Persistent Wrist Pain: Is It a Ligament Injury and How to Treat It? - Rehabilitation

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Wrist pain?


After doing multiple household chores, I developed pain in my left wrist.
In the past, I would use heat therapy and apply a medicated patch for 2 to 3 days, and it would resolve.
However, this time it hasn't improved after 6 days, and there is some swelling on the front of my wrist.
Could this be a ligament injury? How should I manage it? Thank you!

Kiki, 40~49 year old female. Ask Date: 2008/03/09

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Generally, your wrist pain may be due to a ligament or tendon strain.
If applying a medicated patch does not alleviate the pain, it could be due to the acute phase (indicated by swelling around the joint) or other underlying issues.
I recommend starting with ice therapy to reduce swelling.
If there is no improvement in two to three days, you may consider visiting a rehabilitation specialist for deeper treatment.
Lastly, I wish you safety and happiness!

Reply Date: 2008/03/09

More Info


Persistent wrist pain, especially after performing various activities, can indeed be indicative of a ligament injury. Ligaments are tough bands of connective tissue that connect bones to other bones at a joint, and they can be strained or torn due to overuse, trauma, or repetitive motions. Given that you have experienced swelling and persistent pain for six days, it is essential to consider the possibility of a ligament injury, such as a sprain.

When dealing with wrist pain, especially if it persists beyond a few days, it is crucial to follow the R.I.C.E. method, which stands for Rest, Ice, Compression, and Elevation:
1. Rest: Avoid using the affected wrist as much as possible. This means refraining from activities that may aggravate the pain, such as lifting heavy objects or repetitive wrist movements.

2. Ice: Apply ice packs to the wrist for 15-20 minutes every few hours. This can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Compression: Use an elastic bandage or wrist brace to provide support and reduce swelling. Be careful not to wrap it too tightly, as this can impede circulation.

4. Elevation: Keep the wrist elevated above the level of the heart whenever possible. This can help reduce swelling by allowing fluids to drain away from the injured area.

If the pain and swelling do not improve with these conservative measures, or if you experience severe pain, inability to move the wrist, or any signs of a more serious injury (such as a fracture), it is advisable to seek medical attention. A healthcare provider may recommend imaging studies, such as X-rays or an MRI, to assess for any ligament tears or other injuries.

In terms of treatment, if a ligament injury is confirmed, the approach may include physical therapy to strengthen the muscles around the wrist and improve flexibility. In some cases, a healthcare provider may recommend anti-inflammatory medications to help manage pain and swelling. If conservative treatments do not yield improvement, more invasive options, such as corticosteroid injections or surgery, may be considered, depending on the severity of the injury.

It is also important to note that wrist pain can sometimes be caused by conditions other than ligament injuries, such as tendonitis, carpal tunnel syndrome, or arthritis. Therefore, a thorough evaluation by a healthcare professional is essential to determine the exact cause of your symptoms and to develop an appropriate treatment plan.

In summary, while it is possible that your persistent wrist pain is due to a ligament injury, it is crucial to monitor your symptoms closely and seek medical advice if they do not improve with home care. Early intervention can help prevent further complications and promote a quicker recovery.

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