Wrist Pain: When to Seek Medical Attention - Orthopedics

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Wrist pain


Hello, doctor.
Due to work reasons, I have to use one hand to exert force (carrying trays) and lift heavy objects for a long time, and I have developed wrist pain.
For example, I still feel pain when carrying an empty tray, and it also hurts when I rotate my wrist.
A few months ago, I visited a chiropractor who said that the bones in my wrist are misaligned.
Recently, the pain in my wrist has worsened.
I looked online, and the doctors suggested home rehabilitation.
Should I see an orthopedic doctor, or is home rehabilitation sufficient? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2016/10/01

Dr. Shi Guozheng reply Orthopedics


The most effective way to alleviate pain caused by overuse is to reduce activity.
Additionally, wearing a wrist brace can provide protection.
It is also advisable to consult a physician who can prescribe medication to relieve symptoms.
Typically, bones do not dislocate without significant external force.

Reply Date: 2016/10/01

More Info


Wrist pain can be a significant concern, especially for individuals who engage in repetitive activities or heavy lifting, as you have described. Given your symptoms and the history of pain that has worsened over time, it is essential to consider several factors before deciding on the appropriate course of action.

First, it is crucial to understand the potential causes of wrist pain. Common conditions include tendonitis, carpal tunnel syndrome, wrist sprains, and even fractures. Tendonitis, for instance, can occur due to repetitive strain, particularly in individuals who frequently lift heavy objects or perform tasks that require gripping or twisting motions. Carpal tunnel syndrome, on the other hand, is caused by compression of the median nerve as it passes through the wrist, leading to pain, numbness, and weakness in the hand.

Your description of pain during both lifting and rotating your wrist suggests that there may be an underlying issue that requires further evaluation. The fact that the pain has persisted and even worsened despite previous treatment indicates that a more thorough investigation may be necessary. While home rehabilitation exercises can be beneficial for mild cases, they may not be sufficient for more severe or persistent conditions.

It is advisable to seek medical attention from a healthcare professional, particularly an orthopedic specialist or a sports medicine physician. They can conduct a comprehensive evaluation, which may include a physical examination, imaging studies such as X-rays or MRI, and possibly nerve conduction studies if carpal tunnel syndrome is suspected. This thorough assessment will help determine the exact cause of your wrist pain and guide appropriate treatment.

In terms of treatment options, if a specific diagnosis is made, the physician may recommend a variety of interventions. These could include physical therapy, which can help strengthen the muscles around the wrist and improve flexibility, or corticosteroid injections to reduce inflammation. In some cases, if conservative treatments fail, surgical options may be considered, especially if there is significant structural damage or nerve compression.

Additionally, it is essential to address ergonomic factors in your work environment. Ensuring that your workstation is set up to minimize strain on your wrists can be crucial. This may involve adjusting the height of surfaces you work at, using tools designed to reduce strain, or taking regular breaks to rest your wrists.

In summary, while home rehabilitation can be beneficial for mild wrist pain, your worsening symptoms warrant a professional evaluation. Seeking medical attention will provide you with a clearer understanding of the underlying issue and allow for a tailored treatment plan that addresses both the symptoms and the root cause of your wrist pain. Remember, early intervention can often lead to better outcomes and prevent further complications.

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