[21F] Experiencing acute wrist pain with ulnar involvement

Patient Description

A 21-year-old female presents with acute onset of intense, sharp wrist pain on the distal side of the ulnar, which began upon waking this morning. The pain is exacerbated by wrist rotation and lateral hand movements, and sometimes radiates to the elbow. She reports relief when holding the wrist straight and applying slight compression. There is noticeable redness and swelling, and a tingling sensation was experienced radiating up to the shoulder. The patient has Ehlers-Danlos syndrome, diagnosed in 2013, and celiac disease, diagnosed in 2016. She reports an allergy to Omnicef but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, possible explanations include:

  • Wrist Sprain or Strain: This is an injury to the ligaments or muscles in the wrist, often caused by a sudden force or overuse. It can cause pain, swelling, and difficulty moving the wrist.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help.
  • Tendonitis: This is inflammation or irritation of a tendon, a thick cord that attaches bone to muscle. It's often caused by repetitive, minor impact on the affected area, or from a sudden more serious injury.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy may also be beneficial.
  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to pain, numbness, and weakness in the hand and arm.

    • Treatment can range from wrist splinting and nonsteroidal anti-inflammatory drugs (NSAIDs) to corticosteroids or surgery in severe cases.

Given your history of Ehlers-Danlos syndrome, a group of disorders that affect connective tissues supporting the skin, bones, blood vessels, and many other organs and tissues, your symptoms might be related. People with Ehlers-Danlos syndrome often experience joint pain. However, it's important to rule out other causes of your symptoms.

What you can do

  1. Rest your wrist and avoid activities that worsen your 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 support your wrist and limit movement.
  4. Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help with the pain.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment plan.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You notice a deformity or significant swelling in your wrist.
  • You have difficulty moving your fingers or hand.
  • You experience persistent numbness or tingling in your hand or fingers.

Please remember that while I strive to provide accurate and helpful health information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are common symptoms of a wrist sprain or strain?

Common symptoms of a wrist sprain or strain include pain, swelling, bruising, and difficulty moving the wrist. The pain is often sharp and may worsen with movement.


How does Ehlers-Danlos syndrome affect joint health?

Ehlers-Danlos syndrome affects joint health by causing hypermobility, which can lead to frequent joint pain, dislocations, and increased risk of injuries like sprains and strains due to the laxity of connective tissues.


What are the typical treatments for tendonitis in the wrist?

Typical treatments for tendonitis in the wrist include rest, ice application, over-the-counter pain relievers, and sometimes physical therapy. Avoiding activities that exacerbate the pain is also recommended.


How can carpal tunnel syndrome be distinguished from other wrist conditions?

Carpal tunnel syndrome is often distinguished by symptoms such as numbness, tingling, and weakness in the hand and fingers, particularly the thumb, index, and middle fingers. It is caused by pressure on the median nerve, unlike other conditions that may involve different tendons or ligaments.


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