Pain occurs when the wrist is rotated to a certain angle or when the hand is flicked?
About six months ago, I sustained an injury of unknown origin (a traditional Chinese medicine practitioner suggested it might be due to improper lifting).
I experience pain when rotating my wrist to a certain angle or applying force at specific angles.
A traditional Chinese medicine injury specialist diagnosed it as a ligament strain, but after six months of treatment, there has been no improvement.
X-rays showed no bone issues, confirming the diagnosis of a ligament strain, but medication has not resolved the pain.
I consulted an osteopath who recommended wearing a wrist brace between the elbow and wrist.
I have experienced about 70-80% improvement, but it still hasn't fully healed.
According to the osteopath, the ongoing strain from my work in the restaurant industry, which requires wrist strength, is a contributing factor.
What type of specialist should I see for this issue? Is it necessary to completely refrain from using or moving my wrist for a long time to achieve full recovery? Thank you.
Luke, 20~29 year old female. Ask Date: 2015/12/02
Dr. Hou Yuchang reply Traditional Chinese Medicine
Hello Luke, based on your description, it seems to be a result of recurrent inflammation of the muscle fascia.
This issue is typically caused by improper posture or repetitive strain after an injury, which does not allow the affected muscle fascia sufficient time to rest and recover.
Another factor to consider is the severity of the initial injury; if the injury was severe, it may leave lasting effects that prevent a full return to the pre-injury state.
It may be necessary to consult a rehabilitation specialist in Western medicine, while in Traditional Chinese Medicine, you might consider seeing a specialist in acupuncture for injuries.
If needed, an evaluation by an occupational medicine specialist may also be warranted to assess whether your work could be contributing to recurrent injuries and whether a job change should be considered.
Wishing you a speedy recovery.
Reply Date: 2015/12/02
More Info
Persistent wrist pain, especially following an injury that has not improved over six months, can be quite frustrating and debilitating, particularly for someone in a physically demanding job like the restaurant industry. Based on your description, it seems that you may be dealing with a ligament injury, possibly a sprain or strain, which can take a significant amount of time to heal, especially if the wrist continues to be subjected to stress and strain.
Understanding Ligament Injuries
Ligaments are tough bands of connective tissue that connect bones to other bones at a joint. When these ligaments are overstretched or torn, it can lead to pain, swelling, and instability in the affected joint. In your case, the pain during specific movements or when applying force suggests that the ligaments in your wrist may still be compromised.
Diagnosis and Treatment
1. Medical Evaluation: Since you have already undergone X-rays that showed no fractures, it would be prudent to consult an orthopedic specialist who focuses on upper extremity injuries. They may recommend further imaging studies, such as an MRI, to assess the soft tissues, including ligaments, tendons, and cartilage, which X-rays cannot visualize.
2. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can provide targeted exercises to strengthen the wrist and improve flexibility. They can also teach you how to modify your movements to avoid aggravating the injury while still allowing you to perform your job.
3. Bracing: As suggested by your osteopath, wearing a wrist brace can help stabilize the joint and prevent further injury. It is essential to wear the brace during activities that require wrist movement, especially in your line of work.
4. Activity Modification: It is crucial to allow your wrist to heal properly. This may involve taking breaks from activities that require repetitive wrist motion or heavy lifting. While it may not be feasible to completely avoid using your wrist, finding ways to minimize strain can aid in recovery.
5. Pain Management: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help manage pain and swelling. However, it is essential to use these medications as directed and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.
6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, massage therapy, or chiropractic care. These can be considered as adjuncts to your treatment plan, but it is essential to discuss these options with your healthcare provider to ensure they are appropriate for your situation.
Prognosis and Recovery
The recovery time for ligament injuries can vary widely depending on the severity of the injury and adherence to treatment recommendations. Mild sprains may heal within a few weeks, while more severe injuries can take several months. Given that you have already been experiencing symptoms for over six months, it is crucial to take a proactive approach to your treatment.
Conclusion
In summary, it is advisable to consult with an orthopedic specialist who can provide a comprehensive evaluation and recommend appropriate imaging studies. Engaging in physical therapy, using a brace, modifying activities, and managing pain effectively are all critical components of your recovery plan. While it may be challenging to avoid using your wrist entirely, finding a balance between activity and rest is essential for healing. With the right approach, you can work towards alleviating your wrist pain and returning to your daily activities with greater comfort and functionality.
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