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Wrist pain is a common complaint. It is often triggered by overstraining of fractures from unforeseen injuries. However, wrist pain can do truly from long-term problems, such sd repetitive stress arthritis, and carpal tunnel syndrome.
Since so many different factors can lead to wrist pain, providing diagnoses of the exact cause can sometimes be difficult. A correct diagnosis is crucial for proper treatment.
Wrist pain may vary, depending on what is causing it. For example, osteoarthritis s pain is often deserved as being similar to a dull toothache, during carpal tunnel syndrome typically causes pains and needles sensation, especially at night. The precise location of your wrist pain also can give clues to what might be causing your symptoms’
When Should You See a Doctor
Not all wrist pain requires medical care. Minor sprains and stains for example, usually respond to ice, rest and over-the-counter pain medicines. However, if soreness and swelling persist longer than a few days or worsen, you should see your doctor. Procrastination in diagnosis and treatment can lead to poor healing, decreased the range of motion and long-term disability.
Causes of Wrist Pain
Your wrist is a complicated joint made up of eight small bone arranged in two rows between the bones in your forearm and bones in your hand. A tough band of ligaments attach your wrist bones to each other and your forearm bones and hand bones. Ligaments connect muscles to bones. Injury to any of the parts of your wrist can produce pain and affect your ability to use your site and a hand.
Sudden impacts, Wrist injuries often occur when your fall forced onto your outstretched hand. This can cause sprains, strains and even fractures. A scaphoid fracture involves one of the bones on the thumb side of the wrist. This kind of feature can appear on X-rays instantaneously following the injury.
Repetitive Stress – Whatever activity that comprises repeated wrist motion – from hitting a tennis ball or bowing a cello to driving cross- country or a swell the tissues surrounding the joints or generate stress fractures particularly when you complete the movement for hours on end without a break. De Quervain’s disease is a repetitious stress injury that induces pain at the base of the thumb.
Osteoarthritis. This sort of arthritis occurs when the cartilage that cushions the end of your bones deteriorates over time Osateroathirtis is the wrist is uncommon and usually occurs only in individuals who have harmed the wrist in the past.
Rheumatoid arthritis. A disease in which the immune system attacks it;s tissue, rheumatoid arthritis commonly involves the wrist. If one is affected, the other one usually is too.
Other disease and conditions,
Carpal tunnel syndrome. Carpal tunnel syndrome progresses when there is heightened pressure on the median nerve as it advances through the carpal tunnel, a passageway on the palm side of your wrist.
Ganglion cysts, These are soft sacs that contain the synovial fluid occur most often on the part of your wrist opposite your palm. Smaller ganglion cysts appear to cause more pain than large ones more often.
Kleinrock’s disease, This disorder typically affects young adults and involves the progressive collapse of one of the small bones in the wrist. Kinbocks diesel occurs when the blood supply to this bone is compromised.
Wrist pain can happen to anyone – whether you are very sedentary, very active or somewhere in between.However, your risk may be heightened by:
Sports participation. Wrist injuries are prevalent in many sports, including gold gymnastics, bowling, snowboarding, and tennis.
Repetitive work, Almost any activity that involves your hand s and wrist – even cutting hair and knitting- if performed forcefully enough and often enough can lead to disabling wrist pain.
Certain disease or conditions. Pregnancy obesity, diabetes, rheumatoid arthritis, and gout may raise your risk of developing carpal tunnel syndrome.
Wrists Pain Test & Diagnosis
Through the physical exam your doctor may:
Check your wrist for increased sensitivity, swelling or deformity
Ask you to move your wrist to see if your range of motion has been reduced.
Assess your grip force and forearm strength.
In some instances, your doctor may prescribe an imaging test, arthroscopy or nerve test.
- X-rays. This is the most regularly used test for wrist pain. Using a small quantity of radiation, X -rays can reveal bone fractures as well as signs of osteoarthritis.
- CT Scan. This scan can provide more -detailed representations of the bones in your wrist and may assist find fractures that don’t show up on X-rays
- MRI – This test uses radio waves and strong magnetic field to produce precise images of your bones and soft tissues. For a wrist MRI, you may be capable of entering your arm into a smaller device instead of whole -body MRI machine.
- Ultrasound . This simplistic, noninvasive test can allow you to visualize tendons. Ligaments and cysts
If imaging test results are inconclusive, your doctor may perform an arthroscopy, a procedure in which a pencil -size device described as an arthroscope is injected into your wrist via a tiny incision in your skin. The instrument carries a light and a miniature camera. Images are projected on a television monitor. Arthroscopy is now considered the model standard for evaluating long-term wrist pain. While some cases your physician may improve wrist problems through the arthroscope.
If your physician thinks you have carpal tunnel syndrome, he or she may decide to order an electromyogram (EMG). This test calculates the tiny electrical discharges generated in your muscles. A middle-thin electrode is inserted into the muscle., its electrical activity is recorded when the muscle is at rest and when it is contracted. Nerve conduction studies also are performed as part of an EMG to assess if the electrical implies slowed in the region for carpal tunnel.
Wrist Pain Treatment and Medications
Treatments for wrist problems vary widely, based on the type location and serious of the injury, as well as on your age and general health.
Medication Over-the-counter pain relievers, such s ibuprofen( Motrin Advil) and acetaminophen (Tylenol, others, may assist reduce wrist pain. Powerful pain relievers are available by prescription.
A Physical therapist can suggest specific treatments and exercises for wrist injuries and tendon problems, If you need surgery, your special therapist can also assist helping with rehabilitation after the operation. You may also benefit from having an ergonomic evaluation that addresses workplace circumstances that can be injuring your wrist.
If you have a broken bone in your wrist, the parts will need to be aligned so that can heal properly. A cast or splint can help the bone fragments together while they heal.
If you have a broken bone in your wrist, the pieces will require alignment so that it can heal properly. A cast of the splint can help hold the bone fragments together while they heal.
If you have sprained or strained your wrist, you may need to wear a splint to protect the wounded tendon or ligament while it heals. The brace is especially useful with overuse injuries caused by repetitive motions.
In some situations, surgery may be needed. Examples include:
Severely broken bones. A surgeon may join the fragments of bone with metal hardware.
Carpal tunnel syndrome. If your symptoms are serious, you may need to have the tunnel cut open to release the pressure on the nerve.
Tendon or ligament repair. The operation is can occasionally be required to repair tendons or alignments that have ruptured.
Again not every cause of wrist pain will need medical treatment. If there is a minor wrist injury, you may want to try putting ice on it and wrapping your wrist in an elastic bandage.
Wrist Pain Prevention
It is not possible to prevent unforeseen events that often cause wrist injuries, but these basic tips can offer some protection.
Build bone strength – Getting adequate amounts of calcium at least 1, 200 milligrams a day for women over age 50 or 1,000 milligrams days for most adults, can help prevent fractures.
Prevent falls – falling toward into an out street hand is the main cause of most wrist injuries To help prevent slips, wear good shoes remove home hazards. Lighten up your living space. Place grab bars in your bathroom and handrails on your stairways.
Use protective gear – Wear wrist guards for sports activities that are high risk such as football snowboarding and rollerblading.
Pay attention to ergonomics. If you spend extended periods at the keyboard, you should take regular breaks. When you type, you should keep your risk relaxed in a neutral position. An ergonomic keyboard and wrist gel my help support your hand.