Managing Old Wrist Injuries: When to Seek Medical Attention Again - Orthopedics

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When managing old wrist injuries, especially those that have not healed properly, it is crucial to be vigilant about any recurring pain or loss of strength. Based on your description, it seems that you are experiencing significant discomfort and functional limitations in your wrist, which could indicate that the initial injury may not have healed completely or that there may be an underlying issue that requires further evaluation.

Firstly, it is essential to understand that wrist injuries can involve various structures, including ligaments, tendons, and bones. If you initially sustained a sprain, strain, or even a fracture, and did not seek immediate medical attention, there is a possibility that the injury could have led to chronic issues such as tendonitis, ligament laxity, or even joint instability. The fact that you have previously undergone rehabilitation but are now experiencing a resurgence of pain suggests that the underlying problem may not have been fully addressed.

In your case, the sudden loss of strength and pain in the wrist, particularly during activities like writing, typing, or lifting objects, is concerning. These symptoms could indicate a few potential issues:
1. Tendonitis: Inflammation of the tendons around the wrist can cause pain and weakness, especially with repetitive movements.

2. Ligament Injury: If there was a sprain or tear in the ligaments, this could lead to instability and pain during certain movements.

3. Carpal Tunnel Syndrome: If you are experiencing numbness or tingling in addition to pain, it could be a sign of nerve compression.

4. Joint Issues: Conditions such as arthritis or joint degeneration can also lead to pain and functional limitations.

Given these possibilities, it is advisable to seek medical attention again. A healthcare professional, such as an orthopedic specialist or a sports medicine physician, can perform a thorough evaluation, which may include a physical examination and imaging studies (like X-rays or MRI) to assess the extent of the injury and any potential complications.

In the meantime, wearing a wrist brace, like the Phiten wrist support you mentioned, can provide stability and help alleviate some discomfort. It is generally recommended to wear such supports during activities that exacerbate your symptoms, rather than continuously. However, if you find that wearing the brace helps reduce pain during daily activities, it may be beneficial to use it more frequently until you can get a professional assessment.

Additionally, consider modifying your activities to avoid movements that trigger pain. If typing or writing is causing discomfort, try to take frequent breaks, adjust your workspace ergonomically, and incorporate wrist stretches and strengthening exercises as tolerated. However, these should ideally be guided by a physical therapist who can tailor a program to your specific needs.

In summary, given your ongoing symptoms and the history of your wrist injury, it is prudent to seek further medical evaluation. Early intervention can prevent the development of chronic issues and help you regain strength and function in your wrist.