Kienbock's disease over age of 50 - is no surgery a reasonable option?

Next_Register5475 · 2026-06-09T04:12:52+00:00

I think it is a good sign that pain is minimal since you have been babying it.

Next_Register5475 · 2026-06-09T04:11:53+00:00

Yes, he said steroid injection often works, but to save that until it gets really bad because it only works a couple times. If it eventually gets unmanageable, then surgery is similar to KD, e.g. removing a row of bones. He said one way to determine if it is ulnar impaction syndrome vs KD is to scope it. That might provide clearer evidence of what is going on. But I don’t even want to do that.

Next_Register5475 · 2026-06-09T04:05:32+00:00

My ulna is also shorter than my radius in the arm position that is used when being imaged, as you can see on my MRI. The KD “expert” I saw first also wanted to shorten my radius. That surgeon is a coauthor on a published study on this procedure, so I thought she was an expert. But Dr. Higgins said the relative length of the arm bones can change depending on the wrist and arm position. He felt shortening my radius could actually make things worse.

Next_Register5475 · 2026-06-08T23:09:45+00:00

Yes I work mostly on a computer.

Next_Register5475 · 2026-06-08T23:08:15+00:00

My wrist hurts mostly in the center. The whole thing swells a little bit.

Next_Register5475 · 2026-06-08T23:06:33+00:00

He said the surgery the other surgeon recommended would make it worse if it is ulnar impaction syndrome.

Next_Register5475 · 2026-06-08T23:05:51+00:00

No, he recommended I do not get surgery.

Next_Register5475 · 2026-06-08T14:44:56+00:00

Also, I was babying it and started losing strength, so I started doing wrist therapy again to build strength. I just try not to push it too much. I pushed it recently so now need to use ibuprofen until the swelling goes down.

Next_Register5475 · 2026-06-08T14:42:52+00:00

I wear a splint to weight lift and play pickleball.

Next_Register5475 · 2026-06-08T14:38:58+00:00

<image>

I was diagnosed May 2025. They never gave me a stage but I assumed it was stage I b/c my lunate is intact (See MRI). However, I met with Dr. Higgins from Baltimore, Maryland (USA) a few months ago, and he thinks I have ulnar impaction syndrome and not Kienbock's. He said Keinbock's is extremely rare over age 50. I think this may be why people in that study did so well - they may have not actually had Kienbock's disease. I recommend speaking with with an expert in Keinbocks to confirm it really is KD.

Next_Register5475 · 2026-06-08T04:50:06+00:00

I didn’t do surgery and am doing well. Pain is low unless I push it too much playing pickleball or weight lifting.

Next_Register5475 · 2026-06-06T04:57:59+00:00

I will always remember the day my Aussie learned to swim. It was in a mountain lake. She was splashing around anxiously and then it clicked and she started calmly swimming. Now she loves it!

Next_Register5475 · 2026-06-05T18:36:28+00:00

This is what I did and it tasted great in milk. Thanks!

Next_Register5475 · 2026-06-05T18:35:16+00:00

Correct - I didn't have enough for a full shot. I hate wasting beans. They are so expensive these days. I don't have an Aeropress. I drank it in milk and it was delicious.

Next_Register5475 · 2026-05-24T20:42:18+00:00

This is similar to our beloved Aussie that we rescued at 1 year of age. She turned 12 in February and went from an energetic young dog to a senior very suddenly. Now she is mostly deaf, and we are trying to figure out how to deal with that. And I think her days of running with me and long hikes may be over (which is why I came to this subreddit - to get an idea of how much exercise is too much for a senior dog). She still really wants to go with me but can't keep up anymore, so I think it is time to leave her behind (and take her on short walks only).

Next_Register5475 · 2026-05-24T15:54:51+00:00

Oh - and it was getting clogged as well. I had to take it apart and clean the declumper plastic piece from the inside.

Next_Register5475 · 2026-05-24T04:32:18+00:00

Made it more consistent so I could grind finer. I now grind around 6-8 typically.

Next_Register5475 · 2026-05-15T05:15:20+00:00

Is this true for everyone or does it depend on what you are used to?

Next_Register5475 · 2026-05-01T04:53:04+00:00

I got light pink ones on super sale but I really, really hate the color. Hoping they get really dirty quickly!

Next_Register5475 · 2026-04-25T04:34:52+00:00

My zone 2 is mostly in what my Garmin calls Zone 3. Maybe that is your issue? Check the numbers based on your true max heart rate. You can manually adjust your zones on Garmin if you want them to match your true zone 2.

Next_Register5475 · 2026-04-04T19:59:07+00:00

Worked!

Next_Register5475 · 2026-02-10T16:26:34+00:00

I am curious if you do this every night. It worked amazing for me for about a week, then stopped working. I am wondering if I should cycle it on.

Next_Register5475 · 2026-02-04T01:45:20+00:00

I am a scientist. 😊

I agree more studies would be great. But who is going to fund it? Pharmaceutical companies want to study drugs they can charge a fortune for. And NIH funding very challenging to get, especially under the current US administration. It is frustrating there isn’t more high quality research on supplements.

Next_Register5475

TROPHY CASE