Wrist pain has a lot of possible causes. The most common are wrist sprain and tendonitis.
Volar Wrist Pain
In anatomy, you can see the location of the radial artery, the median nerve the ulnar artery and the ulnar nerve. You can also see the thenar muscles and the hypothenar muscles.
There are eight carpal bones of the wrist:
Four proximal and four distal.
We talk about the carpal bones these are the scaphoid, the lunate, the triquetrum, the pisiform, the trapezium, trapezoid, capitate, hamate.
What is the clinical picture of carpal tunnel syndrome?
Pain, numbness and paresthesia in the palmar aspect of the thumb, index and long finger (median nerve distribution).
symptoms of carpal tunnel syndrome usually occur more at night. These symptoms wake the patient up from sleep, causing the patient to shake their hand in an attempt to resolve these symptoms.
Positive Tinel’s Sign Percussion
percussion of the volar wrist crease produces electric sensation distally to the fingers.
Phalen’s test is usually positive with carpal tunnel syndrome.
Phalen’s maneuver is performed by flexing the wrist for about 60 seconds. This will increase the carpal tunnel pressure temporarily and produce symptoms. If the test is positive, the patient will have numbness and tingling in the hand and wrist.
Positive compression tests this is the most sensitive test.
The examiner places even pressure with two thumbs directly over the patient’s median nerve in the carpal tunnel for about 30 seconds. reproduction of the symptoms in the distribution of the median nerve means that the test is positive for carpal tunnel syndrome.
self-administered hand diagram is extremely helpful (most specific tests for carpal tunnel syndrome). The patient should highlight the areas where they are experiencing the symptoms. to the right
The patient may complain of thenar atrophy, weakness, or clumsiness of the hand.
The patient’s history and examination are usually an indication of carpal tunnel syndrome. Carpal tunnel syndrome is a clinical diagnosis.
Causes of Wrist Pain
Wrist pain may feel like an ache or a sharp pain in the wrist. The wrist joint includes eight small bones connected with ligaments and tendons (bands of tissue). Three large nerves pass through the wrist to the hands, allowing you to touch, feel, move and communicate with the brain.
Pain may occur for many reasons, whether simple fatigue or an underlying issue. Impact injuries to the wrist and muscle strains are common causes while squashing the nerves that pass through the wrist can also produce pain.
Here we will explore the common causes, symptoms, and treatment options for wrist pain.
- Carpal tunnel syndrome
- Rheumatoid arthritis
- de Quervain’s disease
- Repetitive strain injury
- Triangular fibrocartilage complex injury
- Wrist tendonitis
- Wrist bursitis
- Ganglion cyst
Wrists are strong, but falls and everyday use can injure them. Wrist pain may require only rest or physical therapy to heal, but sometimes you might need surgery or other advanced care. Sports and Spinal Solutions Clinic orthopedic team offers treatments for any type of wrist pain.
Some of The Causes of Wrist Pain
The causes of wrist pain can be due to a multitude of factors, such as overuse, direct trauma, or even autoimmune conditions, such as arthritis. Overuse injuries can happen in many different scenarios. In the workplace, this can be due to prolonged typing or even writing.
We also see this in skilled labour jobs, such as painters, construction workers, and mechanics. Additionally, we see this in physical activities such as Olympic weightlifting, gymnastics, and racket sports.
The Signs and Symptoms wrist pain
Because wrist pain covers many potential injuries and conditions, the symptoms can be greatly varied. These include pain at rest and with use, swelling, weakness, restricted range of motion, and sometimes numbness and tingling. These symptoms don’t have to be limited to the wrists, however, because they can occur anywhere from the fingertips into the forearm. Because the symptoms are so greatly varied, it’s very important to see a provider who can give you an accurate diagnosis.
How does traditional healthcare manage wrist injuries and conditions?
With conservative care, they may recommend things like ice, rest, non-steroidal anti-inflammatory drugs, or even a wrist brace. For more serious cases, they may recommend steroid injections or even surgery.
At Airrosti, we spend a solid hour with patients and perform a thorough evaluation, so that we can get an accurate diagnosis to get to the root cause of your pain. We then perform specific hands-on manual therapy, followed by active care with specific stretches and exercises that you can do at home to help maintain the progress made in treatment.
We hope that this information was helpful to you, and if you or your loved ones are experiencing wrist pain or any other kind of pain, please click here to schedule an appointment.
Deeper veins tendinitis is caused by tendon inflammation at the thumb side of the wrist. The tissue surrounding the tendons becomes inflamed and may swell repetitive hand movements thumb pinching squeezing, and moving the risk toward the little finger are motions that may lead to Deker veins tendinitis. The main symptom is pain at the thumb side of the wrist. You may have pain in the thumb and forearm and swelling at the wrist. The pain usually becomes worse during grasping or pinching motions. You may hear crackling noise or it may feel like your thumb catches during movement. Some cases of Dieker veins tendinitis respond to splinting and treatment that relieves pain and inflammation. Surgery is recommended when symptoms do not improve. Here’s a look at the surgical procedure. to begin a small incision is made at the wrist. Nerves are avoided and an incision is made in the tendon chief. Inflamed tissue around the tendon may require removal. The wound is then closed with sutures and bandaged. Following surgery rehabilitation exercises can help you gradually gain strength and movement. Recovery from Dieker vein surgery is very individualized depending on the extent of your condition and the procedure. Most people have excellent results and make a full recovery. Your doctor will let you know what to expect.
Wrist Pain and Tendonitis
There are many causes of wrist pain and tendonitis, and we see it a lot in people who do repetitive activities either at work or in their hobbies or sports.
Sometimes it’s just from irritation and overuse, sometimes it’s from something like a ganglion cyst.
We will see tendonitis in young active athletes who play a certain sport year-round and use the same tendons over and over, and then we will also see wrist pain and tendonitis in older patients who have some arthritis or underlying stiffness of their joints with some degeneration of their tendons particularly those who do repetitive activities that then leads to tendonitis.
Treatment options for tendonitis are quite variable, usually, for mild symptoms, we will start with the course of hand therapy.
Our hand therapists have a lot of modalities for treating tendonitis that can be done non-invasively.
If the patient’s symptoms are refractory to hand therapy then we offer a surgical release of the tendons or debridement to make the patient more comfortable.
Surgery for wrist pain and tendonitis is a day surgery typically, patients will have some soreness in their wrist right after surgery but after a few days that usually gets better.
We try to have them do hand therapy quickly after surgery to get their motion back and not lose any motion, and after about two to four weeks most patients are back to general activities.
To start any form of physical training, a health and fitness assessment is required to know the weaknesses and strengths of the trainee. This helps to produce individualized training and nutrition programs as per the physical and professional demands of the trainee. (Visit Our Exercise Therapy Page)