[56F] With severe wrist pain and numbness post-fall

Patient Description

A 56-year-old female reports experiencing severe wrist pain and occasional numbness following a fall. The pain, described as sharp and shooting, extends through the wrist and forearm and is exacerbated by any movement of the thumb or wrist. The symptoms began a few days after the fall and have been persistent, worsening with any activity involving the hand. An X-ray was performed, showing no breaks or fractures. The patient has tried splinting and anti-inflammatory medications without relief. There is no history of previous wrist or thumb injuries, and no repetitive movements or activities have been identified as contributing factors. The patient has no known family history of musculoskeletal disorders.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • De Quervain's Tenosynovitis: This condition involves inflammation of the tendons on the thumb side of your wrist. It can cause pain and tenderness, especially when you move your thumb or wrist. It often results from repetitive hand or wrist movements.

    • Treatment typically includes rest, splinting, anti-inflammatory medications, and sometimes corticosteroid injections. Physical therapy may also be recommended.
  • Wrist Sprain or Strain: Even though your X-ray showed no fractures, a fall can cause a sprain or strain, leading to pain and discomfort. This occurs when ligaments or muscles are overstretched or torn.

    • Treatment usually involves rest, ice, compression, and elevation (RICE), along with pain relief medications.
  • Nerve Compression or Irritation: The numbness and shooting pain could suggest nerve involvement, such as carpal tunnel syndrome or another form of nerve compression.

    • Treatment may include wrist splints, anti-inflammatory medications, and avoiding activities that exacerbate symptoms. In some cases, physical therapy or surgery may be necessary.

What you can do

While it's important to consult with a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Rest and Immobilize: Try to rest your wrist and thumb as much as possible. Consider using a splint to immobilize the area and prevent further strain.
  2. Apply Ice: Use ice packs on your wrist for 15-20 minutes every few hours to reduce pain and swelling.
  3. Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
  4. Avoid Aggravating Activities: Try to avoid movements or activities that worsen your pain.
  5. Use MDandMe: Track your symptoms, pain levels, and any treatments you try using the MDandMe app. This can help you monitor your progress and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increasing pain or swelling that does not improve with rest and home care
  • Numbness or tingling that worsens or spreads
  • Difficulty moving your thumb or wrist
  • Any new or concerning symptoms

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a comprehensive evaluation and personalized treatment plan.

Show More

1
 Hugs
0
 Comments

Save

12 d ago


People Also Ask


What is De Quervain's Tenosynovitis and how is it treated?

De Quervain's Tenosynovitis is an inflammation of the tendons on the thumb side of the wrist, often caused by repetitive movements. Treatment includes rest, splinting, anti-inflammatory medications, corticosteroid injections, and sometimes physical therapy.


Can a wrist sprain or strain occur without a fracture, and what are the treatment options?

Yes, a wrist sprain or strain can occur without a fracture. It happens when ligaments or muscles are overstretched or torn. Treatment involves rest, ice, compression, elevation (RICE), and pain relief medications.


What are the symptoms of nerve compression in the wrist, and how is it managed?

Symptoms of nerve compression in the wrist include numbness, tingling, and shooting pain. Management may involve wrist splints, anti-inflammatory medications, avoiding aggravating activities, and possibly physical therapy or surgery.


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

Seek medical attention if you experience increasing pain or swelling that doesn't improve with rest, worsening numbness or tingling, difficulty moving your thumb or wrist, or any new or concerning symptoms.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback