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Trigger thumb

I injured my thumb right after Thanksgiving and was initially diagnosed with a sprain.  The worst pain was at the joint farthest from my wrist.  New Year's Eve I was diagnosed with trigger thumb and prescribed 8 physical therapy sessions.  (The tendon at the base of the thumb is noticeably thick) I had little to no improvement after the PT (over a 4 week period) and sought a second opinion.  The second doctor ordered an MRI that didn't show anything except inflammation around the bottom joint of the thumb (I had developed pain in that joint by then).  He did a steroid injection at the base of my thumb a week ago and I am seeing a little improvement.  I also have a "nodule" between my thumb and index finger that he thinks may be sesamoiditis.  I can't find much information on sesamoiditis in the hand.  Would a cyst have shown up on an MRI without contrast?  This nodule has not gotten smaller since the injection.
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Avatar universal
MEDICAL PROFESSIONAL
Trapezius is a muscle which is a spread out muscle; from the back of the head, spines, scapula etc. How did he diagnose? Did he do some tests on your neck movements, X-ray, MRI, Scans to diagnose?
Take anti inflammatory drugs, rest, ice packing and you would be fine if it is  a minor sprain.
If you have a muscle splitting, muscle tears etc you have to be diagnosed properly and treated properly. Take care!
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Avatar universal
I was in a car accident yesterday and went to the hospital about 5 hrs later and the dr. said that I have Thrapezium sprain in my neck. Could you explain more about that to me.  For  instance the meaning, how long does it usually take for recovery.
Thank you
Denise
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Avatar universal
Hi,
How are you feeling?
The wrist is composed of 8 carpal bones in 2 rows (proximal and distal); from radial to ulnar:
Proximal row: Scaphoid (or navicular), Lunate, Triquetrum, Pisiform
Distal row: Trapezium, Trapezoid, Capitate and Hamate.
Pisiform is the only small sesamoid bone lies anterolateral to the triquetrum and sits within the flexor carpi ulnaris tendon.
If it is infected or injured then it is called as sesamoiditis.
There are other bones in the body too which are called as sesamoid bone.
A cyst would have definitely shown up on MRI.
Keep me informed if you have any other queries.
Bye.
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