Hand Pain

Discussion in 'Health & Fitness' started by svlin, Jun 18, 2010.

  1. svlin

    svlin New User

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    I did a search already and couldn't find responses or descriptions of a similar thing.

    I have pain on the 4th finger of my dominant hand about 1 inch away from the wrist towards the fingers (seems to be a small bony bump there). It seems to ONLY hurt when I hit forehands and it gives me sharp pain initially and goes away after about 10-15 minutes of warmup. Does anyone else feel a bump there on their dominant hand?

    I have read about wrist pain such as TFCC among others but it doesn't seem to be the same as the typical injuries. Anyone experience the same pain before?
     
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  2. charliefedererer

    charliefedererer Legend

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    Only a visit to a hand specialist will result in the exam that can really diagnose your problem.

    But since you state that it occurs where there is a small "bump", I wonder if it is the hook of the hamate bone you are feeling.

    [​IMG]www.eorthopod.com/images/ContentImages/hand/hand_guyon_canal/hand_guyon_canal_anat03.jpg

    It may be hard to tell from this picture, but the hamate bone has a part that is raised up into the lower palm, and viewed from the side has a shape like a "hook".

    Only conjecture here, but you may have a bruise over that area. By any chance do you play with a leather or relatively hard grip? If so, you might do better with a cushioned grip, at least for a while.

    In the sports world, an actual fracture of the hook of the hamate is the fate suffered by a golfer who strikes his club against a rock. Baseball players also suffer fractures here, and apparently some tennis players as well: http://emedicine.medscape.com/article/97813-overview
     
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  3. svlin

    svlin New User

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    I actually am getting pain right here shown in this pictures, it is located on the top of the hand:



    I had a match today and had extreme pain in this area of my hand within the first 15 minutes...it subsided for about 1 hr (took 200mg of Ibuprofen before the match). After about an hour the pain came back and I could no longer hit a forehand. Either way, I plan on going to see a doctor this week and try to get forwarded to a hand specialist.
     
    Last edited: Mar 29, 2011
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  4. madrileno89

    madrileno89 New User

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    First post on forums, normally I just browse around but ran into this which caused me agony and stopped me from hitting for 3 months....

    Well here is my story and what worked for me(I am in no way saying not to see a specialist)Around 4 months ago I began to experience the same pain in the same place just around an inch from the wrist heading towards my 4th finger, now looking back it seems rather obvious, but I had just changed my forehand technique around a year ago. I'm not sure if this will help you also, but as I was making contact with the ball, unknowingly I was twisting my hand CCW. Once I stopped, pain subsided.
     
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  5. svlin

    svlin New User

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    Thanks for posting...interestingly it seems I can reproduce the pain by holding my racket in the forehand position and lay the wrist back as if I am about to make contact with the ball. If I use my left hand to begin to rotate the tennis racket counter clockwise I feel pain in the exact spot in the linked picture.

    I haven't changed my motion as of late, but I had a practice in which I think I might have injured my hand by gripping too tightly b/c it was 90 degrees with 80+ percent humidity and my grip was slippery.

    To the original response, I use a Volkl PB10mid with 2 Tourna Tac overgrips over the original DNX synthetic so it should be fairly soft in comparison to a leather grip.
     
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  6. svlin

    svlin New User

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    Does anyone else, when you run your finger down between your 3rd and 4th metacarpals on the top of your dominant hand feel a bump?


    Well I got Xrays and they were negative...though I am not convinced. I haven't played now for 10 days and there is still pain, but I wasn't able to convince my general doctor to forward me to a hand specialist on my first visit.
     
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  7. charliefedererer

    charliefedererer Legend

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    Sorry to hear you are not better. It sounds like you need to contact your primary care doctor and push again for that referral.
     
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  8. svlin

    svlin New User

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    #8
  9. slewisoh

    slewisoh Semi-Pro

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    I lost at least a year messing around with general orthopedic docs before I finally went to a hand specialist. He diagnosed the problem within 5 minutes. And none of this vague "tendinitis" bull. "Tendinitis" is code for "I have no idea what the problem is..."

    You need to really push for the referral...
     
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  10. charliefedererer

    charliefedererer Legend

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    It's odd if this is a metacarpal boss that it didn't turn up on x-ray, since this is a bony abnormality. So either they missed it looking intently to rule out a fracture, or maybe this isn't really a boss. It would definitely be worthwhile to have that x-ray reviewed, and still a good idea to see a hand specialist.
     
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  11. svlin

    svlin New User

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    Thought I would update my own thread given that I haven't yet found a solution.

    I went to a specialist and he told me that after doing an MRI (which came up negative) and doing a number of x-rays, that it looks like the 4th metacarpal on my hand is slightly shifted. The conclusion to all of this was he told me to do physical rehab. I took about 9 months off of tennis and did a lot of grip strength type exercising and came back into tennis slowly, even changing rackets and strings.

    However, the other day I was playing doubles and I hit one shot that set it off again. I have had pain in the same spot now for 2 weeks. Because this pain is not in the wrist itself, I have no idea how rehab would help my situation...in addition, I am dumbfounded by how everything came up negative, MRI, multiple X-ray sessions when I have so much pain that occurs in this spot when hitting a forehand.

    It is mysterious because I have not encountered anyone playing tennis that has experienced the same injury.
     
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  12. Chrisalias1

    Chrisalias1 New User

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    I'm not sure if I know of tennis players that have your injury because I'm not sure what your injury is...however I know of myself and 2 other tennis players who do suffer from CarpoMetacarpal Bossing.
     
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