Wrist Pain: Recovery and Treatment After Dislocation

Wrist for three months?

Hello Doctor: My right wrist can rotate fully, but there is a tendon inside that hurts.
Lifting objects straight up does not cause pain, but lifting them sideways does, and it hurts when I lift something heavy like a kettle.
I have been experiencing this issue for three months and have been trying to figure out the cause.
Recently, I consulted a chiropractor who said that a bone in my wrist has shifted.
He mentioned that there is a prominent bone on the right side of my wrist that has moved down a bit, and he helped to reposition it, which has improved slightly.
He advised me not to twist towels or perform any rotational or compressive movements.
I am unsure if the repositioning will allow for healing inside and how long that might take.
I want to return to work soon, but my wrist is currently being treated with medication, and my fingers are slightly swollen.
I would like to ask the doctor if it is possible that the bone has shifted out of place? How long might it take to heal?

Rui Er, 20~29 year old female. Ask Date: 2016/03/18

Dr. Shi Guozheng reply Orthopedics

Bones are unlikely to shift unless there is an injury or fracture, as most people in the medical field would agree.
If you don't believe this, you can consult an orthopedic physician or get an X-ray to clarify the situation.
Wrist pain may be due to overuse; resting is important.
Additionally, applying heat and avoiding excessive forceful movements may lead to improvement in a few weeks.

Reply Date: 2016/03/18

More Info

Wrist pain following a dislocation can be a complex issue, and it’s essential to understand the underlying causes and the recovery process. Based on your description, it seems that you are experiencing pain and discomfort in your wrist, particularly with certain movements. This could be related to the dislocation you mentioned, as well as potential soft tissue injuries or misalignments in the wrist joint.

When a wrist dislocation occurs, it can lead to several complications, including damage to ligaments, tendons, and the surrounding soft tissues. The pain you feel when lifting objects sideways or when applying pressure could indicate that the ligaments or tendons in your wrist are strained or inflamed. Additionally, the mention of a bone that has "run away" suggests that there may be a misalignment in the carpal bones of your wrist, which can also contribute to pain and dysfunction.

The recovery process after a wrist dislocation typically involves several stages. Initially, it is crucial to ensure that the dislocation is properly reduced, which seems to have been done by your therapist. After reduction, the focus shifts to rehabilitation, which may include physical therapy to restore range of motion, strength, and function. It is essential to follow your therapist's advice regarding movements to avoid, such as twisting or applying pressure to the wrist, as these can exacerbate the injury and delay healing.

In terms of healing time, it can vary significantly depending on the severity of the injury and the individual’s overall health. Generally, soft tissue injuries can take anywhere from a few weeks to several months to heal fully. During this time, it is essential to monitor your symptoms closely. If you experience increased swelling, persistent pain, or any new symptoms, it is advisable to consult with a healthcare professional for further evaluation.

As for the swelling in your fingers, this could be related to inflammation in the wrist joint or surrounding tissues. It is not uncommon for swelling to occur after a wrist injury, especially if the wrist is not moving correctly or if there is ongoing irritation. Applying ice and elevating the wrist can help reduce swelling, and your therapist may recommend specific exercises to promote circulation and healing.

In summary, it is crucial to continue working with your therapist and follow their recommendations closely. They will guide you through the rehabilitation process, ensuring that your wrist heals correctly and that you regain full function. If you have concerns about your recovery or if your symptoms worsen, do not hesitate to seek further medical advice. With proper care and rehabilitation, most individuals can expect to return to their normal activities, but patience and adherence to treatment are key to a successful recovery.

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