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My latest information after the Kenalog injections.
 1
12/07/07 21:47
Joe 
My latest information after the Kenalog injections.

Well, it's been over two months since my Kenalog and here is what I now notice.

The mild pain when pressing the nodules is gone.

The size of the nodules and cords has not really changed.

The nodules and cord, or possibly the skin around the area "feel" slightly different. Very hard to describe.

There has been no further contraction. I still have about 3 degrees relative to the other hand.

Well, that is about it. Any recommendations? I am planning to get another injection shortly.

12/07/07 22:10
Randy_H 

Moderator

Re: My latest information after the Kenalog injections.

I had my second round of injections about two months ago as well. My results are about the same as my first round 4 years ago. The pain from the nodules is gone. They have shrunken to 1/2 their size and are much softer. I'm hoping for a bit more improvement over the next few weeks as things improved with the first round for up to 3 months after the injections. Also, this time Kline did not kid around. He hit me with about 8 different shots in 3 different arias. My hand lies flat much easier so things have loosened up a bit. For me this is a great treatment to keep contractions at bay.

I'd keep at it until you get better results.

12/11/07 00:33
Joe 
Re: My latest information after the Kenalog injections.

So you had your first injections 4 years ago and then your second round two months ago? How many are in a "round"? Spaced at what interval?

What did you notice and how long was it after your first round.

Were all the injections points you had from Dr. Kline Kenalog, or were some Lidocaine?

Here are my pics. All the injections in the perimeter were Lidocaine. The Kenalog injections were in the nodules, and in the cord. http://kineoptics.com/stuff.html

Edited at 11.12.07 00:36

12/11/07 00:48
Randy_H 

Moderator

Re: My latest information after the Kenalog injections.

Joe,

Well, the number of injections all depends on how many nodules you have and how many injection in each the doctor decides to do. Eaton used Kenalog after NA 4 years ago. I believe Kline used Kenalog as well. It was my impression that Kline was more aggressive than Eaton, hitting more arias and with multiple injections. Also, I've noticed that for me the harder the nodule the more resistant to the treatment. I have one in particular that is quite hard to the touch and has receded less than the others. I think you will see most of the improvement in the first 3 months after treatment. I recommend this treatment to anyone. Some will have better results than others.

01/07/08 02:28
Joe 
Re: My latest information after the Kenalog injections.

On January 2, 2008 I had another series of Kenalog injections in my nodules and cord. This time, to my surprise, the doctor injected the nodules and cord initially with the Lidocaine. I think this should have been around the nodules because of a comment in this article,

http://www.aafp.org/afp/20070701/86.html

about mixing Kenalog and Lidocaine. I also requested less Lidocaine and then waiting 5 minutes for it to work. This is highly recommended because unless the Lidocaine is buffered, it burns like fire initially when injected and less works fine if one waits for it to work. Three ml of Kenalog were injected into both nodules and my cord. The doctor did comment that the nodules seemed softer than on the previous injection.

After about 6 hours, the Lidocaine wore off and my hand was more sore than last time. A micro-waved cloth bag of raw rice feels real good in the palm of my hand. As of today, it still has this really painful bruised ache when opened or closed all of the way, but gets better each day. In three days I was able to type at full speed. I would say that in a week I would be totally back to normal.

Has anyone else had Kenalog and had this amount of pain in the days after?

Also in that American Family Physician article, the recommendation is to inject the Kenalog radially around and into the nodule. I will request this method next time. I also will recommend that the Lidocaine be injected in the palm, about 50mm towards the wrist in a few spots in line with the nodule. Then give it 10 minutes or so to numb the nodules, and palm, and fingers. Lidocaine works well. Then you can relax because you will not feel the Kenalog and the doc can take their time getting the Kenalog correctly into the nodules.

Not being an MD and giving a recommendation may sound a bit pretentious, but after being on the pointy end of the needle a few times, I would assume that I qualify as an expert wimp.

See updated pictures here. http://www.kineoptics.com/stuff.html



Edited at 07.01.08 02:39

01/11/08 06:32
moondanc 
Re: My latest information after the Kenalog injections.

Hi Joe!

You stole my hand! I swear the pics of my hand would look exactly like yours. I've just completed the Auxillium collagenase trial and while my finger straightened, my palm looks the same as it did before with the tethered skin almost the same as yours. Where'd you have your Kenalog injections and why Kenalog instead of NA? Because your finger hadn't started contracting yet?

01/11/08 17:37
Joe 
Re: My latest information after the Kenalog injections.

Hi, Yes, we are in the early stages. Your part in the trial was with the real deal or is it possible you had a placebo?

Has your nodules softened? How long has it been?

I had a local Dermotologist do the injection. I used Kenalog per many recommendations to slow it down and yes, I have no contraction.

Could you describe your treatment experience?

01/13/08 06:43
moondanc 
Re: My latest information after the Kenalog injections.

Hi Joe,

I had the real deal, not a placebo. My cord "snapped". It will be 5 weeks on Monday. Some of my nodules have softened. For a full report of my experience please check out the topic on this board "Auxilium AA4500 Trials Report." If you have any further questions, please feel free to ask.

Quote:
Re: My latest information after the Kenalog injections.
Hi, Yes, we are in the early stages. Your part in the trial was with the real deal or is it possible you had a placebo?

Has your nodules softened? How long has it been?

I had a local Dermotologist do the injection. I used Kenalog per many recommendations to slow it down and yes, I have no contraction.

Could you describe your treatment experience?

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