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

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.