Hi for the first time everyone. I had NA followed by an injection of xiaflex 5 weeks ago and my hand is still swollen
And I still can not make a fist. Fingers come down half way. Have been icing and doing Physio. DR out of town for 2 weeks
The deep pain and throbbing relentless. Any thoughts. I starting to think injection went into tendon or ligament

Hello. I was to believe the surgeon was just going to inject the xiaflex but when he froze my hand and started digging
Away with a needle I notice the xiaflex was still on the counter. He straightens my fingers and I heard popping noises
Then he said I will put injection in to clean up anything left. He wrapped me up and I went home. I returned a week later
And he froze me up again and did something not sure what and re wrapped me and sent me home. He said he would call and set up Physio. Which he didn't. I had to myself. He said call me in 5 weeks if I have any questions. The ring finger and middle finger and baby finger were affected and quite contracted. My Physio lady said things are not normal but that's all ahe has said. I have deep pain and throbbing and burning 24/7 and I feels like the this hand will never close again. It just stops half way to fist and that's it.

I would think you would do either NA or Xiaflex, not both! Another thing that I don't think people discuss much here is that Xiaflex results in an immune response. It seems likely that each time you have the treatment the immune response would increase, perhaps to the point that an allergic reaction would occur. If NA worked I would stop there. Sounds like not an experienced doctor.

I have had Xiaflex injections twice and the first time the doctor had me wait a week before doing the manipulation and my hands became so swollen that the skin cracked open. The second time the manipulation was done 14 hours after the Xiaflex injections and the swelling was much less. The manipulation on day two I believe enabled the hand to remove the waste products from the Xiaflex more effectively and this reduced the swelling.

In both cases I used cold packs to chill my hand to minimize swelling but it was not enough.

Doing NA and then Xiaflex is wrong. NA can be used where Xiaflex fails and so it should be done at the same time the hand is being manipulated the day after the Xiaflex injections. The day after the injections the doctor can see where there is still impingement and then use NA and additional manipulation to break these other areas free.

With Xiaflex and NA in combination you will get better results and it only takes one day for the Xiaflex followed by manipulation and NA the second day. Least expensive and most effectiver treatment process.

Edited 02/23/16 22:19

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Hi Thanks. Well I am in nightmare zone now. It has been 2 months and I am still in agony. Deep pain.
I can only close my hand half way. Major Physio and I work in it hours every day. Will not close to grip
Doc says I need to work on it harder nothing he can do. May not come back.
I had no idea this was a possibility. I'm am still hoping this nightmare will resolve.
No one would do it if this was the way it went.