[62F] Experiencing wrist pain and forearm burning sensation

Patient Description

A 62-year-old female has been suffering from a severe stabbing pain in her wrist, rated 8-9 out of 10, and a searing burning pain extending approximately 2-3 inches up her forearm for about a year. The pain is localized just below the palm and does not affect the fingers. She experiences significant weakness in her wrist, to the point where it gives away under the slightest pressure, making it very difficult and painful to perform daily activities that require wrist action. The patient has a history of Crohn's disease, gastritis, osteonecrosis, osteoporosis, spinal stenosis, and was recently diagnosed with osteoarthritis. She has over 25 past incidents of broken bones and a history of cancer four years ago. Her current medications include Entvio, Omeprazole, Gabapentin, Vitamin D3, a multivitamin, and calcium/magnesium with zinc. She has a known allergy to sulfa drugs. There is no recent change in medication or dosage, and no recent injuries. Family history includes osteoarthritis and spinal stenosis in her mother.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions could be causing your symptoms:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve, which runs through the wrist. Symptoms can include pain, weakness, and numbness in the hand and wrist, radiating up the arm. However, you did not report any numbness or tingling in your fingers, which are common symptoms of carpal tunnel syndrome.

    • Diagnosis typically involves physical examination and nerve conduction studies. Treatment can range from wrist splinting and nonsteroidal anti-inflammatory drugs (NSAIDs) to corticosteroid injections or surgery in severe cases.
  • Tendinitis: This is inflammation or irritation of a tendon, which can cause pain and tenderness just outside a joint. Given your history of osteoarthritis and osteoporosis, you may be at increased risk of tendinitis.

    • Diagnosis is typically based on a physical examination. Treatment usually involves rest, physical therapy, and pain relievers.
  • Arthritis: Given your recent diagnosis of osteoarthritis and your history of osteoporosis, it's possible that arthritis could be affecting your wrist. Arthritis can cause pain, swelling, and reduced range of motion.

    • Diagnosis typically involves physical examination, blood tests, and imaging tests. Treatment can include medications, physical therapy, and sometimes surgery.

Please note that these are possibilities based on the information provided and are not definitive diagnoses. It's important to consult with a healthcare professional for a formal diagnosis.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Rest: Try to avoid activities that worsen your symptoms.
  2. Ice: Apply an ice pack to your wrist for 15-20 minutes every 2-3 hours.
  3. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce pain and inflammation.
  4. Wrist brace: Wearing a wrist brace can help support your wrist and reduce pain.

What you should look out for

You should seek immediate medical attention if:

  • Your pain or weakness worsens significantly
  • You develop new symptoms such as numbness or tingling in your fingers
  • You have difficulty moving your wrist or hand
  • Your symptoms are not improving with rest and over-the-counter treatments

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 yr ago

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People Also Ask


What are the common symptoms of carpal tunnel syndrome?

Common symptoms of carpal tunnel syndrome include pain, weakness, and numbness in the hand and wrist, often radiating up the arm. Numbness and tingling in the fingers, especially the thumb, index, and middle fingers, are also typical.


How can tendinitis be managed at home?

Tendinitis can often be managed at home by resting the affected area, applying ice to reduce swelling, using over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises as recommended by a healthcare provider.


What are the treatment options for osteoarthritis in the wrist?

Treatment options for osteoarthritis in the wrist include medications such as NSAIDs to reduce pain and inflammation, physical therapy to improve range of motion and strength, and in some cases, corticosteroid injections or surgery if conservative treatments are ineffective.


When should I seek medical attention for wrist pain?

You should seek medical attention for wrist pain if the pain or weakness worsens significantly, if you develop new symptoms such as numbness or tingling in your fingers, if you have difficulty moving your wrist or hand, or if your symptoms do not improve with rest and over-the-counter treatments.


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