Overview
The joint connecting the hand to the forearm is known as the wrist joint. The wrist joint is composed of numerous small bones that function as bending, straightening, and rotation of the hand and wrist. Pain, numbness, or tingling in the hands and wrists can be caused by many problems that are treatable.
Sprains or fractures from unexpected traumas are frequent causes of wrist pain. However, chronic issues including carpal tunnel syndrome, arthritis, and repetitive stress injuries can also cause wrist pain.
Determining the exact cause of wrist discomfort might be challenging due to numerous potential cause. However, an accurate diagnosis is necessary for effective therapy and recovery.
Symptoms
Depending on the cause, wrist discomfort can vary. For example, the pain associated with osteoarthritis is frequently compared to a throbbing toothache. A pins-and-needles sensation is frequently brought on by carpal tunnel syndrome. Usually, especially at night, this tingling feeling affects the thumb, index, and middle fingers. The location of the wrist pain can also give clues as to what is causing the symptoms.
Not all wrist discomfort needs to be treated by a doctor. The conventional treatment for minor sprains and strains is ice, rest, and over-the-counter painkillers. However, if discomfort and swelling persist for more than a few days or getting worse, consult a medical professional. Ineffective healing, a reduction in range of motion, and long-term impairment might result from delayed diagnosis and treatment.
Causes
Pain and impairments of the ability to use the wrist and hand can result from damage to any of the parts of the wrist. The damage could be caused by:
- Injuries
- Sudden impacts. When you fall forward into your outstretched hand, wrist injuries frequently happen. Sprains, strains, and even fractures can result from this. A bone on the thumb side of the wrist, known as the scaphoid, is fractured. X-rays taken soon after the injury may not immediately reveal this kind of fracture.
- Repetitive stress. Any wrist action that is repeated over time might irritate the tissues surrounding joints or resulting in stress fractures. Examples include driving cross-country, playing the cello, or striking a tennis ball. When you continuously practice the movement for long periods of time without a break, your chance of injury increases. A repetitive stress injury known as De Quervain tenosynovitis causes pain at the base of the thumb.
- Arthritis
- Osteoarthritis.This kind of arthritis develops over time when the cartilage that protects the ends of the bones wears off. Osteoarthritis in the wrist is rare and typically only affects persons who have previously hurt that wrist.
- Rheumatoid arthritis. Rheumatoid arthritis, a condition where the immune system of the body attack its own tissues, frequently affects the wrist. Typically, both wrists are impacted if one is.
- Psoriatic arthritis. Psoriatic arthritis can occur in people who have psoriasis, a skin condition that creates thick, scaly skin patches. Wrist ache, swelling, and tenderness are symptoms of this arthritis. There may be stiffness and a decreased range of motion as a result.
- Other diseases and conditions
- Carpal tunnel syndrome. When the median nerve experiences increased pressure as it travels through the carpal tunnel, a channel on the palm side of the wrist, carpal tunnel syndrome occurs.
- Ganglion cysts. The area of the wrist opposite the palm is where these soft tissue cysts most frequently develop. Ganglion cysts may cause pain, which may get better or get worse with activity.
- Kienbock disease. Young adults are frequently affected by this illness, which causes one of the wrist’s tiny bones to gradually collapse. When this bone does not receive enough blood flow, Kienbock disease develops.
- Lupus. An autoimmune condition called systemic lupus erythematosus makes your body attack its own healthy tissue. Lupus patients frequently experience arthritis in the tiny joints of their wrist and hand.
Risk factors
Everyone can get wrist pain, regardless of how active or inactive they are. The risk, however, could go up because of:
- Sports participation. Numerous sports, including those involving impact and repetitive wrist stress, frequently result in wrist injuries. Football, bowling, golf, gymnastics, snowboarding, and tennis are a few examples.
- Repetitive work. If done forcefully and frequently enough, almost any activity involving your hands and wrists, including crocheting and hair cutting, can cause incapacitating wrist pain.
- Certain diseases or conditions. Carpal tunnel syndrome is more likely to occur in women who are pregnant, have diabetes, are obese, have rheumatoid arthritis, or have gout.
Diagnosis
Your doctor might do the following the physical examination:
- Examine your wrist for any soreness, swelling, or deformity.
- Any decrease in the range of motion when you move your wrist.
- Examine your forearm and grip strength.
Imaging tests
Imaging testing could consist of:
- X-ray. This is the most common test used for wrist pain which uses small amount of radiation to reveal bone fracture or signs of osteoarthritis.
- Computed Tomography (CT). This scan may be able to detect fractures that are invisible on X-rays and offer more detailed views of the wrist’s bones.
- Magnetic Resonance Imaging (MRI). This examination creates finely detailed imaging of the bones and soft tissues using radio waves and a powerful magnetic field. Instead of using a whole-body MRI equipment, you might be able to place your arm into a smaller apparatus for a wrist MRI.
- Ultrasound. This non-invasive examination can be used to examine cysts, ligaments, and tendons.
Arthroscopy
You could require an arthroscopy if the outcomes of your imaging tests are insufficient. An arthroscope, a pencil-sized tool, is inserted into the wrist during this treatment through a tiny skin incision. A small camera and light are within the device, and they both project images onto a television screen. The gold standard for diagnosing persistent wrist pain is arthroscopy. Your doctor may occasionally use the arthroscope to treat wrist issues. [Text Wrapping Break]
Nerve tests
An electromyogram can be used by your doctor if carpal tunnel syndrome is thought to be present. This examination measures the minute electrical discharges that the muscles produce. When a muscle is at rest or when it is contracted, an electrode that is as thin as a needle is placed into the muscle and its electrical activity is recorded. In order to determine whether the electrical impulses are slowed in the area of the carpal tunnel, nerve conduction investigations are also carried out. [Text Wrapping Break]
Treatment
The nature, location, and severity of the injury, as well as your age and general health, all influence how your wrist problems are treated.
Medications
Ibuprofen and acetaminophen are nonprescription painkillers that may ease wrist pain. By prescription, stronger painkillers are accessible. For some cases, corticosteroid injections may potentially be an option.
Therapy
For wrist injuries and tendon issues, a physical therapist can administer particular treatments and exercises. Your physical therapist can assist with recovery from surgery if you need it. An ergonomic assessment that takes into account potential workplace issues that are causing wrist pain may be beneficial for you.
It will be necessary to make a wrist reduction to parts if you have a broken wrist bone for the bone to properly align. The bone pieces can be held together while healing with the aid of a cast or splint.
You may need to wear a splint to preserve the injured tendon or ligament while it heals if you have strained or sprained your wrist. Splints can be especially beneficial for overuse injuries brought on by repetitive activities. [Text Wrapping Break]
Surgery
Surgery may be necessary in specific circumstances. Examples comprise:
- Bone fractures. In some circumstances, surgery may be required to fix bone fractures and allow for healing. The bone fragments may need to be joined together with metal devices by an orthopedist.
- Carpal tunnel syndrome. To relieve pressure on the nerve, the ligament that makes up the tunnel’s ceiling may need to be sliced open if your symptoms are severe.
- Tendon or ligament repair. Sometimes surgery is required to treat torn tendons or ligaments.
