Chronic Wrist and Shoulder Pain: Seeking Quick Relief Options - Orthopedics

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Wrist and shoulder pain?


Hello, Dr.
Hong.
I have been experiencing wrist pain for a year and a half due to playing volleyball too aggressively.
After receiving treatment from traditional Chinese medicine, there hasn't been much improvement.
Taking Western medication hasn't helped either, and I can hear a cracking sound in my wrist.
Now, the pain has extended to my neck and shoulders, and it feels like my muscles are tearing; it's very painful.
I can't sleep well, and I'm considering surgery or a quick medical solution like a cast because I still need to go to work.
😭

Eva, 20~29 year old female. Ask Date: 2015/12/29

Dr. Hong Ximing reply Orthopedics


Pain caused by playing volleyball may be due to a ligament injury in the wrist.
Since it has been a year and a half, it is recommended to use a wrist brace for support.
As for the shoulder pain, it may be related to overuse from your work or sports activities.
Please consult with an orthopedic specialist to discuss this further and arrange for a detailed examination.

Reply Date: 2015/12/29

More Info


Chronic wrist and shoulder pain can be incredibly debilitating, especially when it extends to other areas such as the neck. It sounds like you've been dealing with this issue for quite some time, and it's understandable that you're seeking quick relief options. Here’s a comprehensive overview of potential treatments and considerations based on your situation.


Understanding Your Pain
Chronic pain in the wrist and shoulder, particularly following an injury like playing volleyball, can stem from various causes, including tendonitis, bursitis, or even nerve compression. The fact that you’ve experienced persistent pain for over a year and that it has now extended to your neck and shoulder suggests that there may be underlying issues that need to be addressed.


Non-Surgical Treatment Options
1. Physical Therapy: Before considering surgery, physical therapy is often recommended. A physical therapist can provide you with exercises to strengthen the muscles around your wrist, shoulder, and neck, improve flexibility, and reduce pain. They may also use modalities such as ultrasound or electrical stimulation to help alleviate pain.

2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. If these are ineffective, your doctor may prescribe stronger medications or recommend corticosteroid injections to reduce inflammation in the affected areas.

3. Rest and Activity Modification: It’s crucial to rest the affected areas and avoid activities that exacerbate the pain. Modifying your activities, such as changing your technique in sports or using ergonomic tools at work, can also help prevent further injury.

4. Alternative Therapies: Some people find relief through acupuncture, chiropractic care, or massage therapy. These treatments can help alleviate muscle tension and improve circulation, potentially reducing pain.

5. Bracing or Splinting: Using a wrist brace or splint can provide support and limit movement, allowing the injured area to heal. This can be particularly helpful during activities that may aggravate your pain.


Surgical Options
If non-surgical treatments do not provide relief, you may need to consider surgical options. Surgery could be indicated if there is significant structural damage, such as a torn tendon or ligament, or if there is severe nerve compression. Common surgical procedures for wrist and shoulder pain include:
- Arthroscopy: This minimally invasive procedure allows the surgeon to view the joint and repair any damage.

- Tendon Repair: If a tendon is torn, it may need to be surgically repaired.

- Decompression Surgery: If a nerve is compressed, surgery may be necessary to relieve the pressure.


Making the Decision
Before deciding on surgery, it’s essential to have a thorough discussion with your healthcare provider. They may recommend imaging studies, such as an MRI or X-ray, to better understand the underlying cause of your pain. This information will help guide the treatment plan.


Conclusion
Chronic wrist and shoulder pain can significantly impact your quality of life, especially when it interferes with sleep and daily activities. While surgery may seem like a quick fix, it’s essential to explore all non-surgical options first. Physical therapy, pain management, and lifestyle modifications can often lead to significant improvements. If these approaches fail, then surgical options can be considered. Always consult with a healthcare professional to determine the best course of action tailored to your specific condition. Remember, recovery takes time, and addressing the root cause of your pain is crucial for long-term relief.

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