Wrist Weakness: When to See a Rehabilitation Specialist - Rehabilitation

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Inability to elevate the wrist?


My uncle woke up and found that he couldn't lift his left wrist; it has no strength at all.
What should he do, and which specialty should he see?

Jianshi, 20~29 year old female. Ask Date: 2008/03/28

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
It may be due to damage to the radial nerve (peripheral nerve) or damage to the central nervous system (such as a stroke).
It is advisable to visit a rehabilitation or neurology department for an examination to confirm the diagnosis.
2.
If it is a stroke, please be particularly cautious as blood pressure may be unstable for a week.
Lastly, I wish you peace and happiness~~~

Reply Date: 2008/03/28

More Info


Wrist weakness, especially when it occurs suddenly, can be concerning and may indicate an underlying medical issue that requires prompt attention. In your uncle's case, waking up to find that he cannot lift his left wrist and has lost strength could be attributed to several potential causes, including nerve compression, tendon injury, or even a stroke. It is essential to approach this situation with caution and seek appropriate medical evaluation.

The first step is to consult a primary care physician or a neurologist. A primary care physician can perform an initial assessment, including a physical examination and a review of your uncle's medical history. They may ask questions about any recent injuries, activities that could have led to this condition, or other symptoms he may be experiencing, such as numbness, tingling, or pain. Based on this evaluation, the physician may refer him to a specialist for further investigation.

If the primary care physician suspects that the wrist weakness is due to a neurological issue, they may refer your uncle to a neurologist. Neurologists specialize in disorders of the nervous system, and they can conduct tests such as electromyography (EMG) or nerve conduction studies to assess the function of the nerves and muscles in the wrist and hand.

If the weakness is determined to be related to musculoskeletal issues, such as tendonitis or a sprain, your uncle may be referred to an orthopedic specialist. Orthopedic doctors focus on the musculoskeletal system, including bones, joints, ligaments, and tendons. They can provide a diagnosis and recommend treatment options, which may include physical therapy, medication, or, in some cases, surgery.

In addition to these specialists, a rehabilitation specialist, such as a physical therapist or an occupational therapist, can play a crucial role in the recovery process. Once a diagnosis is made, rehabilitation specialists can develop a tailored exercise program to help restore strength, flexibility, and function to the wrist. They can also provide education on proper body mechanics and ergonomics to prevent further injury.

It is important to act quickly, especially if there are any accompanying symptoms such as sudden numbness, weakness in other parts of the body, or changes in vision or speech. These could be signs of a more serious condition, such as a stroke, which requires immediate medical attention.

In summary, your uncle should first see a primary care physician for an initial evaluation. Depending on the findings, he may be referred to a neurologist or an orthopedic specialist for further assessment. Once a diagnosis is established, a rehabilitation specialist can help him regain strength and function in his wrist. Early intervention is key to achieving the best possible outcome, so it is advisable to seek medical attention as soon as possible.

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