Physical Rehabilitation Medicine/extreme pain


i went to have a blood test from elbow, next  day ater blood test i felt extreme pain in my whole right hand with a bruising i went to a doctor she gave me ibrufen for a week that helped in lessning pain but the pain was on and of there its been 9 months and the pain is now increasing with swelling and tingling fingers my doctor prescribed me profedin swelling is gone but and there is lesser pain but i knw once i will leav taking anti inflammatory drug it will come up, i had an xray and evrything is clear , can u plx telling to what i m going through and the permannt solution of it

I would suspect that you have RSD or CRPS.  Look it up on the web.  Go see a board certified hand surgeon ( immediately and get into therapy.  If it is RSD, you have a very complicated disturbance in the way your body processes different types of sensation, pain, etc.  Usually untreated swelling is a big factor in this.

This usually doesn't get better on its own and needs treatment to correct.

Good luck

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Brian Neville, OTR/L, CWCE


I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!


10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

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Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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