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How to heel faster stress response/bone contusion in Trapezium/ what could cause it?

Question: How to heel faster stress response/bone contusion in Trapezium/ what could cause it?

My 15 year old son, who plays tennis, has been suffering for almost a year with wrist pian (right wrist, right handed player).
Doctor casted his hand for two weeks in November 2008 and he was in physical therapy for 6 weeks with no tennis. Doctor didn't really know what was wrong with his wrist but assumed it was imflamation of tendon sheath. there was never any power loss in his hand. MRI taken without contrast showed nothing. He started playing gradually beginning this year and was with no pain for three months. He started having jolts of pain in the area betweem thumb and index finger, on and off when playing last two weeks. New MRI with contrast showed ,a zone of Trabecular stress response/bone contusion is shown within the Trapezium with trabecular stress measuring up to 8 mm transverse x 10 mm ap.
What are the best steps to take with this injury and could psycological stress(competition stress) be related to this? He played his first tournament back before the pain came back and he has tendency to have back stiffness and pain during tournaments.


Hi there

I am an Australian Kinesiologist/sports therapist.
I hope the following information helps your son;Rheumatoid Arthritis

"Rheumatoid arthritis is more severe than osteoarthritis, is most common in the hands and feet, and is characterized by swelling of joints. Since this type of joint pain can be a symptom of a food allergy, dietary change sometimes has a profound effect. Dairy products, the most common food allergen, are one likely candidate as a contributing causative factor." Vegetarian and Vegan Nutrition by George Eisman, M.A., M.Sc., R.D.
"...43 patients with rheumatoid arthritis, those assigned to a vegan diet...had improvement in rheumatoid arthritis symptoms." British Journal of Rheumatology, 36(1) 1997
________________________________________ "In the case of the eight year old female subject, juvenile rheumatoid arthritis was a milk allergy. After avoiding dairy products, all pain was gone in three weeks." Journal of the Royal Society of Medicine, 1985, 78
________________________________________ "Controlled trial of fasting and a one-year vegetarian diet eased symptoms of rheumatoid arthritis." The Lancet, 1991, 338
________________________________________ "In 1964, I learned of the experiences of Dr. William Deamer of San Francisco. He had pointed out the frequency of milk protein's casual relationship to musculoskeletal pain in children and especially the so- called 'growing pains.' Since that time, I have had several children with what appeared to be early rheumatoid arthritis relieved and returned to good health by little more than reassurance and careful dietary manipulation." Don't Drink Your Milk, by Frank Oski, M.D.
________________________________________ "In systemic arthritis, like Rheumatoid, the cause is coursing through the blood, and it got there through the diet. When all of the joints are involved, the cause is not physical, but chemical. It's usually casein. (Eighty percent of milk protein is casein). I once saw a 65 year old man, Bob, who complained of neck stiffness and headaches. His hands were so stiff and sore. Bob lived to play golf. I instructed him to give up all milk and dairy products. Since giving up dairy products, he no longer experienced pain and headaches, and his hands were also pain-free.
Joy, a 42 year old woman noticed that her knees were pain-free after eliminating dairy products. Once, after drinking a glass of milk, her knees swelled within 20 minutes." No Milk, by Daniel Twogood, D.C.
"There is a colossal amount of information linking the consumption of milk to arthritis... and a multitude of other problems as documented by Hannah Allen, Alec Burton, Viktoras Kulvinskas, F. M. Pottenger, Herbert M. Shelton, and N.L. Walker, among others." Fit for Life, by Harvey and Marilyn Diamond
________________________________________ "Of the nearly 7 million Americans who have rheumatoid arthritis, most are women. Symptoms are stiffness, aching muscles, fatigue, pain that accompanies motion, and tenderness. Nutritional therapy, not drugs, is the cornerstone of alternative treatment. A treatment for arthritis that relieves symptoms in a large percentage of patients is based on the theory that most arthritic symptoms are allergic reactions." What Your Doctor Won't Tell You, Jane Heimlich
________________________________________ "Certain foods trigger the symptoms of rheumatoid arthritis, and eliminating these foods sometimes causes even long-standing symptoms to improve or even remit entirely. It is important to avoid the problem foods completely, as even a small amount can cause symptoms. All dairy products should be avoided: skim or whole cow’s milk, goat’s milk, cheese, yogurt, cream, etc." Neal Barnard, M.D.

Good luck

Hans de Rycke Fr.R.C.
'Bahk-Ge's retreat'
Natural and Spiritual healing Center


Hi there;

My name is Gary Robinson. I'm a chiropractor in Auburn, California and work a lot with sports injuries and children. Has there been any blood work done that would indicate an inflammatory arthritis such as RA. From what you wrote in your question I am asuming that the answer to that was no and that this is purely a mechanical problem. Joints and muscles break down when the external force placed on them exceeds their internal capacity. This can be from injury, falling on the wrist during a match etc.; it can also result from overuse ie. playing too long, too hard, year round. Repetitive stress will have an accelerated affect if the mechanics of the body part is incorrect, faulty swing, incorrect racket grip, weight, weakness in the kinematic chain from the ground up and down to the wrist. My recommendation is 1)See someone who specializes in evaluating mechanical function. This will typically not be a medical doctor. They are great with macrotrauma, fractures and pathology but they are not trained to evaluate or treat the subtle dysfunctions that occur in the musculoskeletal system and that over time result in micro trauma. 2) Rest; In my experience our kids are either playing too hard or not at all. Sports are great but kids need parental supervision so that they don't over do it. You mentioned casting for 2 weeks. Well this might have been more helpful if it had been longer. nothing heals in 2 weeks. Even if you had given it enough time to heal in the cast, before you return to tennis, the wrist needs some functional treatment and rehabilitation to correct any preexisting mechanical faults and to restore normal strength and flexibility created by the casting process.

Good luck


use saffron oil to heal the wrist pain