[43M] Experiencing pain and swelling in right forearm and hand

Patient Description

A 43-year-old male reports experiencing aching pain and swelling in his right forearm and hand for the past 3 days. The patient describes the pain as aching and notes associated symptoms of weakness, numbness, and tingling in the affected area. These symptoms worsen at night and after certain activities, which involve repetitive hand or wrist movements. The patient has attempted some treatments, such as wrist splints and over-the-counter pain relief, but continues to experience discomfort. There is no mention of a history of diabetes or thyroid disorders.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—aching pain, swelling, weakness, numbness, and tingling in your right forearm and hand, especially worsening at night and after certain activities—it's possible that you may be experiencing:

  • Carpal Tunnel Syndrome: This condition occurs when the median nerve, which runs from your forearm into the palm of your hand, becomes compressed at the wrist. It is often associated with repetitive hand or wrist movements and can cause the symptoms you're experiencing. Treatment typically involves wrist splints, physical therapy, and in some cases, surgery.

  • Tendonitis: This is inflammation of a tendon, often due to repetitive movements or overuse. It can cause pain and swelling in the affected area. Treatment usually includes rest, ice, compression, elevation (RICE), and anti-inflammatory medications.

These are common conditions, but it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

What you can do

While you should seek medical advice for a formal diagnosis, here are some steps you can take to help manage your symptoms:

  1. Rest and Modify Activities: Try to avoid activities that worsen your symptoms. Resting your hand and forearm can help reduce inflammation and pain.

  2. Use a Wrist Splint: Wearing a wrist splint, especially at night, can help keep your wrist in a neutral position and relieve pressure on the median nerve.

  3. Apply Ice: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce swelling and numb the pain.

  4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

  5. Journal Your Symptoms: Use MDandMe to track your symptoms, activities, and any treatments you try. This information can be valuable for your healthcare provider.

What you should look out for

Be aware of the following symptoms that may require more urgent medical attention:

  • Severe or sudden increase in pain
  • Complete loss of sensation in your hand or forearm
  • Inability to move your fingers or hand
  • Discoloration or coldness in the hand
  • Rapidly worsening swelling

If you experience any of these symptoms, seek medical care promptly. Remember, it's important to consult a healthcare professional for a proper evaluation and treatment plan.

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1 mo ago

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People Also Ask


What are the common symptoms of Carpal Tunnel Syndrome?

Common symptoms of Carpal Tunnel Syndrome include aching pain, numbness, tingling, and weakness in the hand and forearm, especially at night or after repetitive movements.


How can repetitive hand or wrist movements lead to tendonitis?

Repetitive hand or wrist movements can cause tendonitis by overusing and straining the tendons, leading to inflammation, pain, and swelling in the affected area.


What are some effective home treatments for managing forearm and hand pain?

Effective home treatments for managing forearm and hand pain include resting the affected area, using wrist splints, applying ice, and taking over-the-counter pain relief like NSAIDs.


When should I seek medical attention for hand and forearm symptoms?

You should seek medical attention if you experience severe or sudden pain, complete loss of sensation, inability to move your fingers or hand, discoloration, or rapidly worsening swelling.


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