moment?â
Hayley shook her head. âDefinitely not.â
There were other medical conditions which affected the carpal tunnel, too, including wrist fractures, diabetes, thyroid disease and rheumatoid arthritis. Repeating the same hand movements over and over again could cause itâit was common with people who used computers, assembly-line workers and mechanics and people who played a lot of golf or did a lot of gardening. âHave you changed your job lately, or taken up a new hobby, or texted people more than usual on your mobile phone?â
âI started doing cross-stitch last month,â Hayley said. âBut would that cause it?â
âItâs a repetitive hand movement so, yes, it could be part of the problem,â Oliver said.
âBut I use my right hand for stitching.â
âAnd the left for holding an embroidery ring?â
âWell, yes.â Hayley grimaced. âMy handâs tingling now.â
âOK, you can relax your hand.â He noticed that she flicked her wrist to stop the pins and needles: a characteristic response to carpal tunnel syndrome.
âWhat we can start with is a wrist splint at nightâthat will stop your wrist from moving, but youâll be able to do pretty much anything you usually do with your hands. Taking some ibuprofen at night, just before you go to bed, can help with the inflammation. You also need to change the way you do needleworkâtake more breaks, so it gives your wrist and hand a chance to rest. If that doesnât work, there are a couple of other things we can try.â
âWhat sort of things?â
âAn injection of corticosteroids into your wrist often helps.â
She shook her head. âIâm not good with needles.â
âThe other optionâs minor surgery to release the pressure on the nerve.â
âYou mean, cut my wrist open?â
âItâll stop the pain and youâll get full use of your hand and wrist back within a couple of months.â
Hayley grimaced. âI think Iâd rather put up with the pins and needles!â
âHopefully it wonât come to that. Iâll prescribe you a splint and Rosieââ the practice nurse ââcan show you how to put it on. Give it six weeksâaround three in four patients find itâs a lot better then. If itâs not any better, come back and have a chat with me.â
âAnd have an injection?â
âNot necessarily. I mean have a chat, see how youâre feeling and discuss what your options are. I promise, no needles unless thatâs what you decide you want.â
She almost sagged in relief. âThanks, Dr Bedingfield.â
âPleasure.â
The rest of morning surgery flew by, and Oliver definitely needed a cup of coffee at the end of it. Rachel was already in the rest room. He sighed inwardly, hoping that the tension between them from last night would have vanished, but half expecting it would still be there.
âHello.â
She spun round and smiled when she saw him. âHi.â She added milk to the mug of coffee sheâd just poured and handed it to him.
Peace offering? He just about stopped himself uttering the words. âThanks.â
âHad a good morning?â she asked as she made a second mug of coffee.
âAverage. Though I had a nasty case of carpal tunnel. Hayley Porter.â
âMmm, she had it when she was pregnant,â Rachel said. âPoor thing. Itâs still giving her gyp, then?â
âIâve given her a wrist splint, and told her to take ibuprofen before bed. Hopefully thatâll help. If not, the next stepâs a steroid injection.â
âWhich could itself cause problemsâapart from making sure you donât touch the median nerve when you put the needle in, thereâs a risk of the patient developing a haematoma,â Rachel said. âPlus she might need a second injection and splints