[23M] With acute wrist pain after hearing a crack

Patient Description

A 23-year-old male presents with throbbing wrist pain that started today. The pain began gradually after hearing a small crack while stretching his arms. He describes the pain as similar to a sprain and rates it as a 6 out of 10 in severity. The pain slightly increases when he grasps or clenches his hand, and the feeling in his hand is a little different than usual. There is no swelling, numbness, changes in color, or temperature in the wrist. The pain affects his ability to move or use his wrist normally but not significantly. He has not tried any treatments or medications for the pain. There is no history of wrist or hand injuries, chronic conditions like arthritis or carpal tunnel syndrome, or any pre-existing conditions. He does not use tobacco, alcohol, or recreational drugs. The most repetitive wrist movement he engages in is using a PlayStation controller. He is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your wrist pain:

  • Wrist Sprain: This occurs when the ligaments in the wrist are stretched or torn. The crack you heard could have been a minor ligament injury. Symptoms include pain, swelling, and difficulty moving the wrist.

    • Treatment: Rest, ice, compression, and elevation (RICE) are common initial treatments. Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation. A wrist brace may also be recommended.
  • Tendonitis: Inflammation of the tendons in the wrist, often due to repetitive motion. While you mentioned using a PlayStation controller, even minor repetitive activities can sometimes lead to tendonitis.

    • Treatment: Resting the affected wrist, applying ice, and taking anti-inflammatory medications can help. Stretching and strengthening exercises may be recommended once the pain subsides.
  • Minor Fracture: Although less likely without significant trauma, a small crack or hairline fracture could cause similar symptoms.

    • Treatment: Immobilization with a splint or cast, and possibly imaging tests like an X-ray to confirm the diagnosis.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Avoid activities that exacerbate the pain, including using your PlayStation controller.
  2. Ice: Apply an ice pack to your wrist for 15-20 minutes every 2-3 hours to reduce pain and swelling.
  3. Compression: Use an elastic bandage or wrist brace to provide support and reduce swelling.
  4. Elevation: Keep your wrist elevated above heart level to help reduce swelling.
  5. Over-the-counter Pain Relief: Consider taking ibuprofen or acetaminophen to manage pain and inflammation.
  6. Journal Your Symptoms: Use MDandMe to track your symptoms, any activities that worsen the pain, and any treatments you try. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased Pain or Swelling: If the pain or swelling worsens despite home treatment.
  • Numbness or Tingling: If you develop numbness, tingling, or weakness in your hand or fingers.
  • Inability to Move the Wrist: If you find it increasingly difficult to move your wrist or hand.
  • Signs of Infection: If you notice redness, warmth, or fever, which could indicate an infection.

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

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People Also Ask


What are the common symptoms of a wrist sprain?

Common symptoms of a wrist sprain include pain, swelling, and difficulty moving the wrist. You might also hear a popping or cracking sound at the time of injury.


How can I differentiate between tendonitis and a wrist sprain?

Tendonitis often involves pain and tenderness along a tendon, especially with movement, and may be due to repetitive motion. A wrist sprain typically involves pain, swelling, and difficulty moving the wrist due to ligament injury. An accurate diagnosis may require a physical exam and imaging tests.


What are the initial steps I can take at home to manage wrist pain?

Initial steps to manage wrist pain at home include resting the wrist, applying ice to reduce swelling, using compression with an elastic bandage, elevating the wrist above heart level, and taking over-the-counter pain relievers like ibuprofen.


When should I seek medical attention for wrist pain?

You should seek medical attention if the pain or swelling worsens despite home treatment, if you experience numbness or tingling, if you have increasing difficulty moving your wrist, or if you notice signs of infection such as redness, warmth, or fever.


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