Lateral Wrist Pain: Causes, Recovery, and Care Tips - Orthopedics

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Pain on the lateral side of the wrist?


Hello Doctor, my wrist has been hurting for 2 to 3 months.
However, the pain only occurs when I rotate it to a specific angle, and it is quite mild; it is not noticeable most of the time.
The pain is located on the outer side of my wrist.
I have seen a doctor, but they said I have injured a ligament and only advised me to wear a wrist brace.
Could you tell me if my wrist condition is chronic ligament inflammation? Will there be any long-term effects? I am just a high school student, and I am very worried about potential complications.
What should I pay attention to in terms of care and maintenance, and how long will it take to recover? Thank you, Doctor.

Hao, 10~19 year old female. Ask Date: 2015/10/28

Dr. Wang Shouji reply Orthopedics


Hello: If there has been no obvious injury, the likelihood of significant structural damage is low.
Wearing protective gear and being mindful of activity is advisable.
If noticeable symptoms persist for more than a month, further examination is recommended.
Thank you!

Reply Date: 2015/10/28

More Info


Lateral wrist pain, especially in a young individual like yourself, can be concerning, particularly when it persists for a couple of months. Based on your description, it sounds like you may be experiencing a form of chronic ligament inflammation, commonly referred to as tendinitis or tenosynovitis, particularly affecting the wrist's lateral structures.

Causes of Lateral Wrist Pain
Lateral wrist pain can arise from various causes, including:
1. Ligament Injuries: The wrist is supported by several ligaments, and injuries can occur due to repetitive motions or trauma. If you have been involved in activities that require wrist rotation or gripping, this could lead to strain on the ligaments.

2. Tendinitis: This is inflammation of the tendons around the wrist, often due to overuse. The extensor tendons, which run along the back of the wrist and hand, are particularly susceptible.

3. Wrist Sprains: A sprain occurs when the ligaments are stretched or torn. This can happen from a fall or awkward wrist movement.

4. Ganglion Cysts: These fluid-filled sacs can develop on the wrist and may cause discomfort or pain, particularly when they press on surrounding structures.

5. Arthritis: Although less common in younger individuals, certain types of arthritis can cause pain and inflammation in the wrist.


Recovery and Care Tips
1. Rest and Activity Modification: It’s crucial to rest the wrist and avoid activities that exacerbate the pain. This includes repetitive wrist movements or heavy lifting.

2. Wrist Brace: Wearing a wrist brace can provide support and limit movement, allowing the ligaments and tendons to heal. Make sure it’s fitted properly and provides adequate support without being too restrictive.

3. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce inflammation and pain.

4. Physical Therapy: A physical therapist can provide exercises to strengthen the wrist and improve flexibility. They can also teach you proper techniques to avoid future injuries.

5. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

6. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity.


Potential for Long-Term Effects
As a high school student, it’s understandable to be concerned about long-term effects. Chronic ligament inflammation can lead to persistent pain or instability if not properly managed. However, with appropriate care, most individuals recover fully without lasting issues.

When to Seek Further Medical Attention
If your pain persists despite conservative treatment, or if you experience swelling, significant weakness, or changes in wrist function, it’s essential to follow up with a healthcare provider. They may recommend imaging studies, such as an MRI, to assess for any underlying issues that may not be visible on X-rays.

In summary, while it’s possible that you are experiencing chronic ligament inflammation, with proper care and attention, you can manage your symptoms effectively and minimize the risk of long-term complications. Always listen to your body, and don’t hesitate to seek further medical advice if your condition does not improve.

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