[28F] Experiencing wrist pain and swelling with difficulty in movement

Patient Description

A 28-year-old female reports a dull ache in her wrist that sharpens during lifting or twisting motions, such as turning a steering wheel, rating the pain as 7-8 out of 10. The pain and associated symptoms began 1.5 weeks ago following an incident where she lifted a heavy object. The patient notes swelling along the center flexor tendon of the wrist, which appears larger than usual and is tender to touch. The swelling seems constant and there is no observed redness or warmth. Additionally, the patient experiences occasional numbness or tingling in the thumb and sometimes hears a popping sound in the wrist. There is no history of previous wrist injuries, pre-existing conditions, or chronic illnesses. The patient is not currently on any medications and has no known allergies. The pain is partially relieved by supporting the wrist with the other hand.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. The condition causes pain and tenderness just outside a joint. Your symptoms of pain, swelling, and difficulty moving the wrist are consistent with this condition. Tendonitis in the wrist is often caused by repetitive activities, such as typing.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy may also be recommended.
  • Sprain: This is an injury to a ligament (the tissue that connects bones to each other). Your symptoms of pain, swelling, and difficulty moving the wrist, as well as the history of lifting a heavy object, are consistent with a sprain.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Carpal Tunnel Syndrome: This is a condition that causes numbness, tingling, or weakness in your hand. It happens because of pressure on your median nerve, which runs the length of your arm, goes through a passage in your wrist called the carpal tunnel, and ends in your hand. Your symptoms of pain, swelling, and numbness in your thumb are consistent with this condition.

    • Treatment typically involves wrist splinting, avoiding activities that worsen symptoms, and over-the-counter pain relievers. In severe cases, surgery may be necessary.

What you can do

You should see a healthcare provider for a formal diagnosis and treatment plan. In the meantime, here are some things you can do:

  1. Rest your wrist and avoid activities that worsen your symptoms.
  2. Apply ice to your wrist for 15-20 minutes every 2-3 hours.
  3. Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help with the pain.
  4. Try wearing a wrist splint to support your wrist and limit its movement.

What you should look out for

You should seek immediate medical attention if:

  • Your pain or swelling worsens.
  • You develop numbness or tingling in your hand or fingers.
  • You have difficulty moving your wrist or hand.
  • You have difficulty performing daily activities due to your symptoms.

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of wrist tendonitis?

Wrist tendonitis is commonly caused by repetitive motions or overuse, such as typing, lifting, or twisting motions. It can also occur after an acute injury, like lifting a heavy object improperly.


How can I differentiate between a wrist sprain and carpal tunnel syndrome?

A wrist sprain typically involves pain, swelling, and difficulty moving the wrist after an injury, while carpal tunnel syndrome often includes numbness, tingling, or weakness in the hand, especially in the thumb and first few fingers, due to nerve compression.


What are the recommended treatments for wrist pain due to lifting heavy objects?

For wrist pain due to lifting heavy objects, rest, ice application, compression, and elevation (RICE) are recommended. Over-the-counter pain relievers and wrist splints can also help manage symptoms.


When should I seek medical attention for wrist pain and swelling?

You should seek medical attention if your wrist pain or swelling worsens, if you experience persistent numbness or tingling, if you have difficulty moving your wrist or hand, or if your symptoms interfere with daily activities.


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