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Dr Vermani - I need your support!

Please help me in my rehabilitation efforts after accident, if possible. This is my case :

I met a road accident on June 1, 2008. My right hand humorous bone suffered multiple fractures just above elbow joint. I was operated on 6 June 08 and titanium plate with 9 screws was put to fix the bone. But radial nerve was trapped during the operation and after operation I had a problem of radial nerve palsy. The surgeon who did my operation did not recognized that nerve is trapped and told me that this is due to traction during operation and hoped that the nerve will start working again soon. But that did not happen.

After 2 months of the operation he tried to straighten my hand, but due to excessive force he applied on my hand, the titanium plate inside my hand got loosened and pieces of bone got separated inside.
To fix this problem I had to undergo another operation on 10 August 08. Titanium Plate was removed and a titanium rod (nail) was inserted from my right shoulder till elbow, which is still there.
It came out during the second operation that my radial nerve was trapped and the surgeon restored it to its normal position. It was found that the nerve was trapped for about 5-6 centimeters and this portion had shrunk in thickness from normal 7mm to 3 mm.
After operation my right hand was put under plaster from shoulder to finger. In a 90 degree curved position at elbow. My hand was in a vertical position which means my right palm was facing my left hand. Immediately after operation, when I was still in ICU, I felt that my little finger was numb and ring finger was also having less sensation and a tingling feeling inside. This I reported to my doctors but perhaps there was nothing they could have done immediately. This was perhaps due to very have plaster around my wrist and palm. It was loosened a bit only after 4 days. But the numbness and tenderness in the little finger has still not gone.

When after a month plaster was removed to cut stitches, it came out that the wound has got Staphylococcus infection. The bacteria were resistant to most of the anti-biotics and could be cured after using multiple drugs for about 3 and half months. Due to the infection the bone-union was also delayed and the situation improved only after the infection was controlled by mid November.

Since mid December the nerve started working gradually and now I can raise my wrist upto 45 degrees. But I am neither yet able to grab anything with it, nor can I fold my fingers and thumb to form a fist. All the joints of fingers have become stiff and tendons and extensors are week. Movement of elbow and shoulder is also restricted - elbow is stiff at around 90 degrees. I cannot straighten it fully neither can fold it inwards. I can move it hardly 30 degrees both ways from its 90 degree bent position. Raising my hand above chest level is also not possible due to stiffness in shoulder.

Titanium rod/nail is still inside as bone has joined only about 70 percent. Shoulder is also quite stiff. All this is because my whole arm was immobilized for more than 7 months. I feel a lot of heaviness in my whole right arm (from shoulder to fingers). After the first round of sleep in the night I have to wake up because of pain in wrist and fingers, but pain reduces when I do exercises for a few minutes.

I am doing self and active exercises for fingers and elbow, but surgeon has not advised for active supported exercise by a third person (physio-therapist). I don't know if homeopathy can help in this condition, but if it can, that will be the biggest support for my rehabilitation efforts. I am looking to you, as I find your case analysis very detailed and meticulous, which raises my hope of returning to normal life again.
Thanks and regards.
 
  hardtimes on 2009-02-14
This is just a forum. Assume posts are not from medical professionals.
Attn: Dr Sameer Vermani
 
hardtimes last decade
Can you please describe the nature of the pains ?

What makes them worse/better ?
 
sameervermani last decade
Its a king of tearing pain.
The feeling is of extreme tightening of the tissues and joints and initially I find it difficult to move my wrist and fingers, but after few attempts it becomes easier and the pain reduces after folding-unfolding of fingers and moving my wrist in circular motion for few seconds.
Pain increases by cold application and also when when my hand is hanging downwards for long.

Pain reduces by warm applications, on mildly pressing the hand with other hand and by gradual movements.

Little finger also had tenderness, more so at the tip of it.

The feeling of tightness reduces when I do exercises, but I can not do this for long due to lack of strength. After few minutes of exercise muscles pain, like it does when you do excessive exercise. Though this pain reduces in 15-20 minutes.

Also, there is a difference of temperature in my little finger and rest of the hands. Little finger is remarkably colder than the rest. Even others can feel this by merely touching the fingers.
 
hardtimes last decade
And, can you please describe your general temperament, and in particular changes that have occurred in your behavior since this problem started ? Also talk about any fears or anxieties you have.
 
sameervermani last decade
Thanks Dr Sameer for your response. I was away from i-net for a day, hence late in reply.

I am a 36 years old male, with average height and build and wheatish complexion.

I am generally an anxious person and a perfectionist. Want everything to be put at the right place all the times, spelling mistakes irritate me, like the one I made in the first line of my last post (king, instead of kind..I noticed it and tried to correct, but could not find, how to do it). I walk fats, cannot walk slowly. This applies to almost all the things I do, I am mostly in a hurry, don't like to be late. People around me call me very talkative. I am progressive / modern in my thoughts. Love philosophy. In my college days, I wanted to be a philosopher. I work as a Journalist and love my profession for being torchbearer of truth. Am an idealist to the core. Not very pragmatic/practical in personal life. I love music and books alot. I do not like to be alone, but don't like a crowd either. I love company of a selected few of my near and dear one's.

Present problem has created doubts in my mind regarding my future...whether I'll be able to lead a normal life again? I am also thinking of changing my profession and starting some own business, so that I don't have to feel bad at my workplace..I don't want to be left behind, because of my physical problems. I have always been one of the best, or thought of myself as one, and I don't want to loose that pride, because I cannot perform certain tasks due to my non-functional right hand (which is my working hand). I also had difficulty in having sound sleep after the accident and operation. Many a times I also had very bad dreams.

Past:
I had to pass through a broken relationship and took really long..almost 7 years to overcome that. During that phase I also tried to end my life once. But I came out of that depression 4 years back and married again. Now I have two kids and am really happy with my life, except for this accident.

I am generally a very emotional person from inside, though past experience has taught me to be little rough and tough from outside.
Now I don't let my emotions control me and make me feel week. Though I am still very-very attached to my family and give preference to their needs and joy over everything else.

I have occasionally faced problem in my sexual life due to high level of anxiety, which I don't think unusual in anyone's life, but mentioning this just in case this might help.
 
hardtimes last decade
Please take 3 doses of Hypericum Perforatum 200c equally spaced by 2 hours for one day only as below.

Dissolve 2 pellets or 2 drops of Hyper 200c in a 250 ml spring water bottle. You can shake it gently after they have dissolved.

Take a teaspoon from this bottle 3 times in one day, spaced by 2 hours. This is to be done for one day ONLY.

Let me know in 10 days after these 3 doses.

Restrictions:

1/. Nothing should enter the mouth for 40 minutes prior to, or after taking the remedy.
2/. Do not touch the tablets with your hands, tip them into the cap of the container they came in and then into the water .
3/. Avoid coffee, tea (including green), and other sources of caffeine such as some fizzy drinks and large amounts of chocolate, except where this would cause a drastic change in consumption
4/. Avoid wearing perfume/aftershave, or exposure to anything with a strong smell while under treatment. This includes any and all essential oils, and incense.
5/. Avoid the consumption of excessively spicey foods
6/. The use of medicinal herbs, either as 'teas' or supplements should be avoided during Homoeopathic treatment, as should the use of over the counter medication, unless this has been recommended by an MD.
7/. Nothing of a medicinal nature should be applied to the skin


Sameer
 
sameervermani last decade
Many thanks Dr Sameer for considering my case and suggesting the medicine. I'll take the medicine as per your instructions and will let you know after 10 days.

There is a query - may I continue with the Vitamin supplements I am taking right now?
I am currently taking these supplements prescribed by my orthopedic surgeon:

1. Multivite Gold once daily.
2. Mecobalamin (sub-lingual dose) - once daily.
3. Risofos (Risedronate Sodium Tab 35 mg) once in a week in empty stomach.

I'll take Hypericum Perforatum 200c only after getting your clearance over this, so that there is no clash with the homeopathic treatment.

rgds
 
hardtimes last decade
Do not take the other stuff.
Not needed.

Just take a healthy balanced diet with lots of fruits and vegetables.
 
sameervermani last decade
Ok Dr Sameer. I'll stop all other medicines and will take Hypericum Perforatum 200c tomorrow as per your instruction.
regards
 
hardtimes last decade

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