Wrist Ligament Inflammation: Causes, Treatments, and Next Steps - Rehabilitation

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Wrist ligament inflammation


Hello Dr.
Li, three weeks ago, I seemed to have injured my left wrist while moving my scooter, and now I experience pain when rotating or bending it downwards (it hurts when I pick up a coffee cup filled with water).
I visited the rehabilitation department at the hospital, and the doctor briefly examined me and said it was a wrist ligament strain with inflammation.
I was prescribed anti-inflammatory pain medication and muscle relaxants, and I have been undergoing rehabilitation (electrotherapy, ultrasound, and wrist taping with kinesiology tape).
I have been taking the medication on schedule for a week and have been attending rehabilitation once a day for a week, but there has been no improvement at all.
I would like to ask Dr.
Li if this is a normal phenomenon.
Additionally, I would like to know what other examinations can be done to further confirm that it is a wrist ligament strain with inflammation.

Pang Xian, 20~29 year old female. Ask Date: 2016/03/17

Dr. Li Weiqiang reply Rehabilitation


Dear Pang Hsien,
Hello, we will first arrange an ultrasound examination to check if there is any inflammation in the wrist ligaments.
Wishing you safety and health.
Sincerely,
Li Wei-Chiang
Director, Rehabilitation Department
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2016/03/17

More Info


Wrist ligament inflammation, often referred to as wrist sprain or tendonitis, can be a frustrating condition, especially when it interferes with daily activities. Based on your description, it seems that you have sustained an injury to your left wrist while moving your motorcycle, leading to pain during certain movements, particularly when twisting or bending the wrist.

Causes of Wrist Ligament Inflammation
Wrist ligament inflammation can occur due to various reasons, including:
1. Acute Injury: This is the most common cause, often resulting from a fall, twist, or overextension of the wrist. In your case, the action of moving your motorcycle may have caused a strain on the ligaments.

2. Repetitive Strain: Engaging in repetitive activities that require wrist movement can lead to inflammation over time. This is common in sports or occupations that involve frequent wrist use.

3. Underlying Conditions: Conditions such as rheumatoid arthritis or other inflammatory diseases can also contribute to wrist pain and inflammation.


Treatment Options
The treatment for wrist ligament inflammation typically involves a combination of rest, medication, and rehabilitation:
1. Rest: Avoiding activities that exacerbate the pain is crucial. This allows the ligaments to heal.

2. Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Since you mentioned you are already taking anti-inflammatory medication and muscle relaxants, it's essential to follow your physician's guidance on their use.

3. Physical Therapy: Rehabilitation exercises can help restore strength and flexibility to the wrist. The modalities you are receiving, such as electrical stimulation and ultrasound therapy, are beneficial for reducing inflammation and promoting healing.

4. Bracing: Using a wrist brace can provide support and limit movement, which may help alleviate pain during the healing process.

5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation if conservative treatments do not yield results.


Next Steps
Given that you have not seen improvement after a week of treatment, it is essential to consider the following steps:
1. Follow-Up Appointment: Schedule a follow-up with your physician or physical therapist to discuss your lack of improvement. They may need to reassess your condition and adjust your treatment plan.

2. Imaging Studies: If the pain persists, your doctor may recommend imaging studies such as an MRI or ultrasound. These tests can provide a clearer picture of the soft tissue structures in your wrist, helping to confirm the diagnosis of ligament injury and rule out other potential issues, such as fractures or tendon tears.

3. Alternative Therapies: If conventional treatments are not effective, you might explore alternative therapies such as acupuncture or chiropractic care, which some patients find beneficial for pain relief.

4. Activity Modification: Consider modifying your daily activities to avoid movements that exacerbate your pain. This may include using ergonomic tools or adjusting your technique when performing tasks that involve wrist movement.


Conclusion
In summary, wrist ligament inflammation can be a slow-healing condition, and it is not uncommon for patients to experience prolonged symptoms. However, if you are not seeing improvement after a week of treatment, it is crucial to communicate this to your healthcare provider. They can perform further evaluations and possibly recommend additional imaging studies to ensure an accurate diagnosis and appropriate treatment plan. Remember, patience and adherence to your treatment regimen are key components in the recovery process.

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