Dr. GO? My back's been bothering me...

Dr GO

@Vulgano-Brother said in Dr. GO? My back's been bothering me...:

...After the Viagra you sent me I developed carpal-tunnel syndrome.

So that also explains why my Script to you for the medication to help stop that nasty hand tremor you had was never filled.

Dr GO

@SSmith1226 said in Dr. GO? My back's been bothering me...:

@Vulgano-Brother said in Dr. GO? My back's been bothering me...:

@Dr-GO ...
It's not just my back though. After the Viagra you sent me I developed carpal-tunnel syndrome.

Vulgano Brother and Dr.Go,
... Certainly if allowed to advance, the carpal tunnel syndrome would adversely affect his trumpet playing to the point that Clark Studies would no longer be possible to play.

Not to mention the vision loss due to the overriding affliction!

SSmith1226

@Dr-GO said in Dr. GO? My back's been bothering me...:

@SSmith1226 said in Dr. GO? My back's been bothering me...:

@Vulgano-Brother said in Dr. GO? My back's been bothering me...:

@Dr-GO ...
It's not just my back though. After the Viagra you sent me I developed carpal-tunnel syndrome.

Vulgano Brother and Dr.Go,
... Certainly if allowed to advance, the carpal tunnel syndrome would adversely affect his trumpet playing to the point that Clark Studies would no longer be possible to play.

Not to mention the vision loss due to the overriding affliction!

I agree with Dr. GO’s analysis completely! In my unprofessional opinion, Immediate Ophthalmologic evaluation should be considered in cases such as this one! It is sad to consider that this affliction was first reported in the Old Testament (Gen. 38, 7–10), and later discussed by Julius Ceaser who said
“ to the lonely it is company; to the forsaken it is a friend; to the aged and impotent it is a benefactor; they that be penniless are yet rich, in that they still have this majestic diversion. There are times when I prefer it to sodomy.". Unfortunately, as of yet, medical science does not seem to have a handle, or any other grip, on solving this conundrum, only perpetrating it with drugs and water based substances heavily advertised on television. (Warning: Hetman, Blue Juice and similar substances ARE NOT water based.)
It is a sad state of affairs that this problem, and case study, has been brought out from the shadows to the public eye on a Trumpet Discussion Site, and not in a peer reviewed prestigious medical journal. Kudos to Trumpetboards.com!!!
Now that I have taken a break, resting as long as I have played, back to my Clarke Technical Studies. I’m glad I got that off my chest.

moshe

This post is deleted!

Tobylou8

@SSmith1226 said in Dr. GO? My back's been bothering me...:

@Vulgano-Brother said in Dr. GO? My back's been bothering me...:

@Dr-GO ...
It's not just my back though. After the Viagra you sent me I developed carpal-tunnel syndrome.

Vulgano Brother and Dr.Go,
I ask for your forgiveness and understanding for inserting myself in this exchange, but I had some relevant thoughts about Vulgano Brother’s carpal tunnel syndrome. Certainly if allowed to advance, the carpal tunnel syndrome would adversely affect his trumpet playing to the point that Clarke Studies would no longer be possible to play.
My first thought would be to go to a well qualified massage parlor for therapeutic massage. If a minimum of five treatments per week for a month do not improve your carpal tunnel syndrome, or at least take your mind off of it, wearing the below pictured gloves 24 hours a day will certainly give your hands and wrists adaquate rest to allow all swelling to subside.
Good luck!!!

While I applaud your effort, I do think there are better choices. I would definitely recommend these although it may be rough going cold turkey, but there would really be no other option! It wood be hard, but not really!

SSmith1226

@Tobylou8 said in Dr. GO? My back's been bothering me...:

While I applaud your effort, I do think there are better choices. I would definitely recommend these although it may be rough going cold turkey, but there would really be no other option! It wood be hard, but not really!

Tobylou8,
Absolutely brilliant!!! All the Tobylous who preceded you, Tobylou1, Tobylou2, 3, 4, 5, 6, &7.should be proud of you ( kvelling ) for suggesting this. I wish that I had known about these gloves when I wrote my post. I have not been involved with woodworking since I was a child, but to Play Devil’s Advocate, the largest grit available for these gloves is 100. In a serious problem of this type of carpal tunnel syndrome, caused by the Viagra imduced ergonomic issues, would a grit of 100 be adaquate, or would a grit in the range of 34 - 80 be better? I know that there is more than one way to “skin a cat” but I feel that we are walking on a tight rope, and would like our highly respected colleague to have the best treatment option possible to prevent permanent Median Nerve damage as well as avoid further iatrogenic issues. You should also note that I didn’t mention Vulgano Brother’s name in order to avoid violating the Federal HIPPA Law.
As a side note, it might be interesting to hear from our repair and restoration colleagues to see whether these gloves can also useful in their field.
Thank you for your consideration. Much to everyone’s relief, including my wife’s, I will do my best to avoid the temptation to comment further on this particular subject. It may be tough, so I can’t make any guarantees.

Dr GO

I don't know... what's wrong with a good ol' catcher's mitt? It protects against any wood that strikes it as a result of foul tips, AND can handle the balls that fall into the pouch!

And how does this relate to back pain... less strain [during the activity], less pain on the axial skeletal system; just to make sure we are all keeping on track with this thread!

SSmith1226

@Dr-GO
Another outstanding post to this thread. The fact that you put this together so succinctly shows why you are the moderator. To help keep this on track I will withdraw my question to the repair and refurbishment techs about Tobylou8’s gloves.

Tobylou8

@Dr-GO said in Dr. GO? My back's been bothering me...:

I don't know... what's wrong with a good ol' catcher's mitt? It protects against any wood that strikes it as a result of foul tips, AND can handle the balls that fall into the pouch!

And how does this relate to back pain... less strain [during the activity], less pain on the axial skeletal system; just to make sure we are all keeping on track with this thread!

I don't know, I think it's a swing and a miss! Unless the pitcher is throwing all balls..., might be the only way to get on base. I guess it would depend on the patient, it could be a home run! Batter up!

SSmith1226

@Dr-GO said in Dr. GO? My back's been bothering me...:

I don't know... what's wrong with a good ol' catcher's mitt? It protects against any wood that strikes it as a result of foul tips, AND can handle the balls that fall into the pouch!

And how does this relate to back pain... less strain [during the activity], less pain on the axial skeletal system; just to make sure we are all keeping on track with this thread!

One other point about carpal tunnel syndrome that is pertinent to the catchers mitt, the most prescribed non operative treatment for this entity is a splint, specifically a cock up splint for the wrist. The catchers mitt also will serve well in this function, placing the wrist in the cock up position.
Please see the below videos for illustration:

Tobylou8

@SSmith1226 said in Dr. GO? My back's been bothering me...:

@Dr-GO said in Dr. GO? My back's been bothering me...:

I don't know... what's wrong with a good ol' catcher's mitt? It protects against any wood that strikes it as a result of foul tips, AND can handle the balls that fall into the pouch!

And how does this relate to back pain... less strain [during the activity], less pain on the axial skeletal system; just to make sure we are all keeping on track with this thread!

One other point about carpal tunnel syndrome that is pertinent to the catchers mitt, the most prescribed non operative treatment for this entity is a splint, specifically a cock up splint for the wrist. The catchers mitt also will serve well in this function, placing the wrist in the cock up position.
Please see the below videos for illustration:

alt text

Dr GO

Just want to make sure Vulgano Brother is UNDERSTANDING THIS:

It goes on the WRIST (Read first word for priority!)

An informed patient is a happy patient

Dr GO

@moshe said in Dr. GO? My back's been bothering me...:

If a herniated disk is crushing the spinal cord, the patient might not notice any pain.

The patient might slowly lose sensation and lose fine motor skills without realizing it.
moshe

If we did this, 80% of patients with anatomical abnormalities would have unnecessary surgery of which the majority of these causing lower extremity symptoms are in the Lumbar distribution. Moshe, were you having neck pain?

Typically FIRST physical therapy may be attempted then the nerve conduction can be re-tested to see if rehab alone is taking the pressure of a nerve.

My question to you, is did you have rehab first? If you did and this failed, then I can see surgery as being the next step. I must admit, the C5 region would have been more difficult to manage conservatively. And now I have a better appreciation for your special situation. There was so much missing from your personal presentation prior to your above post that I want to re-assure our other readers that "One Size Does not Fit All".

Dr GO

@moshe said in Dr. GO? My back's been bothering me...:

If a person has a knife sticking out of his back, it should be removed immediately, even if it is not causing any symptoms at the moment.

moshe

Moshe, for the important reason of staying in context, a knife sticking out of the back is a different clinical situation and a separate guideline. In medicine, we treat the specific etiology behind a problem. Nerve root etiology to pain is a very difficult and risky etiology to treat. IF the knife is the cause, (even true if not symptomatic) the knife should not be removed immediately in this situation!* In fact, if a knife wound is the etiology to nerve root pain (a very deep penetration), if the patient is found at the scene with the knife still in, EMS will stabilize the knife until the patient can have it removed at a trauma center where surgeons are available if other structures (major blood vessels) may be compromised.

We take an oath in medicine to first do no harm. The evidence I presented above weighs heavily for physical therapy first, which minimizes the risk for potential harm of unnecessary surgery.

I kindly recommend for the sake of the readers reviewing this discussion that we understand to keep the situation in context.

*https://www.jems.com/articles/print/volume-36/issue-6/patient-care/use-caution-impalement-injuries.html

moshe

To encourage peace in this forum, I have deleted all of my posts in this thread.

God bless.

moshe

Tobylou8

@moshe said in Dr. GO? My back's been bothering me...:

To encourage peace in this forum, I have deleted all of my posts in this thread.

God bless.

moshe

Pinstriper

@moshe said in Dr. GO? My back's been bothering me...:

To encourage peace in this forum, I have deleted all of my posts in this thread.

God bless.

moshe

What does this supposed to be meaning ?

I haven't seen any non-peaceful responses. Some generalizations corrected, and disambiguiation, some restatement of pertinent facts, all in a spirit of accord.

Or are you suggesting that you are about to blow an o-ring because everything you said isn't being accepted at face value, and you are trying to erase the conversation so that it never happened ? If so, you need a different kind of doctor.

moshe

This post is deleted!

moshe

@Pinstriper said in Dr. GO? My back's been bothering me...:

@moshe said in Dr. GO? My back's been bothering me...:

To encourage peace in this forum, I have deleted all of my posts in this thread.

God bless.

moshe

What does this supposed to be meaning ?

I haven't seen any non-peaceful responses. Some generalizations corrected, and disambiguiation, some restatement of pertinent facts, all in a spirit of accord.

Or are you suggesting that you are about to blow an o-ring because everything you said isn't being accepted at face value, and you are trying to erase the conversation so that it never happened ? If so, you need a different kind of doctor.

I was afraid that my posts might have offended some people,
so I deleted my posts.

It's that simple.

Please do not insinuate that I "need a different kind of doctor".
Be nice.

moshe