[18F] Experiencing wrist pain and numbness post-injury

Patient Description

An 18-year-old female is reporting severe wrist pain and inability to move or apply pressure to the affected wrist, which began after a volleyball injury approximately 2 weeks ago. The patient landed on the wrist, causing it to twist upwards, and felt a 'tug' but no significant swelling or bruising is present. There is also numbness in the fingers and hand, with a throbbing sensation and difficulty moving the thumb. Upon palpation, there is slight pain in the 'anatomical snuffbox' area. No other symptoms were reported. The patient has no known pre-existing conditions, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions may be causing your symptoms:

  • Wrist Sprain: This occurs when the ligaments in the wrist are stretched or torn. Symptoms can include pain, swelling, bruising, and difficulty moving the wrist or hand.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help. In severe cases, a splint or cast may be needed.
  • Scaphoid Fracture: This is a break in the small bone on the thumb side of your wrist. The pain may be felt in the area known as the 'anatomical snuffbox'. This type of fracture is common in sports and falls.

    • Treatment usually involves a cast or splint to immobilize the wrist. Surgery may be needed in some cases.
  • Carpal Tunnel Syndrome: This is a condition caused by pressure on the median nerve in the wrist. Symptoms can include numbness, tingling, and pain in the hand and fingers.

    • Treatment can involve wrist splinting, medications, and in some cases, surgery.

Please note that these are possible conditions based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

While waiting for your appointment with a healthcare provider, you can try the following:

  1. Rest your wrist and avoid activities that may worsen the pain.
  2. Apply an ice pack to your wrist for 15-20 minutes every 2-3 hours.
  3. Use a wrist brace or splint to immobilize your wrist and reduce pain.
  4. Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help with the pain.

What you should look out for

Please seek immediate medical attention if you experience the following:

  • Severe pain and swelling
  • Inability to move your wrist or hand
  • Numbness or tingling in your hand or fingers that worsens
  • Pain that doesn't improve with rest and over-the-counter pain relievers

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of a wrist sprain?

Common symptoms of a wrist sprain include pain, swelling, bruising, and difficulty moving the wrist or hand. The severity of these symptoms can vary depending on the extent of the injury.


How can I tell if I have a scaphoid fracture?

A scaphoid fracture often presents with pain and tenderness in the 'anatomical snuffbox' area of the wrist, especially when pressure is applied. There may not be significant swelling or bruising, but pain can be persistent.


What is carpal tunnel syndrome and what are its symptoms?

Carpal tunnel syndrome is caused by pressure on the median nerve in the wrist. Symptoms include numbness, tingling, and pain in the hand and fingers, particularly the thumb, index, and middle fingers. These symptoms may worsen at night.


What immediate steps can I take to alleviate wrist pain after an injury?

To alleviate wrist pain after an injury, you can rest the wrist, apply ice for 15-20 minutes every 2-3 hours, use a wrist brace or splint to immobilize the wrist, and take over-the-counter pain relievers like ibuprofen or acetaminophen.


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