: What to do when NA doesn't work
Luba,
Sorry your "luck" has been disappointing thus far. This disease is indeed frustrating - readily visible when involved in various "normal" activities (e.g. shaking hands) and hard to "explain" to people.
Best of luck to you moving forward ---
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06/30/2013 14:30
LubaM.
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06/30/2013 14:30
LubaM.
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Re: What to do when NA doesn't work
mikes:
Luba,
Sorry your "luck" has been disappointing thus far. This disease is indeed frustrating - readily visible when involved in various "normal" activities (e.g. shaking hands) and hard to "explain" to people.
Best of luck to you moving forward ---
Thanks Mikes. I am trying to work through all my frustrations and still consider myself lucky because in my case only my two pinkies are involved, one of them pretty badly. My other eight fingers are totally straight and except for the pinkies I can put both hands straight on a table. I am an artist and the contracted small fingers don't interfere with holding my paint brushes, shaking hands or other activities, so compared to others I am doing well. It is still an annoying disease in that you never know how the results will be and how long they will last, regardless of the treatment you have.
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07/01/2013 02:14
pia2some
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07/01/2013 02:14
pia2some
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Re: What to do when NA doesn't work
Just curious ... what do you mean when you say "PIP with the MP hyperextended". The pinky on my right hand is probably the worst finger right now. It's contracted at 45 degrees and has a huge nodule on the underside of the PIP joint. Fact is, all of my right hand fingers have developed nodules on the underside of each PIP. Even though there is no contracture on the index and middle finger, those nodules keep me from being able to fully bend my fingers toward my palm.
I was just wondering about the hyperextension. On my ringer finger on my left hand, it is contracting at the MP joint but the finger bends backwards at the PIP joint.
~ dawn
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