Hello, doctor. Thank you for taking the time to respond to my question?
I would like to ask a question.
Around the end of last year, I experienced severe pain in my left wrist due to improper exertion at work, to the point where I couldn't use it.
Later, I noticed a bone protrusion on the back of my left wrist, and whenever I exert force while working, my wrist becomes very sore.
Is there a chance for recovery? Additionally, I have another concern: whenever I swing my left arm or extend it forcefully, I feel a sensation of something moving on the inner side of my elbow, and sometimes I even hear a popping sound.
Can you tell me what this issue might be?
Wen, 20~29 year old female. Ask Date: 2020/06/24
Dr. Wang Shouji reply Orthopedics
Hello, if there is a prominence of the ulnar head on the lateral side of the wrist, it may be caused by a dislocation or instability of the distal radioulnar joint.
You should visit a hospital for evaluation.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2020/06/24
More Info
Wrist and elbow pain can be quite debilitating, especially when it affects your ability to perform daily tasks or engage in activities you enjoy. Based on your description, it sounds like you may be dealing with a combination of wrist instability and potential tendon or ligament issues in your elbow. Let’s break down your concerns and explore the possible causes and recovery options.
Wrist Pain and Recovery
1. Bone Protrusion and Pain: The protrusion you mentioned on the back of your left wrist could be a sign of several conditions, such as a ganglion cyst, bone spur, or even a fracture that didn’t heal properly. The pain and discomfort you experience when using your wrist could be due to inflammation of the tendons (tendinitis), ligament strain, or joint instability.
Recovery Potential: The good news is that many wrist issues can improve significantly with appropriate treatment. If the pain is primarily due to inflammation, rest, ice, compression, and elevation (RICE) can be beneficial. Physical therapy focusing on strengthening the wrist and improving flexibility may also help. In some cases, if conservative treatments do not yield results, further interventions such as corticosteroid injections or even surgery may be necessary, especially if there is a structural issue like a ganglion cyst.
2. Elbow Issues: The sensation of a tendon or muscle moving in your elbow, accompanied by a popping or snapping sound, could indicate a few possibilities. This might be related to the ulnar nerve, which runs along the inner side of the elbow, or it could be a sign of a condition known as "snapping elbow," where the tendons or ligaments may be catching on the bony structures of the elbow.
What to Do: It’s essential to get a proper diagnosis from a healthcare professional, such as an orthopedic specialist or a physical therapist. They can perform a physical examination and possibly imaging studies (like an MRI or ultrasound) to determine the exact cause of your symptoms. Treatment may involve rest, physical therapy, and possibly bracing to stabilize the elbow.
General Recommendations for Recovery
- Rest and Modify Activities: Avoid activities that exacerbate your pain. If certain movements cause discomfort, try to modify them or take breaks to prevent further irritation.
- Physical Therapy: Engaging in a structured rehabilitation program can be highly beneficial. A physical therapist can design a program tailored to your specific needs, focusing on strengthening the muscles around the wrist and elbow, improving range of motion, and enhancing stability.
- Pain Management: Over-the-counter pain relievers like NSAIDs (ibuprofen or naproxen) can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.
- Ergonomic Adjustments: If your wrist pain is work-related, consider evaluating your workspace for ergonomic improvements. Proper wrist positioning while typing or using tools can significantly reduce strain.
- Gradual Return to Activity: Once your symptoms improve, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity as tolerated.
When to Seek Further Help
If your symptoms persist despite conservative treatment, or if you experience increased pain, swelling, or loss of function, it’s crucial to seek further evaluation. Persistent symptoms may indicate a more serious underlying condition that requires specialized treatment.
In summary, while wrist and elbow issues can be challenging, many individuals experience significant improvement with appropriate care. Early intervention, proper rehabilitation, and lifestyle modifications can greatly enhance your recovery and help you return to your normal activities. Always consult with a healthcare professional for a personalized assessment and treatment plan tailored to your specific situation.
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