Join pain between metacarpal and hamate bone.

[tyfab14]

Hi,

I recently recovered from a metacarpal dislocation of the 3rd, 4th, 5th. I had surgery 3 months ago and recovered quite well but I still have sharp joint pain on the hamate bone when I push on my palm close the 4th and 5th metacarpal.

I was wondering if there are an exercise so I can remove this pain. I can’t for example do push up the pain the top harsh.

Any help appreciated

[Barnclown]

I’ve been managing problem forefeet for decades due to my early onset immune dysfunction & connective tissue disorder comorbidities. I have lived with varying degrees of pain + persistent sensitivity 24/7 all year round in the area you’re asking about. This area is full of fine anatomical detail and relationships that can go v wring, as you know all to well.

In my case, 4/5 metacarpal pain relates to my equinus contracture + mortons neuroma + synovitis/bursitis + Complex Regional Pain Syndrome which i manage via a conscientious regime of gastrocnemius stretching + prescription bespoke orthotic insoles with metatarsal domes + 5 weekly podiatry treatments + daily hydration etc...and also the oral meds rheumatology has me on, all of which help my soft tissues a lot, thereby helping my metacarpals & their joints to better function & a lesser degree of pain

my medics & i took years to figured out this management regime...cause every individual’s version of all this is so different. I’m prone to spontaneous joint subluxations, fractured toes, paraoxysmal haematomas...i have v early onset peripheral neuropathy & simultaneous raynauds+erythromelalgia...so i’v3 never inown life without significant foot pain. But i do know how to m8n8mise it + where to find the right help & advice when i need it, eg at 65 i’ve finally self-referred for care in my local NHS podiatry clinic & been accepted for long-term care due to the diagnostic mix affecting my feet and their debilitation

Clearly you have a lot of experience managing feet problems too...but maybe something in all that can be useful to you 🍀🍀🍀🍀 Coco

[cyberbarn]

Hi, I think you are talking about hands, and thus carpels, and Barnclown is talking about tarsals which are the same bones only in the feet. There are a lot of similarities between the two, but also some differences, mainly the effect on the feet is greater due to the weight we put on them when we stand and walk.

First of all I would say that three months isn't that long after surgery. It might be that it still needs some more time to heal. I have had surgery on my feet but also had a dislocation of the carpels many years ago. It might be that you need some physio to make sure that it is healing in the right way, or it might be a good idea to seek the opinion of your surgeon.

As for doing push ups, I was never able to do them again, at least not in the traditional way. There are other exercises that you can do that have the same outcomes, and for that it is probably best to go to a good reputable gym.

[tyfab14 in reply to cyberbarn]

Hey - thanks for the reply. Yes indeed, I was talking about my hand. So yes 3 months off K-wires. They drilled across 3rd to 5th metacarpals and drilled from the 5th metacarpal to the hamate bone. Typical surgery reduction apparently.

I was off k-wire after 4 weeks from the surgery date. And 1 week after the k-wires were gone, I had good mobility of my wrist.

But, really struggle ever since with pushing. (E.g Pushups)

I’ve been looking at what kind of exercise I should look for but there are little to no information about physio exercise for this kind of pain. I think I’ll visit my physio again as I skipped the last one because I thought it was fine in terms of pain but no improvement since...

Anyways thanks!