[19F] Wrist pain and crunching sounds post-fall

Patient Description

A 19-year-old female reports experiencing crunching sounds and pain in the palm and wrist area following a fall while running approximately one month ago. The symptoms developed gradually and are triggered by activities such as doing pushups or pressing the hand against the edge of a desk. The crunching sounds last for a few seconds when pressure is applied. The patient also notes slight swelling in the wrist but has not undergone any imaging tests like an X-ray or MRI. There is no history of previous wrist injuries. The patient is currently taking Lithium, Wellbutrin, Levothyroxine, Metoprolol, birth control, Iron, and Vitamin D3. No known allergies or adverse reactions to medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Wrist Sprain or Strain: This is a common injury that occurs when the ligaments or tendons in the wrist are stretched or torn, often due to a fall or sudden impact. The crunching sound, known as crepitus, along with pain and swelling, can be indicative of this type of injury. Treatment typically involves rest, ice, compression, and elevation (RICE), along with over-the-counter pain relievers.

  • Tendonitis: This is inflammation of the tendons in the wrist, which can occur after an injury or repetitive use. It can cause pain, swelling, and a crunching sensation. Treatment usually involves rest, ice, anti-inflammatory medications, and sometimes physical therapy.

  • Wrist Fracture: Although less likely given the time since the injury, a small fracture could cause similar symptoms. An X-ray would be needed to confirm this diagnosis. Treatment may involve immobilization with a splint or cast, and in some cases, surgery.

What you can do

  1. Rest and Protect Your Wrist: Avoid activities that cause pain or require you to press on your hand, such as pushups or leaning on hard surfaces.

  2. Apply Ice: Use an ice pack on your wrist for 15-20 minutes every few hours to reduce swelling and pain.

  3. Over-the-Counter Pain Relief: Consider taking non-prescription pain relievers like ibuprofen or acetaminophen to help manage pain and inflammation.

  4. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in monitoring your condition and making informed decisions about your care.

What you should look out for

  • Increased Pain or Swelling: If your symptoms worsen or do not improve with self-care measures, it would be wise to consult a healthcare professional.

  • Numbness or Tingling: If you experience these sensations in your hand or fingers, it could indicate nerve involvement, which requires medical attention.

  • Difficulty Moving Your Wrist: If you find it increasingly difficult to move your wrist or hand, seek medical evaluation to rule out more serious injuries.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

23 d ago


People Also Ask


What could be causing the crunching sound in my wrist after a fall?

The crunching sound, known as crepitus, could be due to a wrist sprain or strain, tendonitis, or even a small fracture. It often occurs when ligaments or tendons are stretched or inflamed.


How can I differentiate between a wrist sprain and a fracture?

A wrist sprain typically involves pain, swelling, and difficulty moving the wrist, while a fracture might also include severe pain, visible deformity, or inability to use the wrist. An X-ray is needed to confirm a fracture.


What are some effective home treatments for wrist pain and swelling?

Effective home treatments include resting the wrist, applying ice for 15-20 minutes every few hours, using compression, and taking over-the-counter pain relievers like ibuprofen or acetaminophen.


When should I seek medical attention for wrist pain after an injury?

You should seek medical attention if you experience increased pain or swelling, numbness or tingling in your hand or fingers, or difficulty moving your wrist, as these could indicate more serious injuries.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback