Wrist Pain After a Fall: Causes and Treatments - Orthopedics

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Wrist pain following a fall, especially when you attempt to catch yourself with your hands, is a common injury that can result from various causes. Given your description of the incident where you fell while attempting to perform a pull-up and subsequently experienced limited mobility in your wrist, it is crucial to understand the potential injuries and appropriate treatments.


Possible Causes of Wrist Pain After a Fall
1. Sprains and Strains: The most common injuries from falling on an outstretched hand are wrist sprains or strains. A sprain involves the stretching or tearing of ligaments, while a strain involves muscles or tendons. Symptoms typically include pain, swelling, and limited range of motion.

2. Fractures: A fracture, or break, in one of the wrist bones (such as the scaphoid, distal radius, or ulna) can occur from a fall. Fractures can be particularly painful and may cause visible deformity, swelling, and bruising. If you are unable to move your wrist normally, a fracture is a possibility that should be ruled out.

3. Tendon Injuries: The tendons in the wrist can also be injured during a fall. This can lead to pain and difficulty in moving the wrist or fingers.

4. Carpal Tunnel Syndrome: If there is swelling in the wrist, it can compress the median nerve, leading to symptoms such as pain, tingling, or numbness in the hand.


Recommended Treatments
1. Rest and Immobilization: It is essential to rest the wrist and avoid activities that may aggravate the pain. Using a wrist brace or splint can help immobilize the wrist and allow for healing.

2. Ice Therapy: Applying ice to the injured area for 15-20 minutes every hour can help reduce swelling and numb the pain. Ensure you wrap the ice pack in a cloth to avoid direct contact with the skin.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help alleviate pain and reduce inflammation. Acetaminophen (Tylenol) is another option for pain relief but does not reduce inflammation.

4. Physical Therapy: Once the initial pain and swelling have decreased, physical therapy may be beneficial. A physical therapist can guide you through exercises to restore strength and flexibility to the wrist.

5. Medical Evaluation: If pain persists or if you experience significant swelling, bruising, or inability to move the wrist, it is crucial to seek medical attention. A healthcare provider may recommend imaging studies, such as X-rays or an MRI, to assess for fractures or other injuries.

6. Surgical Intervention: In cases where there is a severe fracture or if conservative treatments do not alleviate symptoms, surgical intervention may be necessary to repair the injury.


Conclusion
Wrist pain after a fall can stem from various injuries, including sprains, fractures, and tendon injuries. Immediate care involves rest, ice, and over-the-counter pain relief. If symptoms persist or worsen, it is vital to consult a healthcare professional for a thorough evaluation and appropriate treatment. Early intervention can significantly improve recovery outcomes and restore function to your wrist. Remember to listen to your body and avoid pushing through pain, as this can lead to further injury.