Arthritis is another common cause of wrist pain, swelling, and stiffness. There are many types of arthritis. Wrist pain can be caused by a variety of problems, ranging from tendinitis to carpal tunnel to broken bones. Whether it is sports‐related or from working in the backyard, pain in the wrist may be a reason to be evaluated in an orthopaedic surgeons office.
- Wrist pain with bruising and swelling is often a sign of an injury.
- The signs of a possible broken bone include deformed joints and inability to move the wrist, hand, or a finger.
- Other common injuries include sprain, strain, tendinitis, and bursitis.
In many cases, no direct cause can be identified. It may arise spontaneously, or may be associated with an acute or chronic injury.
- Pain may occur after a traumatic event such as a motor vehicle collision or after sliding into home plate.
- Other types of wrist pain may develop after a weekend of yard work or beginning a new hobby.
- Wrist pain may also develop over time, or may be associated with an underlying medical problem.
The types of symptoms that occur depend on the cause of wrist pain.
- In an acute injury, pain and swelling are common and usually occur within twenty‐four hours of the injury.
- Early bruising or deformity in the wrist often represents a broken bone in the wrist or hand.
- Swelling usually occurs around the injured or inflamed structure.
- Numbness and tingling can also occur, and may contribute to pain in the wrist or hand.
- A “clicking” or “grinding” sensation may occur with use of the wrist, and can represent arthritic changes in the joints of the wrist or hand.
Wrist pain that develops over time can often be diagnosed and treated effectively by a primary care physician. Early treatment often includes splinting or anti‐inflammatory medications. Additional medical tests such blood work or nerve conduction studies may point to a particular diagnosis. If symptoms do not resolve, further evaluation by an orthopaedic surgeon may assist in diagnosis and treatment alternatives.
Wrist pain that occurs after a specific event requires early evaluation. It is important to assess these injuries in the case that early intervention is necessary, such as when a bone is broken. Delay in the diagnosis can lead to problems with the wrist that become more difficult to treat later in life.
Treatment
- After diagnosis, an effective treatment plan, along with early and long term expectations, can be discussed.
- This may involve wrist orthotics or splinting, anti‐inflammatory medications or injections, or occupational therapy.
- Some wrist pain also resolves with the “tincture of time.”
- However, surgical treatment may be necessary if other treatment methods have failed, or if the long term affects of an acute injury can be avoided with early surgical intervention.
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