[19F] Experiencing hand stiffness and pain

Patient Description

A 19-year-old female reports a sensation of stiffness in her hand, particularly in the thumb, which makes it difficult for her to move it easily, such as when typing. She has also experienced a shock-like sensation in her wrist. The stiffness seems to be more pronounced at nighttime. The patient has just recently noticed these symptoms and has not identified any measures that relieve the stiffness. There is no mention of any preceding injury or associated symptoms.

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Arora's Assessment

What might be happening

Based on your description, here are some possible causes for your symptoms:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve, which runs the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. The median nerve controls the movement and feeling of your thumb, and also the movement of all your fingers except your pinky. Symptoms can include numbness, tingling, and pain in the hand and fingers, often specifically in the thumb and the index and middle fingers. It can also cause discomfort in your wrist and the palm of your hand.

    • Treatment options include wrist splinting, medications, and in severe cases, surgery.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It can cause pain and tenderness just outside a joint. While tendonitis can occur in any of your tendons, it's most common around your shoulders, elbows, wrists, knees and heels.

    • Treatment typically involves rest, physical therapy, and medications to reduce pain and inflammation.
  • Arthritis: Although less common in your age group, certain types of arthritis can affect the hands and wrists. Pain, swelling, and stiffness are common symptoms.

    • Treatment typically involves medications, physical therapy, and in severe cases, surgery.

What you can do

It's important to consult a healthcare provider for a proper diagnosis and treatment. In the meantime, here are some things you can do to alleviate your symptoms:

  1. Rest your hand and wrist as much as possible.
  2. Apply a cold pack to the affected area for 15 minutes at a time to reduce inflammation.
  3. Over-the-counter pain relievers such as ibuprofen can help reduce pain and inflammation.
  4. Gentle stretching exercises may help relieve tension and improve flexibility.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek medical attention immediately:

  • Severe pain or swelling
  • Inability to move your hand or wrist
  • Numbness or tingling in your hand or fingers
  • Signs of an infection, such as redness, warmth or fever

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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11 mo ago

People Also Ask


What are the common symptoms of Carpal Tunnel Syndrome?

Common symptoms of Carpal Tunnel Syndrome include numbness, tingling, and pain in the hand and fingers, particularly in the thumb, index, and middle fingers. It can also cause discomfort in the wrist and palm.


How can tendonitis in the wrist be treated?

Tendonitis in the wrist can be treated with rest, physical therapy, and medications to reduce pain and inflammation. In some cases, a healthcare provider may recommend a brace or splint to immobilize the wrist.


Is it possible for a 19-year-old to develop arthritis in the hands?

While arthritis is less common in younger individuals, it is still possible for a 19-year-old to develop certain types of arthritis that affect the hands. Symptoms typically include pain, swelling, and stiffness.


What immediate steps can I take to relieve hand stiffness and pain?

To relieve hand stiffness and pain, you can rest your hand and wrist, apply a cold pack to reduce inflammation, take over-the-counter pain relievers like ibuprofen, and perform gentle stretching exercises to improve flexibility.


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