Wrist Pain: When to Seek Medical Advice

Q: Wrist Pain: When to Seek Medical Advice

In response to your question： If the pain in your right wrist and fingers is located at the joints and there is no history of trauma, it is important to consider the possibility of some form of arthritis. <br>If the pain is near the tendons or ligaments, it may indicate tendoniti

Wrist issues

I have been experiencing some issues with my right wrist for quite some time.
I can't recall exactly when it started, but whenever I extend my right wrist backward, I feel a slight pain.
My left wrist does not have this problem.
For instance, when I support myself on a table with both hands, my right wrist has to bend backward, and that’s when I feel the pain.
I'm not sure if I might have sprained it in the past, but if I did, I don't remember any swelling or visible abnormalities.
Recently, I feel that this issue might be significant, and I'm wondering if I should see a doctor or if it’s something I shouldn't worry about.
Could this have become a chronic injury? Is it treatable or not necessary to treat?
Additionally, I would like to ask about my finger, which I sprained during a volleyball class about six years ago.
At that time, there was no visible injury or swelling, just the sensation of having sprained it, and after a few days, it felt fine.
Has it completely healed? Recently, I suddenly felt that same sprained sensation return in that finger, but it went away the next day.
Is this something I should be concerned about? Thank you for your help.

michelle, 20~29 year old female. Ask Date: 2006/09/03

Dr. Zheng Shunping reply Rehabilitation

In response to your question: If the pain in your right wrist and fingers is located at the joints and there is no history of trauma, it is important to consider the possibility of some form of arthritis.
If the pain is near the tendons or ligaments, it may indicate tendonitis or ligament inflammation.
If it is the former, you should visit an outpatient clinic for a detailed examination; if it is the latter, you can start with heat therapy and then monitor any changes in symptoms.
Wishing you a speedy recovery.

Reply Date: 2006/09/03

More Info

Wrist pain can be a common issue, especially for those who engage in repetitive activities or sports. Based on your description, it seems that you have been experiencing discomfort in your right wrist for a considerable time, particularly when extending it backward. This could indicate a few potential underlying issues, such as tendinitis, ligament strain, or even early signs of arthritis.

When to Seek Medical Advice
1. Duration and Persistence of Symptoms: Since you mentioned that the pain has been ongoing for a long time, it is advisable to seek medical advice. Chronic pain, especially if it affects your daily activities, should not be ignored. A healthcare professional can provide a thorough evaluation to determine the cause of your discomfort.

2. Severity of Pain: If the pain worsens, becomes more frequent, or starts to interfere with your daily tasks, it is essential to consult a physician. Pain that escalates over time may indicate a more serious condition that requires intervention.

3. Functional Limitations: If you find that your wrist pain limits your ability to perform tasks, such as typing, lifting objects, or participating in sports, this is another indicator that you should seek medical attention.
4. Previous Injuries: You mentioned a possible past injury, such as a sprain from playing volleyball. Even if you did not experience swelling or bruising at the time, it is possible that the ligaments or tendons were strained. Old injuries can sometimes lead to chronic pain or instability in the joint, which may require treatment.

Potential Causes of Wrist Pain
- Tendinitis: Inflammation of the tendons around the wrist can cause pain, especially with movement.

- Ligament Injuries: A sprain or strain can lead to lingering pain, even if the initial injury seemed minor.

- Arthritis: Conditions like osteoarthritis can develop over time, especially if there is a history of joint stress or injury.

- Carpal Tunnel Syndrome: This condition can cause pain and discomfort in the wrist and hand, particularly with repetitive movements.

Treatment Options
If you decide to see a doctor, they may recommend several approaches based on the diagnosis:
- Rest and Activity Modification: Avoiding activities that exacerbate the pain can help reduce inflammation.

- Physical Therapy: A physical therapist can provide exercises to strengthen the wrist and improve flexibility.

- Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation.

- Bracing: A wrist brace may provide support and limit movement, allowing the wrist to heal.

- Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation.

Regarding Your Finger Injury
As for your finger that you injured six years ago, it is possible that you fully recovered from the initial injury. However, the recurrence of the "twisting" sensation could indicate that there is still some underlying issue, such as residual ligament laxity or minor joint instability. If this sensation persists or worsens, it would be wise to consult a healthcare professional for an evaluation.

Conclusion
In summary, while it may be tempting to dismiss wrist pain as a minor issue, especially if it has been present for a long time, it is crucial to pay attention to your body. Seeking medical advice can help you understand the cause of your pain and explore appropriate treatment options. Early intervention can often prevent more severe issues down the line, ensuring that you maintain your wrist function and overall quality of life.

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