Wrist Pain: Causes, Prevention, and When to See a Doctor - Orthopedics

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Wrist discomfort?


Hello Doctor: I am a fourth-year student at Fu Jen Catholic University.
Recently, I have been experiencing pain in my right wrist during activities such as shaking my hand or bending my palm upwards.
The pain is most pronounced when I am typing, which affects my wrist's range of motion.
Any excessive inward bending or outward stretching causes discomfort.
I have never had surgery on my hand, have no history of arthritis, and no relevant orthopedic medical history.
I would like to ask you if the pain in my right wrist is related to typing.
I often type for reports, sometimes for 4-5 hours at a time, and this happens about four days a week.
When my wrist starts to hurt, I need to rest for several days before it feels better, and this has occurred multiple times over the past two years.
Am I at risk of developing any chronic conditions? Should I see a doctor? Could you provide me with some information on how to prevent wrist pain?

Yaxin, 20~29 year old female. Ask Date: 2000/12/13

Dr. Shi Qiming reply Orthopedics


Dr.
Shih-Chi Ming from Orthopedics replied: Your condition is indeed caused by typing.
Here are some ways to improve it: 1.
Lower your keyboard.
2.
Purchase a wrist and forearm support pad (I am not sure which brand is better, please compare on your own) to prevent your wrists and forearms from being suspended.
3.
Take a 5 to 10-minute break every hour while typing.

Reply Date: 2000/12/13

More Info


Wrist pain, especially in the context of repetitive activities like typing, is a common issue among students and professionals alike. Your symptoms suggest that you may be experiencing a condition known as repetitive strain injury (RSI), which is often associated with prolonged activities that involve the wrist and hand, such as typing or using a mouse.

Causes of Wrist Pain
1. Repetitive Strain Injury (RSI): This is the most likely cause of your wrist pain given your extensive typing. RSI occurs when the muscles, tendons, and nerves are subjected to repetitive motions over time, leading to inflammation and pain.
2. Tendonitis: Inflammation of the tendons in the wrist can occur due to repetitive movements. This can manifest as pain during wrist movement, especially when bending or extending the wrist.

3. Carpal Tunnel Syndrome: This condition occurs when the median nerve, which runs through the wrist, becomes compressed. Symptoms include pain, tingling, and numbness in the hand and fingers, particularly when performing activities like typing.

4. Wrist Sprains or Strains: Although you mentioned no history of injury, it's possible that a minor sprain could have occurred without your awareness, especially if you've engaged in activities that put stress on the wrist.

5. Other Conditions: While less likely given your age and lack of prior medical history, conditions such as arthritis or ganglion cysts can also cause wrist pain.


Prevention Strategies
1. Ergonomic Setup: Ensure that your workstation is ergonomically designed. Your keyboard should be at a height that allows your wrists to remain straight while typing. Consider using a wrist rest to support your wrists during typing.

2. Breaks and Stretching: Take regular breaks every 30 minutes to stretch your hands and wrists. Simple stretches can help alleviate tension and improve circulation.

3. Proper Typing Technique: Maintain a neutral wrist position while typing. Avoid bending your wrists excessively in either direction.
4. Strengthening Exercises: Engage in exercises that strengthen the muscles around your wrist and forearm. This can help support the wrist joint and reduce the risk of injury.

5. Ice Therapy: If you experience pain after typing, applying ice to the affected area can help reduce inflammation and numb the pain.


When to See a Doctor
You should consider seeing a healthcare professional if:
- Your pain persists despite taking preventive measures.

- You experience significant swelling, numbness, or tingling in your fingers.

- The pain interferes with your daily activities or worsens over time.

- You notice any changes in your grip strength or dexterity.

A doctor may perform a physical examination and possibly imaging studies (like X-rays or an MRI) to assess the underlying cause of your pain. They may also refer you to a physical therapist for rehabilitation exercises tailored to your condition.


Conclusion
In summary, your wrist pain is likely related to your extensive typing and could be a sign of repetitive strain injury. Implementing ergonomic practices, taking regular breaks, and performing wrist exercises can help alleviate your symptoms and prevent further issues. However, if your pain persists or worsens, it is advisable to seek medical attention to rule out any serious conditions and receive appropriate treatment. Taking proactive steps now can help you maintain your wrist health and continue your studies without discomfort.

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