Inner Wrist Pain: Causes, Recovery, and Work Considerations

Pain on the inner side of the wrist?

Three months ago, I started experiencing wrist pain after lifting heavy objects.
My job primarily involves lifting and driving, and I often twist my wrist without paying much attention.
However, after a month of continuing to work, the condition worsened to the point where I had to visit the emergency room for medication and injections.
Later, I went to an orthopedic clinic for an examination, where it was determined that I had a ligament injury.
An X-ray showed no issues with the bones, but even after my condition improved, I still felt pain on the inner side of my wrist joint.
When I walk and let my arms hang down, I can feel a slight throbbing pain.
Pressing on the joint causes sharp pain, and certain angles while lifting objects trigger pain.
The orthopedic clinic advised me to apply heat and rest more, but they did not provide a specific timeline for recovery.
I would like to ask: Can I continue working in this condition? How long will my recovery take? Recently, someone recommended that I see a hand surgeon.
Can I apply for workers' compensation to rest at home?

Lin, 30~39 year old female. Ask Date: 2015/07/29

Dr. Shi Guozheng reply Orthopedics

It is possible that the ligaments on the ulnar side of the wrist are injured, which typically requires treatment for about six to twelve weeks.
If it does not improve, a consultation with a hand surgeon is necessary to check for any other issues.
To apply for a work-related injury claim, an evaluation by an occupational medicine physician is required.

Reply Date: 2015/07/29

More Info

Understanding inner wrist pain, especially in the context of work-related activities, is crucial for both recovery and future prevention. Based on your description, it seems you have sustained a ligament injury in your wrist, which can be quite common among individuals who frequently engage in heavy lifting or repetitive wrist movements.

Causes of Inner Wrist Pain
The inner wrist pain you are experiencing could be attributed to several factors:
1. Ligament Injury: As you mentioned, the pain is likely due to a ligament injury, which can occur from acute trauma (like lifting heavy objects) or repetitive stress. Ligaments are tough bands of tissue that connect bones to each other, and when they are overstretched or torn, it can lead to pain, swelling, and reduced mobility.

2. Tendonitis: This condition occurs when the tendons, which connect muscles to bones, become inflamed. It can result from repetitive motions, such as those involved in lifting or driving.

3. Nerve Compression: Sometimes, wrist pain can be due to nerve compression, such as carpal tunnel syndrome, which can cause pain, tingling, or weakness in the hand.

4. Other Conditions: Conditions like arthritis or ganglion cysts can also cause wrist pain, although your X-ray results indicated no bone issues.

Recovery Considerations
Recovery from a ligament injury can vary significantly based on the severity of the injury and how well you adhere to treatment recommendations. Here are some general guidelines:
1. Rest and Activity Modification: It's essential to rest the injured wrist and avoid activities that exacerbate the pain. If your job involves heavy lifting, you may need to discuss temporary modifications with your employer.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the wrist and improve flexibility, which can aid in recovery.

3. Heat and Ice Therapy: Applying heat can help relax and loosen tissues, while ice can reduce inflammation and numb pain. Alternating between the two may provide relief.

4. Medication: Over-the-counter anti-inflammatory medications can help manage pain and swelling. If the pain persists, your doctor may prescribe stronger medications.

5. Follow-Up Care: If your symptoms do not improve, it may be wise to consult a hand specialist, as they can provide more targeted treatment options, including potential imaging studies like an MRI to assess soft tissue damage.

Work Considerations
Regarding your ability to continue working, it largely depends on the severity of your pain and how it affects your daily activities. Here are some considerations:
1. Assess Pain Levels: If your pain is manageable and does not significantly hinder your ability to perform your job duties, you may be able to continue working. However, if the pain is severe or worsens with activity, it may be wise to take time off.

2. Workplace Accommodations: Discuss with your employer the possibility of modifying your duties to reduce strain on your wrist. This could include lighter lifting or more sedentary tasks.

3. Applying for Workers' Compensation: If your injury is indeed work-related, you may be eligible for workers' compensation benefits. This can provide financial support while you recover and may cover medical expenses. Consult with your HR department or a legal advisor to understand the process.

4. Recovery Timeline: Recovery from a ligament injury can take anywhere from a few weeks to several months, depending on the severity. It’s essential to listen to your body and not rush back into activities that could exacerbate the injury.

Conclusion
In summary, while it is possible to continue working with wrist pain, it is crucial to assess your pain levels and the impact on your job performance. Seeking further evaluation from a hand specialist may provide you with a clearer understanding of your injury and recovery timeline. Additionally, exploring workers' compensation options could offer you the necessary support during your recovery period. Always prioritize your health and well-being, and do not hesitate to seek professional help when needed.

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