Finger Splint |
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08/08/2015 15:55
Broderbund
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08/08/2015 15:55
Broderbund
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Finger Splint
Hi
I've got an appt with a DD experienced surgeon in 3 weeks hoping to have NA done. Nodule on my left pinky pip joint ...around 20 degree contracted.
Should I consider splinting the finger at night ? Will that slow down the rate of contracture and potentially keep the finger straighter?
Appreciate any thoughts .....
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08/08/2015 17:04
mikes
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08/08/2015 17:04
mikes
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Re: Finger Splint
Yes. Definitely.
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08/08/2015 19:19
BRIANB
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08/08/2015 19:19
BRIANB
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Re: Finger Splint
imo yes ..the palm should be supported also ...been wearing splints for years ..they help me
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08/10/2015 17:26
Cherise
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08/10/2015 17:26
Cherise

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Re: Finger Splint
Broderbund: Hi
I've got an appt with a DD experienced surgeon in 3 weeks hoping to have NA done. Nodule on my left pinky pip joint ...around 20 degree contracted.
Should I consider splinting the finger at night ? Will that slow down the rate of contracture and potentially keep the finger straighter?
Appreciate any thoughts .....
Once DD becomes active my Dr. told me I will be wearing night splints for years to prevent the relaxed fingers while sleeping from curling all night. My night splint does include the Palm. The spring splint allows use of the fingers for day support and use of the hand.
Kind Regards Cherise
Edited 08/10/15 20:29
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09/12/2015 20:55
Cherise
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09/12/2015 20:55
Cherise

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Re: Finger Splint
Wach is absolutely right. I Learned the hard way & trusted a hand surgeon with little DC experience. Surgery can & does make DC begin a gruesome active stage that will not stop...we'll eventually once a doc experienced in DC has treated the issue. That was my personal experience before I found this FORUM.
See a doc who specializes in NA , RT, OR XIAFLEX..These options are all good depending on the stage the DC is at that will also determine which treatment is best.
A splint worn every night for the ever was my Dr. advice. Why? As we sleep our fingers naturally roll into the fist position encouraging contraction of the fingers into a fist at rest.
My wrist has also taken a toll from this disease it's in a cast as the tendon has torn from compenstong for DC in the hand.
Read all you can on this forum. It's the best place for all the info you need on the Internet. This is for many a very painful disease. Messaging the nodes lightly in my palms has lessoned their size & pain level. Take care & hang in there.
Kind Regards Cherise
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09/14/2015 00:08
Rocky
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09/14/2015 00:08
Rocky
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Re: Finger Splint
Sorry.....let me get this straight please.
I have nodules and cords on my left hand and cords only on my right. No contracture at all.
Am I to assume that it will be FINE to splint my left hand at night without causing undue or further damage?
If so, I would prefer to use a tongue depressor and wrap it with something.
Does this sound like 'good treatment' for me at this stage?
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09/14/2015 06:01
wach  Administrator
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09/14/2015 06:01
wach  Administrator
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Re: Finger Splint
Hi Rocky,
as I wrote above "Long term splinting typically stiffens the finger joints."
Consistent nightly splinting might and probably will avoid contracture but
1. on a long term (years of splinting) it will probably stiffen your joints which will make it more difficult using your hand
2. it will help only as long as you are wearing the splint. When you stop wearing it the contracture might come, even after years of wearing a splint.
Does it sound like a good treatment at this stage? Maybe, maybe not. It's more a personaly decision and I myself wouldn't do it.
Wolfgang
Rocky: Sorry.....let me get this straight please.
I have nodules and cords on my left hand and cords only on my right. No contracture at all.
Am I to assume that it will be FINE to splint my left hand at night without causing undue or further damage?
If so, I would prefer to use a tongue depressor and wrap it with something.
Does this sound like 'good treatment' for me at this stage?
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09/14/2015 06:05
spanishbuddha  Administrator
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09/14/2015 06:05
spanishbuddha  Administrator
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Re: Finger Splint
Rocky: Sorry.....let me get this straight please.
I have nodules and cords on my left hand and cords only on my right. No contracture at all.
Am I to assume that it will be FINE to splint my left hand at night without causing undue or further damage?
If so, I would prefer to use a tongue depressor and wrap it with something.
Does this sound like 'good treatment' for me at this stage?
There's no evidence to support the use of splinting to prevent contracture, before surgery (or NA or Xiaflex). Do it if it makes you feel good, but the finger joints will likely and briefly feel stiff in the mornings. I have to ask on what basis you have decided to do this?
The evidence for the success of splinting after interventions is neutral, but there are lots of stories of folks whose contracture restarted when they stopped splinting. Since there is no evidence against either, most doctors recommend a period of splinting after the intervention.
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