[40F] With sharp wrist pain and swelling
Patient Description
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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:
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Tendonitis: This is inflammation of the tendons, often caused by repetitive motion or overuse. The sharp pain, swelling, and popping sounds you describe are consistent with tendonitis.
- Treatment: Rest, ice, compression, and elevation (RICE) are initial treatments. Anti-inflammatory medications like ibuprofen can help reduce pain and swelling. Physical therapy may also be recommended.
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De Quervain's Tenosynovitis: This condition affects the tendons on the thumb side of your wrist. It can cause pain when you turn your wrist, grasp anything, or make a fist.
- Treatment: Similar to tendonitis, initial treatments include rest, ice, and anti-inflammatory medications. A splint may be used to immobilize the thumb and wrist. In some cases, corticosteroid injections or surgery may be necessary.
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Wrist Sprain: This occurs when the ligaments in the wrist are stretched or torn. The sudden onset of pain and swelling could indicate a sprain.
- Treatment: RICE is the primary treatment. Severe sprains may require a brace or splint, and physical therapy can help with recovery.
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Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in the wrist. While it typically causes numbness and tingling, it can also cause pain and weakness.
- Treatment: Wrist splints, anti-inflammatory medications, and avoiding activities that worsen symptoms. In severe cases, surgery may be needed.
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 to manage your symptoms:
- Rest: Avoid activities that exacerbate your wrist pain. Give your wrist time to heal.
- Ice: Apply ice to your wrist for 15-20 minutes every few hours to reduce swelling and pain.
- Compression: Use an elastic bandage or wrist brace to provide support and reduce swelling.
- Elevation: Keep your wrist elevated above heart level to help reduce swelling.
- Over-the-counter pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
- Avoid smoking: Smoking can delay healing. Consider reducing or quitting smoking to help your wrist heal faster.
- Use MDandMe: Journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.
What you should look out for
Seek medical attention if you experience any of the following:
- Increased pain or swelling: If your symptoms worsen despite home treatment, consult a healthcare professional.
- Numbness or tingling: These symptoms could indicate nerve involvement and should be evaluated by a doctor.
- Inability to move your wrist or thumb: If you lose the ability to move your wrist or thumb, seek medical attention immediately.
- Signs of infection: Redness, warmth, or pus around the wrist could indicate an infection and require prompt medical attention.
Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.
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5 mo ago