27 year old male, constant pain in both hands and wrists since 2000. No initial injuries.
Initially diagnosed with RSD since the back of my hands were sensitive to touch, disappeared by itself suddenly around 2003 with no recurrence.
Pain is generally equal on both sides, all over the back side of the hands and all around the wrists (it is inside and not on the skin). Palms ok.
Dull, heavy aching with a slow, wave-like up and down intensity, and moves throughout the hand (like smoke swirling around a container)
Activity and vibrations increase pain
Full range of motion
No noticeable sensitivity to hot/cold
Variety of symptoms that occur randomly and unexpectedly:
-shooting/slicing pain through the wrist or a couple of fingers (with or without movement)
-swelling and redness of knuckles
-cold to the touch
-slight tingling/numbness in fingertips, no more than a few seconds
-feeling of a tiny, sharp object within a wrist
Frequent flare ups, usually on one side, lasting from a few minutes to days at a time
Starting from a few years ago the pain can spread across arm to the elbow
Starting from last year it can spread to the shoulder (most recent on July 13th). Feels like my whole arm is being cut and twisted off at the shoulder, elbow, and wrist and lasts at least an hour.
I have seen numerous doctors, specialists, psychiatrists, etc.
Tests including x-rays, MRIs, bone scans, blood work, CT scans with all normal results
Last nerve conduction test showed some slight abnormal signals but nothing conclusive.
3 separate nerve blocks with brief and minimal improvement.
No relief with meds.
No other bodily pains or problems.
Small ganglion cyst removed from back of left hand in 1997, no complications.
Last year I came across the disorder SCN9A Erythromelalgia (http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=etha), which seems to fit a lot of my problems.
I'm just hoping for any fresh ideas. Thank you for your time.
I would suggest you to go for a 3 phase bone scan and if it comes as normal, then you can be fully assured that there is no problem inside the body, only subjective issues are there, which can be more related to external environment (stress / weather / etc).
Beside this, no other things to do presently.
Feel free to discuss further
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.