Wrist Tendonitis: Symptoms, Causes, and Treatment

Wrist tendonitis

Hello doctor, I started working in housekeeping at the beginning of the month.
In the middle of the month, I began to feel discomfort in my right hand, which I initially thought might be a muscle strain from work.
However, now my right wrist has started to hurt, and sometimes it aches even when my hand is at rest, accompanied by numbness.
The pain radiates to my middle and ring fingers, and I even wake up at night due to the pain.
Since I am currently an intern in housekeeping, I am concerned about the condition of my wrist if this continues for a year.
What might happen to my wrist?

huangse, 20~29 year old female. Ask Date: 2016/07/28

Dr. Wang Jiacheng reply Orthopedics

It is possible that you have carpal tunnel syndrome, and resting more may lead to improvement.
If not, please seek medical attention from a specialist, as an actual examination will provide the most accurate diagnosis.
Thank you for your inquiry.

Reply Date: 2016/07/28

More Info

Wrist tendonitis, also known as wrist tendinitis, is a condition characterized by inflammation of the tendons in the wrist, often resulting from repetitive motion or overuse. It can lead to pain, swelling, and decreased range of motion, significantly affecting daily activities and work performance. Understanding the symptoms, causes, and treatment options for wrist tendonitis is crucial, especially for individuals like yourself who are engaged in physically demanding tasks.

Symptoms of Wrist Tendonitis
The symptoms of wrist tendonitis can vary in intensity but typically include:
1. Pain: This is often the most prominent symptom. Pain may be localized around the wrist and can radiate to the fingers, particularly the middle and ring fingers, as you've described. The pain may worsen with movement or when pressure is applied to the wrist.

2. Swelling: Inflammation can cause noticeable swelling around the wrist joint.

3. Stiffness: You may experience stiffness in the wrist, particularly after periods of inactivity or upon waking.

4. Numbness or Tingling: As you've mentioned, numbness or tingling sensations can occur, particularly if the inflammation affects nearby nerves.

5. Weakness: You might notice a decrease in grip strength, making it difficult to perform tasks that require fine motor skills.

Causes of Wrist Tendonitis
Wrist tendonitis is often caused by repetitive motions or overuse, particularly in jobs or activities that require prolonged wrist flexion or extension. Common causes include:
- Repetitive Strain: Activities such as typing, using a mouse, or performing manual labor can lead to overuse injuries.

- Poor Ergonomics: Incorrect wrist positioning during work can increase strain on the tendons.

- Injury: A sudden injury or trauma to the wrist can also initiate tendonitis.

- Underlying Conditions: Conditions such as arthritis or diabetes can predispose individuals to tendonitis.

Treatment Options
If you are experiencing symptoms of wrist tendonitis, it is essential to address the issue promptly to prevent further damage. Here are some treatment options:
1. Rest: Allowing the wrist to rest is crucial. Avoid activities that exacerbate the pain, and consider taking breaks during work to reduce strain.

2. Ice Therapy: Applying ice packs to the affected area can help reduce inflammation and numb the pain. Aim for 15-20 minutes several times a day.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Elevating the wrist above heart level can also assist in reducing swelling.

4. Physical Therapy: A physical therapist can provide exercises to strengthen the wrist and improve flexibility. They may also use modalities such as ultrasound or electrical stimulation to promote healing.

5. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

6. Ergonomic Adjustments: If your work involves repetitive wrist movements, consider adjusting your workstation to promote better wrist positioning. Ergonomic tools, such as wrist supports or pads, can also be beneficial.

7. Corticosteroid Injections: In some cases, a doctor may recommend corticosteroid injections to reduce inflammation and pain.

8. Surgery: If conservative treatments fail and symptoms persist, surgical intervention may be considered to repair damaged tendons or relieve pressure on nerves.

Long-Term Considerations
If you continue to experience wrist pain while working in a physically demanding role, it is essential to consult a healthcare professional. Ignoring symptoms can lead to chronic issues, potentially resulting in long-term damage to the wrist. Early intervention can help prevent the condition from worsening and allow you to continue your internship without significant limitations.

In conclusion, wrist tendonitis is a manageable condition with appropriate treatment and lifestyle adjustments. By understanding the symptoms and causes, and by taking proactive steps to address the issue, you can work towards recovery and maintain your ability to perform your job effectively. If symptoms persist, seeking medical advice is crucial for a tailored treatment plan.

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