Hand and wrist pain are common conditions which may develop due to a sudden impact or injury. The wrist joint is made up of bones, ligaments, and connective tissue surrounding the area so any disease or injury affecting any aspect of the hand and wrist, results in pain.
The hand and wrist give you the ability to write, gesture, pick things up, play musical instruments, draw, use a computer, and much more. They are made up of bones, joints, and muscles working together. The wrist contains eight bones, while the hand involves a system of metacarpals and phalanges (small bones of the fingers).
Pain in the hand or wrist can be caused by crushing trauma, sports injury, or degenerative diseases like diabetes and arthritis.
The risk factors for pain in the hand and wrist include overuse or repetitive actions due to work or sports, suffering from degenerative diseases such as rheumatoid arthritis or trauma related injuries.
Signs & Symptoms:
Bone injury and diseases affect all parts of the hand or wrist. Signs and symptoms of hand and wrist problems could be:
Visit Medcare for a correct and thorough wrist pain diagnosis. The wrist is made up of several bones, muscles, and tissues therefore, a comprehensive medical history and physical examination are needed to make the diagnosis behind your wrist pain.
To diagnose the underlying cause of hand and wrist pain, the orthopaedic specialist will consider:
The orthopaedic specialists at Medcare will prescribe a wrist pain treatment plan based on your overall health and the underlying cause of the pain. Certain immediate remedies known as R.I.C.E may be considered especially if you have a sprain or tendonitis. R.I.C.E stands for resting the joint and allowing the acute inflammation to subside, ice application to reduce the pain, compression with an elastic bandage to reduce swelling and elevation of the injured part of the body above heart level.
Once you visit your doctor, he may recommend some activity modifications if your condition is a result of overuse or sports injuries. This may be followed up with physical therapy. Fractures require wearing a cast or a splint. Other serious conditions may require medications.
Once the correct diagnosis has been made, then non-steroidal anti-inflammatory pain medications referred to as NSAIDs, are commonly prescribed except for carpal tunnel syndrome. Cortisone injections are powerful medication that also treats inflammation.
Some wrist conditions require a surgical procedure for treatment, such as certain types of fractures, ganglion cysts, and median or ulnar nerve decompression. Wrist arthroscopy is a surgical procedure to insert a small camera inside the joint to repair or remove damaged structures. Wrist fusion is recommended for the treatment of severe arthritis of the wrist. If required a carpectomy may be done, which is a surgical procedure to remove the small bones of the wrist joint
Finally, your doctor may advise wrist replacement where the joint is replaced with metal and plastic implants that allow movement of the joint between the hand and forearm. Needle aponeurotomy procedure are used to treat Dupuytren's disease.Q: I have carpal tunnel syndrome and have been advised to wear a brace and consult a physical therapist. Will these help me?
A: Yes, both these are important to recover from carpal tunnel syndrome. The brace will help to keep your wrist in the right position. A qualified physical therapist will show you exercises focused on nerves and tendons. She may also use other therapies such as ultrasound, or a hand traction device.
Follow the suggested treatment carefully and observe whether you get relief from pain, and keep reporting back to your orthopaedic doctor.Q: I have been suffering from wrist pain and the doctor has recommended a wrist arthroscopy. What is this procedure?
A: In a wrist arthroscopy, an orthopaedic surgeon will insert a camera, called an arthroscope, into your wrist through a small incision. The arthroscope is connected to a video monitor, and allows the surgeon to see inside your wrist.
The surgeon then views the cartilage, bones, tendons and ligaments of your wrist. The surgeon may be able to make other incisions and use instruments to repair any damage found. Muscle, tendon or cartilage tears could be fixed during this procedure.Q: I fractured my wrist after a fall. Should I get myself checked for osteoporosis?
A: If you are over the age of 50 and suffer a fracture after a simple fall, then it is advisable to get yourself checked for osteoporosis. If you have this condition and you get the right treatment, it could prevent further fractures in the future.