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  1. #1
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    Crash Related Hand Pain

    Just got back on the bike after months of being bed ridden with some pretty sever injuries following a really nasty crash. I am all good in terms of bones healing and lungs inflating and such, but I have sever hand pain now. Never had any really before. Thought at first it was due to so much time off and weaker hands/gained weight/death grip trying not to crash again and so on. But after a solid month and a half back on they are just getting worse and worse. Switched stem/position, carbon bars, multiple new grips, even put stubbies on my risers to get some alternate positions. It gets so bad so quickly now that I almost cant hold on or use my brakes.

    WTF?

  2. #2
    lgh
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    Sounds like a really nasty crash! Did you injure your hand, upper extremity, or neck in the crash? Did you have the hand pain before you got back on the bike? Have you had this hand pain before?

    Larry

  3. #3
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    Larry,

    I did get what they called micro fractures in three vertebra in my neck, but they were so small that they could not really even get a clear picture of them via CT. The main injury was a skull fracture with the related clots and a whole bunch of broken bones. They said there was a chance of some right arm nerve damage due to the neck/collar bone/brain stuff and at first my right hand would just go dead limb numb. That has cleared up now but BOTH hands are just super vulnerable to pain. Worst in the roots and drops where the shock forces hit, but even on casual sidewalks they ache after just a few minutes.

    Been riding for years and have never had hand issues before.

  4. #4
    lgh
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    A rehab doctor might be useful. It could be overuse after being off the bike for so long and physical therapy is generally really good at fixing that. However, there are other possibilities including reflex sympathetic dystrophy (now called complex regional pain syndrome) and you won't be able to sort that out without a specialist. The sooner you see one, the better.

    Larry

  5. #5
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    Quote Originally Posted by Supercleeb View Post
    But after a solid month and a half back on they are just getting worse and worse.
    ...
    It gets so bad so quickly now that I almost cant hold on or use my brakes.
    If you damaged your neck/ collarbone do you have any screws or plates in there? They could be catching or trapping a nerve perhaps which could cause the hand weakness. If it's something like that then you need to speak to your doctor about it to see what they can do. That's the problem which Dani Pedrosa had apparently after breaking his collarbone last year:

    Surgery On Pedrosa's Collarbone And Shoulder A Success | MotoMatters.com | Kropotkin Thinks

    You're lucky that the use of your arm came back. My left arm took months before it would work again. Fortunately the nerves in my neck were ok and that issue fixed itself eventually. I've got a few friends with paralysed arms after motorbike accidents and it really sucks.

    If you're having problems with your hands riding offroad then you're probably pushing it too hard too close to your accident. It sounds like you need to take some time off from riding offroad to see if your hands will settle down by themselves. Nerve issues take a lot longer to fix than broken bones. A bone will usually heal in a few months but nerve problems can take years (if ever) to sort themselves out.

    Try leaving it for a few weeks then doing short road or turbo trainer rides (smooth surfaces where there's less vibration going into your arms) to see if you can handle that. Build up gradually to longer rides on smooth surfaces before trying to do much offroad work.

    Look at how you're gripping the bars as well. Broken bones can result in you holding the bars in a different way to how you would before. Changing the backsweep of your handlebars can make quite a big difference to comfort.

  6. #6
    lgh
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    The important piece of history is that now BOTH hands hurt. Framkly, I wouldn't screw around with this too much before seeking professional help.

    Larry

  7. #7
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    Quote Originally Posted by lgh View Post
    The important piece of history is that now BOTH hands hurt. Frankly, I wouldn't screw around with this too much before seeking professional help.
    That's good advice. It sounds like it would be worth seeing a doctor, or at the least mentioning it at your next outpatients appointment for a proper opinion.

    It's only seven months since your accident and you should take any problems like this seriously. There could be some underlying problem left over which the mountain biking has exacerbated. Something like a piece of bone or metalwork could have shifted in your neck/ shoulder for example and be pressing on a nerve. Hand pain can often track down from further up.

    The other possibility to discuss with your doctor is all the anti-seizure and anti-anxiety medication that you're taking. They can have negative side effects.

    Anti-Seizure Medication and Their Side Effects

    Anxiety Medication: What You Need to Know About Drugs for Anxiety

    .

  8. #8
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    OP- can you set up your bike so that you are not putting any weight on the handlebars?

    Were your hands/ wrists involved in the crash?

  9. #9
    lgh
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    Quote Originally Posted by WR304 View Post
    It's only seven months since your accident and you should take any problems like this seriously. .
    After serious injuries like these, 7 months IS a short time. Pros might be back to work after 7 months but they have access to immediate specialized medical attention and 4-6 hours of physical therapy a day is SOP for pro athletes. The lesson for the rest of us is to get an accurate diagnosis when needed and take the necessary time for rehab.

    Larry

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