Trigger Finger
 

Has anyone had that?

I had increasing stiffness in my hands and then, boom, over a span of a few days I got trigger finger in three of my fingers and one thumb (two in each hand).

It's not as though I do a lot with my hands, either!

A steroid injection helped the thumb, and I'll have another one in the worst finger.

It's kept me off of the computer for quite a while, so I apologize for that.

I really hope this isn't a sign of increasing inflammation! I'm glad I have some use of my hands back! Not a fun thing to have your fingers snap into a 90 degree angle! Thankfully, we have one of the best orthopedic clinics around here and they've been great!

Annie

Hi Annie

Are you taking Mention? If so I've experience if you overdose or take excessive amounts you tend to have this symptom or jolts and serious cramping in your feet, hands and leg muscles and it can be painful and bothersome, I use to get more when I was on higher doses, I use to take1080mg per day or 6x 180mg/every 4h, I'm now down to 330mg/day and experiencing less triggering, twitching and cramps...

Hi Snoel,
You probably held the world record with your previous Mestinon dosage. How did you come with such a huge amount of 1080 mg Mestinon per day?
Maurice.

Snoel, No, it's not an adverse reaction to Mestinon. Trigger finger is caused by an inflammatory process, which itself has many causes.

Frequency in Mestinon dosing, with a smaller dose (90 - 110 mg), is often a better way to go. Instead of every 4 hours, every 2-1/2 to 3 hours is common. But, of course, talk to your neuro first before making any changes.

You're basically flooding your neuromuscular junction with too much acetylcholine. I'm surprised you haven't had a cholinergic crisis by now.

Annie

Annie
 

I had 2 crises episodes in 2 months. Hospital Nuro put me on 1-1/2 or 2-60 mg Mestinon every 2 hours fron 6 in the morning until 6 at night. Then 1 Timespan at 9 pm. Also Predisone 20 mg and Imuran 100 mg. So far ok. Hoping for the best.
FREDH

I've reduce intake by a lot, when I took 1080mg/day I was in my worse state of my crisis...I'm now down to 240mg and 1x SR at bedtime and slowly diminishing my daytime dosage as I keep progressing...

I am sharing the record with you... 6 x 180mg, every 4 hours day and night.

Effects are wearing off again.

Are taking any Prednisone or Imuran as well...

Guys, you might want to post this on another thread. There could be other people who could benefit from the information. Right now, it's buried in a thread that isn't close to that topic!

Annie

To your question about trigger finger. Yes, I've had that. Thumbs, that is. For most of my life, my thumbs locked especially overnight, and I had to click to release them. They were not bothersome or painful , though, and never gave it a second thought. I thought everybody has that. About a year before diagnosis, I broke a bone that is between the wrist and the thumb. While I was getting therapy my thumb was overworked and became swollen and painful and the trigger became very painful.
When I got diagnosed with Lems, I was immediately started on plasmapheresis and the triggers disappeared. One of the ways I can tell I need more treatment, other than shortness of breath and overall weakness, is that the trigger thumbs return.

Limpy, How long have you had lupus? I can't believe you've had trigger finger for so long.

I don't think I have lupus, but I have some sort of inflammatory process going on. I can't be out in the sun more than five minutes. I get sores in the roof of my mouth, horrid muscle pain, and have the aches one has with the flu. I also can get a rash (vacuolar interface dermatitis) in the sun, but I don't ever stay out in it that long!

Thanks for responding! Don't you just "love" AIs?! :mad:

Annie

I don't have lupus, not officially anyway. I've had positive SSA/ro antibodies for a connective tissue disease, such as sjogrens, lupus, RA, and one other than I can't remember now.
I do have sjogrens and Raynaud's, but my main problem is LEMS.
I have all the symptoms of lupus, such as joint pain, red rash across the bridge of the nose, which becomes more pronounced when I get hot or in the sun, flu like symptoms, sores in the roof of my mouth and in my nose that come and go, swollen glands,and lots of muscle pain.
Fortunately, ibuprofen helps to manage most of the pain, but also have neuropathy, which does not respond to medications.

The positive thing is that with multiple AIs, my Lems could be purely autoimmune instead of that caused by cancer.