Managing Wrist Pain from Old Injuries: When to Seek Medical Help - Orthopedics

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Old wrist injury


A year ago, I injured my wrist while playing basketball when I fell and tried to brace myself on the floor.
I rested for almost six months and thought I had fully recovered.
However, a year later, my wrist has started to hurt again.
I experience soreness on the palm side and the outer edge when I support myself.
Would it be better to go to the hospital for an examination or to seek rehabilitation?

Xiao Bai, 10~19 year old female. Ask Date: 2016/01/06

Dr. Shi Guozheng reply Orthopedics


You may need to go to the hospital for an examination because the ligament might be injured.
Additionally, the distal radioulnar joint can sometimes be injured, and it is not easy to heal.
Further examination and treatment are necessary.

Reply Date: 2016/01/06

More Info


When dealing with wrist pain from old injuries, it is essential to understand the nature of the pain and the potential underlying issues that may be causing it. Given your history of a basketball injury where you fell and braced yourself with your wrist, it is possible that you may have sustained a sprain, strain, or even a fracture that did not heal properly. Over time, these injuries can lead to chronic pain, stiffness, and decreased function in the wrist.


When to Seek Medical Help
1. Persistent Pain: If you are experiencing pain that persists for more than a few weeks, it is advisable to seek medical attention. Chronic pain can indicate that the injury has not healed correctly or that there may be other underlying issues, such as tendinitis or ligament damage.

2. Swelling and Bruising: If your wrist is swollen or bruised, this could be a sign of inflammation or injury that requires medical evaluation. Swelling can indicate that there is ongoing damage or irritation in the wrist.

3. Limited Range of Motion: If you find it difficult to move your wrist or if certain movements cause significant pain, it is essential to consult a healthcare professional. Limited mobility can affect your daily activities and may require intervention.

4. Numbness or Tingling: If you experience numbness, tingling, or weakness in your hand or fingers, this could indicate nerve involvement, which requires prompt medical evaluation.

5. Impact on Daily Activities: If the pain interferes with your daily activities, work, or sports, it is time to seek help. A healthcare provider can assess your condition and recommend appropriate treatment options.


Options for Treatment
1. Medical Evaluation: Visiting a doctor or orthopedic specialist can provide you with a comprehensive evaluation of your wrist. They may recommend imaging studies, such as X-rays or MRIs, to assess the extent of any damage.

2. Physical Therapy: If your doctor recommends it, physical therapy can be an effective way to rehabilitate your wrist. A physical therapist can provide exercises to strengthen the wrist, improve flexibility, and reduce pain.

3. Medication: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen or naproxen), can help manage pain and inflammation. If the pain is severe, your doctor may prescribe stronger medications.

4. Bracing or Splinting: Using a wrist brace or splint can provide support and limit movement, allowing the wrist to heal. This is especially useful if you are engaging in activities that may exacerbate the pain.

5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and provide pain relief.

6. Surgery: If conservative treatments do not alleviate the pain and function remains impaired, surgical intervention may be necessary to repair any structural damage.


Conclusion
In summary, if you are experiencing recurrent wrist pain from an old injury, it is crucial to seek medical help, especially if the pain is persistent, affects your daily life, or is accompanied by other concerning symptoms. A healthcare professional can provide a thorough evaluation and recommend an appropriate treatment plan tailored to your specific needs. Early intervention can prevent further complications and promote better recovery outcomes.

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