[19M] Experiencing hand pain and stiffness after a firm handshake

Patient Description

A 19-year-old male reports pain and stiffness in the carpal/wrist area of the left hand following an excessively firm handshake approximately 2 hours ago. The patient heard several pops during the incident and has since been experiencing pain when applying pressure to the left side of the hand, rotating the wrist, and when touching the pinkie to the thumb. The area is tender to touch, but there are no visible deformities or bruising. Despite applying a 4.0% lidocaine and methanol cream, the pain persists. The stiffness began about 1.5 hours after the incident and is noted specifically when turning the hand to the left.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Sprained Wrist: This occurs when the ligaments that support the wrist stretch beyond their limits or tear. This can occur from a sudden twist or impact, such as what might happen during a firm handshake. Symptoms can include pain, swelling, and difficulty moving the wrist.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also be helpful.

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, and can result from repetitive motions or injury. Symptoms can include pain, numbness, and tingling in the hand and arm.

    • Treatment can include wrist splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and surgery in severe cases.

  • Fracture: Although less likely given the absence of visible deformity or bruising, a fracture could still be possible. This would typically be associated with severe pain and difficulty moving the hand.

    • Treatment would involve immobilization and possibly surgery.

What you can do

You should definitely seek medical attention for your symptoms. In the meantime, you can try the following:

  1. Rest your hand and avoid activities that cause pain.
  2. Apply ice to the area for 15 minutes at a time, several times a day.
  3. Use an over-the-counter pain reliever, such as ibuprofen, to help with the pain.
  4. Consider using a wrist brace or splint to immobilize the wrist and provide support.

What you should look out for

If you notice any of the following symptoms, you should seek medical attention immediately:

  • Severe pain or swelling
  • Inability to move your wrist or hand
  • Numbness or tingling in your hand or fingers
  • Deformity of the wrist or hand

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

People Also Ask

What are the common symptoms of a wrist sprain?

Common symptoms of a wrist sprain include pain, swelling, tenderness, and difficulty moving the wrist. You might also experience bruising and a popping sensation at the time of injury.

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

A wrist sprain typically involves pain, swelling, and limited movement, but a fracture may present with more severe pain, visible deformity, and an inability to move the wrist. An X-ray is often needed to confirm a fracture.

What are the initial steps I should take if I suspect a wrist injury?

If you suspect a wrist injury, you should rest the wrist, apply ice to reduce swelling, use a compression bandage, and elevate the wrist. Over-the-counter pain relievers can also help manage pain.

When should I seek medical attention for wrist pain?

You should seek medical attention if you experience severe pain or swelling, inability to move your wrist or hand, numbness or tingling, or any visible deformity in the wrist or hand.

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