De Quervain Tenosynovitis - injections safe?

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De Quervain Tenosynovitis - injections safe?

Postby huongtr » Wed Aug 13, 2014 9:47 pm

I had carpal tunnel with both pregnancies. It went away within weeks of my first bubs being born, but persisted with this bubs. It became too painful, so at 8 weeks I saw my Dr. After ultrasounds in my wrists and nerve conduction studies, I've been diagnosed with De Quervain Tenosynovitis in both wrists.
Dr says injections would sort out pain straight away but would not prescribe them for me bc I'm breastfeeding. She gave me a referral to a hand therapist. Does that sound right? Dr Google says I should have the injections then pump-and-dump for 8-24 hrs.
I'm getting desperate as the pain when using my thumbs shoots up my forearms and is getting worse. I'm afraid of causing permanent damage but I need to use my hands and of course my baby is just getting heavier. Bubs is 3mo now.
Do you know how I might confirm whether injections are safe? Have you had a similar experience with wrist pains?

http://en.m.wikipedia.org/wiki/De_Quervain_syndrome
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Re: De Quervain Tenosynovitis - injections safe?

Postby Andypandy » Wed Aug 13, 2014 10:15 pm

Hi there

That sounds quite painful. I have attached a link with some pharmacy numbers.
https://www.breastfeeding.asn.au/bfinfo/drugs.html

If you call the one in your state, they can tell you about the safety.
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Re: De Quervain Tenosynovitis - injections safe?

Postby huongtr » Sat Aug 16, 2014 9:12 pm

Thanks Andypandy.

I rang the Women's Hospital (Melb) Med Info line and was advised that given it is a localised injection and a once off treatment, I should be alright to continue breastfeeding. I think I will go back to my Dr and ask her to refer me for the injections, then I'll pump-and-dump for 24 hours just to be sure.
Meanwhile I've been wearing wrist splints I got from the chemist - which are impractical but hopefully preventing further damage.

Time to stock up on EBM!
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Re: De Quervain Tenosynovitis - injections safe?

Postby Ronale » Sat Aug 16, 2014 9:44 pm

I'm not sure what you've tried before this, but I had a lot of success seeing a physio for this. I did the exercises fairly frequently and built up the muscles in my wrists to support the tendons and was careful with how I picked up my baby. If y haven't tried this, I would suggest it may be worthwhile investigating regardless of how the injections go
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Re: De Quervain Tenosynovitis - injections safe?

Postby Gwen's Mum » Sun Aug 17, 2014 5:52 am

I was about to suggest the physio option too - I actually heard an ABA counsellor and physio speak about these sorts of post-partum issues at a workshop a while back. She talked lots about its interaction with breastfeeding. Will see if I can find the notes...
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Re: De Quervain Tenosynovitis - injections safe?

Postby pseudo » Sun Aug 17, 2014 1:34 pm

A hand physio worked wonders for me but I also did have the injection once. It's safe when breastfeeding.
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Re: De Quervain Tenosynovitis - injections safe?

Postby Tnam11 » Sat Apr 18, 2015 9:06 am

Hi huongtr, I'm suffering with De Quervain at the moment...did you get the injection? Any feedback would help please.
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Re: De Quervain Tenosynovitis - injections safe?

Postby flutterbye » Thu Apr 30, 2015 12:13 pm

Hi,

I suffered this and found both physio and wearing wrist supports helped.
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