[40F] With sharp wrist pain and swelling

Patient Description

A 40-year-old female has been experiencing sharp wrist pain for the past two months. The pain is severe, rated 9 out of 10, and worsens with activities such as extending the arm, moving the thumb, or grabbing objects. The wrist occasionally pops and is swollen, but there is no bruising. The patient has not had any imaging tests like an X-ray or MRI. She reports weakness in the hand or wrist but no numbness or tingling. The patient has a medical history of kidney issues, stomach issues, and urinary issues for the past 20 years. She had an ovarian cyst last year. The patient smokes approximately 10 cigarettes a day and consumes alcohol, having one to two drinks per week. She does not have any allergies or adverse reactions to medications and 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:

  • 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.
  • 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.
  • 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.
  • 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:

  1. Rest: Avoid activities that exacerbate your wrist pain. Give your wrist time to heal.
  2. Ice: Apply ice to your wrist for 15-20 minutes every few hours to reduce swelling and pain.
  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: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
  6. Avoid smoking: Smoking can delay healing. Consider reducing or quitting smoking to help your wrist heal faster.
  7. 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

People Also Ask


What are the common causes of wrist pain?

Common causes of wrist pain include tendonitis, De Quervain's Tenosynovitis, wrist sprains, and carpal tunnel syndrome. These conditions can result from repetitive motion, overuse, or injury.


How can I differentiate between tendonitis and De Quervain's Tenosynovitis?

Tendonitis generally involves inflammation of the tendons and can occur in various parts of the wrist, while De Quervain's Tenosynovitis specifically affects the tendons on the thumb side of the wrist, causing pain when turning the wrist, grasping, or making a fist.


What are the initial treatments for wrist pain?

Initial treatments for wrist pain include rest, ice application, compression with an elastic bandage or brace, and elevation of the wrist. Over-the-counter anti-inflammatory medications like ibuprofen can also help reduce pain and swelling.


When should I seek medical attention for wrist pain?

You should seek medical attention if you experience increased pain or swelling despite home treatment, numbness or tingling, inability to move your wrist or thumb, or signs of infection such as redness, warmth, or pus around the wrist.


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