Wrist pain

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Carpal tunnel syndrome

Wrist splint

Call your doctor for an appointment if:

• You have swelling, redness or stiffness in one or both wrists.
• You have numbness, tingling, or weakness in the wrist, hand, or fingers with pain.
• You have lost any muscle mass in the wrist, hand, or fingers.
• You have been following self-care treatments for two weeks but still have pain.

Your doctor will perform a physical examination, which may include an examination of the wrists and hands, and ask questions such as the following:

• When did the wrist pain begin?
• Did it occur suddenly and severely or gradually and mildly?
• Is the pain constant, or does it come and go?
• Is the pain worse in the morning or at night?
• Does it go away without self care?
• Is the pain sharp, throbbing, or burning? Is there numbness or tingling in any of your fingers?
• Where exactly is the pain? Is it in both wrists? Does it extend into the fingers?
• Does the pain occur only with certain movements or positions?
• Does the pain prevent normal use of the wrist, hand, or arm?
• Is the pain worse with movement?
• What helps it? Is it better with immobilization to prevent movement? Does splinting the wrist or applying heat help?
• Do any medications help?
• Is there joint pain elsewhere?
• Is there pain elsewhere, such as the neck?
• What medications are you taking?
• Have you had any recent injuries or illnesses?
• Are you involved in activities requiring repetitious hand and wrist movements, such as sewing, knitting, computer keyboard use?

Diagnostic tests that may be performed include an x-ray. If your doctor suspects that you have an infection, gout, or pseudogout, he or she may draw fluid from from the joint to examine under a microscope.

Anti-inflammatory drugs may be prescribed. Injection with a steroid medication may be performed. Surgery or medications may be needed to treat some conditions.

Review Date: 06/08/2005
Reviewed By: Kevin B. Freedman, MD, MSCE, Sports Medicine, Orthopaedic Specialists, Bryn Mawr, PA. Review provided by VeriMed Healthcare Network.