Wrist Injuries: Symptoms, Treatment, and Recovery Tips - Orthopedics

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Wrist injury


1.
The wrist has been injured for over four months.
Currently, when I press down on the ulnar side with my right hand on my waist, I feel pain.
Additionally, when my palm is facing up and bearing weight on the ulnar side of my palm, I also experience pain, while other movements do not cause discomfort.
What part might still be injured and not healed?
2.
If I need to take anti-inflammatory medication, which brand should I choose, or what ingredients should it contain?
3.
Could it be that I have not allowed it to rest (I have been doing bench presses and lifting dumbbells), which is why it is healing so slowly?

Pivet, 10~19 year old female. Ask Date: 2016/05/05

Dr. Shi Guozheng reply Orthopedics


Anti-inflammatory medications are generally referred to as non-steroidal anti-inflammatory drugs (NSAIDs).
The wrist must have sufficient time to rest in order to improve.

Reply Date: 2016/05/05

More Info


Wrist injuries can be quite complex and may take time to heal, especially if they involve soft tissue, ligaments, or tendons. Based on your description, it seems you are experiencing pain in specific movements of your wrist, particularly when applying pressure or weight. This could indicate that certain structures in your wrist, such as ligaments or tendons, may still be inflamed or not fully healed.


Symptoms and Possible Injuries
The symptoms you are experiencing—pain during specific movements like wrist flexion or when bearing weight—could suggest several potential issues:
1. Tendonitis: This is inflammation of the tendons around the wrist, often caused by repetitive strain or overuse. If you have been engaging in activities like weightlifting without adequate rest, this could contribute to tendonitis.

2. Ligament Sprain: If you had a prior injury, it’s possible that the ligaments supporting your wrist are still healing. Ligament injuries can take longer to heal than bone injuries.

3. Cartilage Injury: Injuries to the triangular fibrocartilage complex (TFCC) can also cause pain during specific wrist movements. This type of injury is common in activities that involve twisting or heavy lifting.

4. Referred Pain: Sometimes, pain in the wrist can be referred from other areas, such as the forearm or elbow, especially if there is an underlying issue.


Treatment Options
1. Rest and Activity Modification: It’s crucial to allow your wrist to rest, especially if you are feeling pain during certain movements. Continuing to lift weights or perform exercises that exacerbate the pain can prolong recovery. Consider modifying your workout routine to avoid putting strain on your wrist.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the wrist and improve flexibility, as well as modalities like ultrasound or electrical stimulation to reduce pain and inflammation.

3. Anti-inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) or naproxen (Aleve) can help reduce inflammation and pain. Always consult with a healthcare provider before starting any medication to ensure it’s appropriate for your situation.

4. Ice and Compression: Applying ice to the affected area can help reduce swelling and pain. Compression wraps can also provide support and limit swelling.

5. Bracing: A wrist brace can stabilize the wrist and limit movement, allowing the injured structures to heal properly.


Recovery Tips
- Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity.


- Listen to Your Body: Pay attention to pain signals. If certain movements cause pain, it’s essential to stop and reassess.

- Consult a Specialist: If pain persists despite conservative treatment, consider seeing an orthopedic specialist or a sports medicine physician. They may recommend imaging studies like an MRI to assess for any underlying injuries that may not be visible on X-rays.

- Patience: Healing can take time, especially for soft tissue injuries. It’s essential to be patient and allow your body the time it needs to recover fully.

In summary, your symptoms suggest that there may still be an underlying issue with your wrist that requires attention. Modifying your activities, engaging in physical therapy, and using anti-inflammatory medications can help facilitate recovery. If symptoms persist, seeking further evaluation from a healthcare professional is advisable.

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