[26F] Experiencing worsening wrist pain with numbness and tingling

Patient Description

A 26-year-old female has been experiencing worsening wrist pain for a week, with the pain being more pronounced on the thumb side. The wrist is swollen and most activities exacerbate the pain. Relief is found when the wrist is straightened and not under pressure. Numbness and tingling occur in the thumb and first three fingers, particularly at night. There is also a reported sudden increase in pain, loss of wrist motion, and a feeling of instability in the wrist joint. No redness, warmth, or fever is present. The patient is currently taking Sertraline and has no known allergies or adverse reactions to medications. There are no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Carpal Tunnel Syndrome: This is a common condition that causes pain, numbness, and tingling in the hand and arm. It occurs when the median nerve, which runs through the wrist, becomes compressed or squeezed. The pain is often worse at night and can be relieved by shaking the hand.

    • Treatment for Carpal Tunnel Syndrome can include wrist splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids. In severe cases, surgery may be necessary.
  • De Quervain's Tenosynovitis: This condition causes pain on the thumb side of the wrist. It's caused by inflammation of the tendons on the thumb side of the wrist, and is often associated with repetitive hand or wrist movements.

    • Treatment for De Quervain's Tenosynovitis can include rest, splinting, NSAIDs, and corticosteroid injections. In some cases, surgery may be necessary.
  • Wrist Sprain: This is an injury to the ligaments in the wrist, which can cause pain and swelling. It's often caused by a sudden impact or twisting motion.

    • Treatment for a wrist sprain can include rest, ice, compression, and elevation (RICE). In severe cases, a splint or cast may be necessary, and physical therapy may be recommended.

Please note that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider for an accurate diagnosis and treatment.

What you can do

Until you're able to see a healthcare provider, here are some things you can do to help manage your symptoms:

  1. Rest your wrist as much as possible and avoid activities that make your symptoms worse.
  2. Apply a cold pack to your wrist for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. A wrist brace or splint can help support your wrist and reduce pain.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain and swelling
  • Inability to move your wrist or hand
  • Numbness or tingling in your hand or fingers that doesn't go away
  • Signs of infection, such as redness, warmth, or fever

Remember, I'm an AI and not a doctor. It's important to see a healthcare provider for a definitive diagnosis and treatment.

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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 pain, numbness, and tingling in the thumb, index, middle, and ring fingers, especially at night. The symptoms can also include weakness in the hand and difficulty gripping objects.


How is De Quervain's Tenosynovitis typically treated?

De Quervain's Tenosynovitis is typically treated with rest, splinting, and nonsteroidal anti-inflammatory drugs (NSAIDs). Corticosteroid injections may be used to reduce inflammation, and in some cases, surgery may be necessary to relieve symptoms.


What should I do if I suspect I have a wrist sprain?

If you suspect a wrist sprain, you should rest the wrist, apply ice to reduce swelling, use compression with a bandage, and elevate the wrist above heart level. Over-the-counter pain relievers can help manage pain. If symptoms persist, consult a healthcare provider.


When should I seek immediate medical attention for wrist pain?

You should seek immediate medical attention for wrist pain if you experience severe pain and swelling, inability to move your wrist or hand, persistent numbness or tingling, or signs of infection such as redness, warmth, or fever.


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