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Reply to "Chronic hamate pain (not broken)..."

@ARCEKU21 sorry about your sons hand/wrist pain. The entire hamate bone experience was a bad one at a bad time. Post the "6 weeks in a cast" above son started back to hitting program and 2 weeks prior to summer tourney #1 he took a swing off a machine throwing 80 mph fastballs and the pain was back...with a vengeance! Son could not even put his gear back in his bag with his right hand (bottom hand for a LHH). Fortunately we had a 3rd opinion lined up (the hand still hurt at times over the 6 weeks in a cast) for Friday am the same week. Long story much shorter Doc looked at old X-rays, felt around on hamate bone vicinity and scheduled surgery to remove what he thought would be a piece of broken off hamate bone the next Tuesday. Doc texted us a pic of the bone fragment and told us that it looked as if it had been broken a while ago and the tendons connecting to pinky and ring finger would have eventually snapped and that would have been a major issue going forward.

Sooo...8 days later he had stitches and bandages removed, got a brace, and started base running for his team in tourney #1. Surgery June 15, stitches removed June 23, base running with brace June 25 in KC. Hand hurt but started throwing lightly later in weekend. Doc said that it would hurt but he could not hurt it more so he played 1B 2 days later and then caught his first game July 8 in Indy. Started to hit a little bit on July 6 in cage (3 weeks but still in pain) and then got first AB July 9th and ended weekend 2/5 with some pain.

Pain continued and son grinded thru it (too much pain for more than 3-5 swings pregame in cage) and hit at Lakepoint, Milwaukee, KC, & Showball thru the rest of July. Ended tourney season hitting .294 with zero HR but a handful of doubles and a triple. Face some nasty pitchers at each tourney and son was pleased with performance against good pitching at National tourneys despite the pain and lack of BP. Batting practice at Showball August 4/5 was his first on field BP since last fall. Hand still hurt quite a bit and did not pick up a bat for 2 weeks post SB. Hand felt much better and is starting to hit again now.

Moral of the long winded story is to get hand checked out. If hand hurts quite a bit LIKE a broken hamate bone but docs think it MIGHT not be broken and want you to rest/cast/whatever I would maybe try a couple of weeks but quite frankly if you have any time frame at all I would encourage you to have surgery. Son would have been way better off if we had just pushed hard for surgery back in first week of April. The delay cost him significantly this summer imo and him being relatively pain free and able to swing at 90% instead of 75% while in pain.  

Feel free to reach out via pm to talk more if you like.

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