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Chronic hamate pain (not broken)...

used2lurk ·
Son has been dealing with chronic pain since late January in hamate bone area. He is LHH so this is on his right hand. Has had X-rays, MRI, and CT scan along the way only showing irritation in tissue around hamate bone area. Hurt it originally swinging a heavy bat in bat speed training. He has modified a wood bat handle, swung an Axe bat, and even took a month off from hitting. Also tried to move hands on bat and also padded handle. Hand hurts post hitting only when he does pushups same day...
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Thanks @MidAtlanticDad . Its a tough spot. He played in 2021 HS game #1 today. He had 4 AB's, each swing hurt but he knew that tomorrow he was scheduled to be casted. The last AB he fouled one to the opposite field and the hand hurt more than it ever had to this point. Post game he was in a lot of pain taking off uniform and cleats and the hand has hurt all night. I am sad he will only play 1 game this HS season but actually thankful that he is convinced he cannot keep hitting despite...
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Re: Chronic hamate pain (not broken)...

MidAtlanticDad ·
My son had a hook of hamate fracture as a sophomore in college. Missed his chance to play summer ball in the Valley League because of it. Hand surgeon prescribed 6 weeks in a cast, then rehab. Didn't swing a bat for 3 months. When he started easing back in, the pain came back. Ended up having surgery to remove the fractured hook. Your son is in a tough spot. He needs to take that time off to heal, but he's trying to be seen in the most important summer of his recruitment. Did you ask the...
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Re: Chronic hamate pain (not broken)...

2022NYC ·
I am sorry to read and as a parent of a 2022 trying to recover from a chronic bone injury (throwing elbow) during a key recruitment year I share your angst. I hope the shutdown will heal it and your kid will get seen pain free and with full confidence. My kid also switched to an axe bat years ago after feeling some minor pain in the hamate area. He has not experienced any pain since (knock on wood). Is your son still using the axe bat?
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Non displaced hamate fracture + tissue surrounding hamate is inflamed. Casted this afternoon and there goes his JR HS season! Fingers crossed and prayers said for everything to settle down for a summer full of healthy baseball in ATL, INDY, KC, MKE, and more. Happy he was able to grind thru a PBR a month ago to improve every metric, some significantly. Good luck to anyone reading/going thru this in the future. Feel free to DM with questions about my kids experience with this.
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Re: Chronic hamate pain (not broken)...

anotherparent ·
So sorry to hear this.
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Re: Chronic hamate pain (not broken)...

ARCEKU21 ·
Used2lurk - how are things coming along with your son? My son is starting to complain of discomfort in the hamate area. Making him a doctors appointment to get checked out.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
@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...
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Re: Chronic hamate pain (not broken)...

ARCEKU21 ·
Thanks for the reply. We did the hook of hamate pull test with him. No pain there. So hoping that means there is not a fracture and that it's only a bone bruise. Either way, trying to convince him that he may need to switch to an Axe handle or Pro XR handle bat once he is able to swing again.
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Re: Chronic hamate pain (not broken)...

ARCEKU21 ·
Looks like things may not be as bad as we thought. After about a week off from hitting, my son took BP at school yesterday during his baseball class. Said he was pain free and even set his new high for exit velo. We are still getting it checked out on Monday to make sure there isn't anything wrong.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Just wanted to say thanks to all for the information in this thread.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Certainly possible but more likely from hitting or possibly overuse. My son thinks he broke it last winter from the bat speed program he was doing. Lots of hitting/swinging with heavy bats. My son is a LHH and broke his RH. He does not know exactly when he broke his but he felt it doing all sorts of things when it was bothering him.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Anyone ever hear of someone breaking a hamate doing something other than baseball? Kid thinks he broke his dead lifting. But, maybe he only felt it when dead lifting and he broke it hitting? The odd part is he's a RH batter and it's his RH.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thx @used2lurk
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Re: Chronic hamate pain (not broken)...

used2lurk ·
@TxballDad good point. My son has re-taped all his knobs on bats (both wood and other) and has a lot less knob POST hamate surgery. After surgery he waited almost 3 weeks to start to swing a bat (Doc said can swing whenever he wanted post healing of wound from surgery). Hit wiffle balls for a couple of days and then moved to his lightest bat. Surgery was 10 days before national tourney schedule last summer. Was able to swing in games about a month post surgery but only 2-3 swings in cage...
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Re: Chronic hamate pain (not broken)...

TxballDad ·
For those that are starting to have hamate pain. Son was having pain and it was making a sore in his palm. Spoke to a couple people who had pain and one that broke his. All suggested to tape the handle into more of a no knob and wear gloves with better protection (Bruce Bolt or Tru). Son made the changes and pain has gone away and has not come back. And the sore in his hand has healed. Just our experience.
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Re: Chronic hamate pain (not broken)...

MidAtlanticDad ·
If it’s fractured and all they’re doing is removing bone, not mending or setting, then it is pretty much just the incision to heal. Based on my phone pictures, my son’s surgery was 8/22 and he took at bats in a fall game 9/30. I think he was in the cage 3-4 weeks after surgery.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
I have heard/seen 3-6+ weeks is possible before getting back to hitting. i am not a doc but feels like the longer one takes to diagnose and have surgery (or not) the longer the recovery will probably be. My son had a lot of pain the rest of the summer and actually took the fall off post surgery. When he was back to swinging (see his process in posts above) he could only take 3-10 swings in BP and then hit in games. He sprayed a ton of whatever that sticky spray is all over his bottom hand...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
So, now, we think we have it in the left hand. Only hurts when hitting. RH batter so it's the bottom hand...which makes more sense than when he thought it was the right hand a year ago. Went to a hand specialist ortho and he said xray was inconclusive and wants a scan to determine if broken hamate or a bone bruise. Kid thinks it's the hamate based on talking to others who had it. Waiting on insurance to approve scan. Kid seems to think it's a two week recovery basically just waiting for the...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks. It's actually worse because he made a midyear switch from a D2 to a Juco. Had this happened at the D2, he could have got a red shirt. At the Juco, he's just eating into his eligibility...if I understand it correctly.
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Re: Chronic hamate pain (not broken)...

anotherparent ·
Oh gosh, so sorry to hear this.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Partial update. Had the CT scan on the 15th. And, had the follow-up with the orthopedist on the 21st. Doc says no fracture and it's a bone bruise. Best advice is to take several weeks off and let it heal. But, he knows the season starts in a week and says it's OK to play with it if you can handle the pain. (Doc is a former D1 player FWIW.) Three days later, team has a scrimmage scheduled. Kid decides to try and play. 12 inning game to get reps in. It's 28 degrees and they're on the field for...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks. I'm just making sure he understands the impact and timing on everything. Hopefully we get some good news from the MRI. And, hopefully he feels better sooner rather than later. The way it feels now, he's convinced that it's going to be a while.
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Re: Chronic hamate pain (not broken)...

2022NYC ·
Sorry to read Franny and I share your angst. Hopefully the 2nd opinion and recovery will be favorable and continue being his rock.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Might be an unpopular take but here you go…figure I have some leeway as I started the thread…opinion alert! You might strongly consider finding a doc who will get in there and take it out. It’s generally considered a useless bone and can heal up quickly (I am NOT a doctor). It was recommended to me earlier in our process by a buddy who is a high ranked mid major RC and we then jumped thru all the hoops and dog and pony show with local docs. Finally found a doc to do surgery (after 6 months...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks @used2lurk I suspect that there could be a mess of stuff in there. In the past, for years, he always had that nasty sore on his hand right in that spot that would never go away (because he hit so much). I am sure that area of his hand has taken a beating. Funny thing is that in an older thread here, someone referenced a noted doctor who said CT Scan is better than a MRI for seeing the fracture because the MRI is too throughout to see the fracture. And, my son's CT scan was looked at...
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Re: Chronic hamate pain (not broken)...

MidAtlanticDad ·
@Francis , has he tried an Axe bat grip? The wood version gave my son some relief, but the Axe brand aluminum bat just didn't hold up at the college level. (He would never use a wood bat in a college game.)
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Son still a year later and a half later tapes up the knob area of bat but is pain free. I think that there might be a niche opportunity for Demarini with the broken knob epidemic they have been dealing with. The kids school is a Demarini program and he gave me 2 virtually brand new knobless "The Goods" to bring home to his hitting coach for heavy bat training/modifications at his facility.
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Re: Chronic hamate pain (not broken)...

947 ·
My son came home from practice a few weeks ago with his hamate area very swollen & in a lot of pain, couldn't grip a bat. We feared the worst & he took 5 days off hitting to see if anything changed. Pain was much batter after that time, but he still felt a little pain when lightly swinging his bat. I had him try an old bat that had the knob broken off, and no pain at all without the knob. Then had him try an older Bonesaber, which has a tiny knob & full tapered handle, again no...
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Re: Chronic hamate pain (not broken)...

2022NYC ·
My kid used the Axe bat bbcor and has used the Dovetail tremor pro xr since the fall. There was a significant swing weight difference relative to "the goods" team bat. He taped that bat to have an axe handle shape. He is switcging back and forth between the Dovetail and goods. I had to use every ounce of restraint to fight my back my nerdiness to not to engage him on the bat weight change to the goods with the all the taping and did he really confirm the curvature of the axe handle with the ...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
He's aware of it but never used it. He's very picky on bats.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
We're now at Day 35 with no conclusion. At least we estimate it as 35 days. That's when we think he did it. I know that it was 27 days ago that he say an orthopedist who requested a CT Scan. And, the CT Scan was done 20 days ago. And, it was 14 days ago that the orthopedist said that the scan said it was just a bone bruise and he could play through it. And, it was 11 days ago when he tried to play with it and then it seemed much worse. And, it was 8 days ago that we saw a new orthopedist and...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Doesn't really matter since 6 weeks from now wipes out the college season. So, it's a lost cause if he has the surgery today or has it two weeks from now.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
Sorry dude...I felt your pain but 3x as long. Book the surgery appointment now so as soon he sees it is broken you can have surgery within days rather than more weeks.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
We find out on Monday. He still wants to play summer ball. And, if he has surgery this month, that's very possible. But, if it's not broken and somehow feels better in the next 10 days, he's got a shot at getting in half the college season. If it's broken and needs surgery, college season is flushed.
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Re: Chronic hamate pain (not broken)...

used2lurk ·
If summer matters for him (for a variety of reasons) it might make sense to get it done sooner than later.
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Re: Chronic hamate pain (not broken)...

2022NYC ·
Oh man, sorry to read. Does he have a summer team?
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Re: Chronic hamate pain (not broken)...

ILoveBaseball04 ·
I am so sorry - that is hard.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
I'm still wrestling if he's losing a season or not? This is the way it was explained to me when he transferred from the D2 to the Juco after the fall semester: You have a 5-year or ten-semester "clock" (5-years in NCAA D1, 10 semesters of full-time attendance at other four year college levels) in which you have 4 seasons of eligibility to compete in baseball. So, if since he's not playing now for the Juco this spring, then he will have 4-years or 8 semesters in which to play his Spring...
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Re: Chronic hamate pain (not broken)...

Francis7 ·
That's the goal now. He's rostered for one. Timing wise he should be able to play by then...unless something goes wrong.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks. It is what it is...just really bad luck and even worse timing.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
So...it's broken. Surgery required. Wipes out the college season.
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Re: Chronic hamate pain (not broken)...

anotherparent ·
Really sorry to hear, and I hope he gets back in shape for the summer.
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Re: Chronic hamate pain (not broken)...

nycdad ·
Get a consult with Rick or another person who specializes in this for advice. For the cost of what's likely a very short consult. Seems very well worth it. Personally I'd want someone that I could call/txt with questions that may be time sensitive.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks. Bat is still TBD. I don't think he's really thought it through yet. I suggested the SPRINGER4 and he declined it.
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Surgery scheduled for the end of the month. That's the first available time. Should be able to play a few weeks before the summer college league starts.
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Re: Chronic hamate pain (not broken)...

2022NYC ·
Godspeed on your son's recovery. What bat is he looking at for the summer?
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Need some advice from the hamate crew! Son had surgery two weeks ago. Just got the stitches out today. And, the doctor told him no lifting and no hitting, at all, for the next 6 weeks. That would be 8 weeks after surgery to START hitting or lifting. Does that sound right? (For the record, surgery went well and healing so far is without complication.)
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Re: Chronic hamate pain (not broken)...

camb3232 ·
Not in our case, ours was told 4-6 weeks to be back, about to be 2 weeks tomorrow, doing hand and wrist ROM and strengthening, was cleared to lift(not with the weight directly in the affected hand) as soon as the cast was off. DR predicted would be able to begin to swing in another week/week and a half )underload bat) and progress. Should be able to start throwing again (L/R hitter) next week
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Re: Chronic hamate pain (not broken)...

Francis7 ·
Thanks @camb3232
 
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