Wrist joint pain
Hello, doctor.
I injured my wrist while playing basketball yesterday.
Today, there are no visible bruises or swelling.
I noticed that when I raise my hand, there are no issues, but shortly after lowering it, I experience a sharp, painful sensation in the wrist area (around the location just below the ring finger).
I would like to ask if it is urgent for me to seek medical attention, or if I can observe it for two to three days and only go to the doctor if there is no improvement.
Thank you!
Mr. Wang, 20~29 year old female. Ask Date: 2022/02/07
Dr. Shi Guozheng reply Orthopedics
If there is no obvious bruising and the pain is not severe, you can observe for a few days.
If there is no improvement, then it is advisable to see a doctor.
Reply Date: 2022/02/07
More Info
Wrist pain following a sports injury, such as the one you experienced while playing basketball, can be concerning, especially when it involves a sudden impact. Your description of the injury indicates that while there are no visible signs of bruising or swelling, you are experiencing a sharp pain when the wrist is in a certain position. This situation raises important questions about whether immediate medical attention is necessary or if you can afford to wait and observe.
Firstly, it is essential to understand that wrist injuries can vary significantly in severity. They can range from minor sprains to more serious conditions such as fractures or ligament tears. The absence of visible bruising or swelling does not necessarily rule out a significant injury. The pain you feel, especially when the wrist is in a lower position, could indicate a strain or a more serious issue like a ligament injury or even a fracture that is not yet apparent.
In general, the R.I.C.E. method (Rest, Ice, Compression, Elevation) is recommended for managing acute injuries. Resting the wrist and applying ice can help reduce inflammation and alleviate pain. Compression with a bandage and keeping the wrist elevated can also be beneficial. However, if the pain persists or worsens, or if you experience any of the following symptoms, it is crucial to seek medical attention:
1. Increased Pain: If the pain intensifies or does not improve with rest and ice, it may indicate a more serious injury.
2. Swelling: Even if swelling is not initially present, if it develops, this could be a sign of a more severe injury.
3. Limited Range of Motion: If you find it increasingly difficult to move your wrist or if certain movements cause significant pain, this warrants a medical evaluation.
4. Numbness or Tingling: Any sensations of numbness or tingling in the fingers or hand could indicate nerve involvement, which requires immediate attention.
5. Deformity: If you notice any deformity in the wrist or hand, this is a clear sign to seek medical help.
Given your current symptoms, it may be reasonable to monitor the wrist for a couple of days while applying the R.I.C.E. method. However, if you notice any of the concerning symptoms mentioned above, or if the pain does not improve, it is advisable to consult a healthcare professional. They may perform a physical examination and possibly imaging studies, such as X-rays or an MRI, to assess for any fractures or soft tissue injuries.
In conclusion, while it may be acceptable to observe your wrist for a short period, do not hesitate to seek medical attention if your symptoms worsen or if you experience any alarming signs. Early intervention can be crucial in preventing long-term complications and ensuring a proper recovery. Remember, it is always better to err on the side of caution when it comes to injuries, especially those involving joints and ligaments.
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