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Pisiform (wrist) Surgery Recovery & Complications

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Rheumatoid Arthritis
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Posted 4/16/2012 4:50 PM (GMT -8)
Hello... I am looking for any help right now in regards to the pisiform removal, recovery time & what is to be expected if my fiance doesnt get better. We were told that she would be back to work in approx 3 weeks. While at the 1st postop visit, the ortho said 2-3 months (and poss longer!) We are lucky for the simple fact that this is a workmans comp issue so we wont take too big of a financial hit but the lack of recovery is starting to be an alarm. Her ring finger is mostly numb and no control of movement. It has been 2 weeks since her surgery..she is 40 yrs old, in good health. Any help would be great. Just wondering if she doesnt get better...what would be the next steps? Thanks for any help!
Posted 5/4/2013 11:46 AM (GMT -8)
I am new to this site. I just had my pisiform removed from my left wrist and a Herbert sling done. My surgery took place on 4/12/13. I have to wear a cast for 6 weeks, then a special splint for 6 weeks. I have a lot of pain and I can not straighten my ring finger. I am very concerned. Can any one tell me if this is normal? How long until fully recovered? I am working with all of these problems.Any answers will be appreciated.
Posted 5/4/2013 5:27 PM (GMT -8)
Have you tried stem cell therapy? It is actually a treatment where your bone marrow is extracted and the separated stem cells are re-injected to the effected area. I got this done for my arthritis knee few months back and I am actually recovering. You can get to know more about it at http://www.stem.md/ . Hope this will help you.:)
Posted 5/16/2013 3:09 PM (GMT -8)
I just had my cast removed after only 5 weeks from pisiform removal. I am now with a splint, that is a custom fit. I am in a lot of pain. It wakes me up at night. I am told this is to be expected it will get better! I am told recovery will take 6 - 9 months up to a year. Also a lot of physical therapy. I am having problems straightening my ring finger. Any responses will be appreciated.
Posted 5/16/2013 5:33 PM (GMT -8)
Hi Laurie,

I just searched pisiform removal in the healing well search bar above and it came up with quite a lot of info from 2003!!! Have a search and a read and see if any of the info is still relevant for you.

I attended a RA support group a few years ago and some one there was having it done, unfortunately I never found out if it was successful. She was in so much pain before the surgery.

I'm sorry I don't know any thing about it. I have wrist splints which I often wear at night and sometimes for work. MY OT has made me two sets, a resting splint and a working splint as I teach art and need fairly good movement. They can be uncomfortable but I get the splints adjusted as my wrists swell or go down, the splints may rub in different parts. I also wear a sock bandage underneath but they still get sweaty.

The OT's are very ameable to adjusting them for me.

I get a lot of swelling along tendon sheaths and suffer from carpel tunnell as a consequence, I get alot of numbness and sore wrists.

Best wishes, sorry you are having such trouble, I'd talk to a physio they are always very helpful. Golitho

 

Posted 11/17/2015 9:55 AM (GMT -8)
I just had the surgery 11/11/2015...and my ring finger and pinky are numb. Doc says could last a day/week/month or even up to a year. I cant perform my job without feeling....suggestions? I get my 1/2 cast removed Monday 11/23
Posted 7/26/2018 5:05 AM (GMT -8)
Bumping this thread. I would like to know how people who have had this done are doing. Ortho suggested I have this bone removed. He manipulated it and it is causing pain but no mri has been taken to help diagnose the pain in the ulnar side of my wrist.

Conservative treatment hasn't worked great and not sure what I should do. Not sure if I can get passed the inflammation and pain with more time without surgery
Posted 8/10/2018 10:59 AM (GMT -8)
To the person who asked about the pisiform excision July 26, 2018. I had mine removed 2 1/2 weeks ago. I wore a soft cast for 10 days when the stitches came out. While in the cast I kept flexing my fingers and making a fist as best I could. I now have a brace to wear with a silicone gel pad which I wear when doing yard work and sleeping. There is a hard stay in it which I am going to take out now. I have total flexibility but still some spasming pain but that seems to be getting a little better. I anticipate getting back to the golf course after 6 weeks according to the orthopedist, but will wear the brace with gel pack for added protection since that is where the golf club can hit.

The cortisone shot I had months ago did not help. It was the CT scan that showed there was a lot of osteoarthritis. DR. said it was not surprising that it was hurting as when he removed it, it was surrounded by a spur that had eaten away the cartilage and was causing an adjacent bone to rub into it. I had heard good things about this Dr. and I trusted his opinion. It hopefully will do the job and over time I anticipate I will be pain free.
Posted 3/29/2019 6:27 PM (GMT -8)
To @jedm49 & others on this thread. I'm 1 week post pisiform removal & curious what bracing & long term cushioning you have found works? My surgeon said to get a cushioned glove to wear once I'm fully healed when I plan on working out to cushion any pressure on that area/prevent nerve pain. Everything I see seems inadequate but maybe I'm just overly cautious after this whole rigamarole and months of pain.

Any guidance is appreciated.
Posted 1/5/2022 8:16 AM (GMT -8)
I just had pisiform removal surgery one month ago. Seems like the healing is going to take forever. I am patient though with the rehab/pt and will certainly stick with it. I'm just wondering how long it took others to feel 'normal' again after the surgery, etc.
thanks!
Posted 2/5/2022 10:25 AM (GMT -8)
Hi! I just had my platform bone removed, along with extensor tendon repairs in four fingers 3 days ago. This was all as a result of RA which caused the tendons to rupture. Because of the tendon repairs, my fingers are immobile so I won't be able to exercise them for at least a month until the hard cast comes off. I am hoping I will eventually be able to regain full function in my hand again, which is my dominant hand.
Posted 10/8/2022 8:04 PM (GMT -8)
I am 73 years old and I had the excision of the pisiform bone removed 8/24/22 along with ganglion cyst near thumb on back of hand and tendon repairs done on ring and middle finger, ulnar nerve release at elbow. It has been extremely painful but after wearing a soft cast for two weeks, stitches removed and I was given a plastic 1/2 cast to wear daily for two more weeks, I was given a homemade brace to wear so I do not Bend fully the middle fingers. I have pain that travels up the little finger but I do not have a problem with bending my little finger so far. My palm is tender where the bone was removed but the incisions are almost completely clear now. My wrist is still flexible. I have not done any therapy so far and my surgeon was pleased with my progress. I have RA as well as Ehlers Danlos type 3. I return in 6 weeks.

Post Edited (Sheri177) : 10/8/2022 9:11:01 PM (GMT-7)

Posted 10/8/2022 8:04 PM (GMT -8)
I had the excision of the pisiform bone removed 8/24/22 along with ganglion cyst near thumb and tendon repairs done on ring and middle finger, ulnar nerve release at elbow. It has been extremely painful but after wearing a soft cast for two weeks, stitches removed and I was given a plastic 1/2 cast to wear daily for two more weeks, I was given a homemade brace to wear so I do not Bend fully the middle fingers. I have pain that travels up the little finger but I do not have a problem with bending my little finger so far. My palm is tender where the bone was removed but the incisions are almost completely clear now. My wrist is still flexible. I have not done any therapy so far and my surgeon was pleased with my progress. I have RA as well as Ehlers Danlos type 3.
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