Wrist Pain

Andreas Leonidou

Orthopaedic Surgeon

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The wrist joint consists of multiple bones and ligaments and plays an important role in basic movements, from using a mobile phone to writing. Wrist pain is a common condition with various causes. When pain occurs, it can affect daily activities, work, and the patient’s quality of life. Early diagnosis is necessary for effective management.

What Can Be the Causes of Wrist Pain?

  • Carpal tunnel syndrome: is a condition that describes the compression and irritation of the median nerve in the wrist area. When the nerve is compressed, it can cause pain, numbness, and weakness in the hand. Predisposing factors may include diabetes mellitus and obesity. The syndrome occurs more frequently in women. It is also associated with repetitive movements involving lifting, typing, or using equipment that causes hand vibration.

  • De Quervain’s tendinitis: is a condition characterised by inflammation of the tendons that extend the thumb. The exact cause of the condition is unknown, but it is often associated with an injury in the area or excessive use of the wrist. Symptoms include pain, swelling, and weakness along the wrist, forearm, and thumb.

  • Wrist tendinitis: may occur when the tendons of the wrist become inflamed. The condition usually develops due to repetitive wrist movement and is also known as overuse syndrome.

  • Ganglion cyst – Ganglion: usually appear on the dorsal surface of the wrist and are typically painless. However, if they increase in size and compress surrounding tissues, they can become painful.

  • Osteoarthritis: is caused by the wear and tear of the cartilage covering the articular surfaces.

  • Acute injuries: An injury caused either by a fall or during sports activities can result in soft tissue injury, wrist sprain, or occasionally a fracture (broken bone).

Symptoms That May Occur Alongside Wrist Pain

Wrist pain may be accompanied by the following symptoms:

  • Swollen fingers

  • Difficulty forming a fist or gripping objects

  • Numbness or tingling in the hands and fingers

  • Pain, numbness, or tingling that worsens at night

  • Sudden, sharp pain in the hand

  • Swelling or redness around the wrist

It is important to see a doctor if:

  • The pain interferes with daily activities.

  • The numbness or tingling becomes worse and there is loss of sensation in the fingers.

  • Simple hand movements are no longer possible.

  • Weakness makes it difficult to hold objects.

Diagnosis

After the clinical evaluation, the specialised Orthopaedic Surgeon will perform an ultrasound scan of the area to diagnose any tendinitis and cysts – ganglia. Depending on the condition, some of the following examinations may be required:

  • Wrist X-ray

  • CT scan – especially in cases of fracture

  • MRI scan – for ligament and tendon injuries

  • Electromyography – in cases of carpal tunnel syndrome

Conservative Treatment – Management of Wrist Pain

Treatment options for wrist pain may vary depending on the cause. Initial treatment usually includes:

  • Rest and activity modification

  • Use of non-steroidal anti-inflammatory drugs

  • Physiotherapy and a home exercise programme

  • Use of a wrist immobilisation splint

  • Injection of autologous healing factors (PRP)

Surgical Treatment for Wrist Pain

If conservative treatment fails, surgical treatment is recommended. The type of surgical procedure depends on the cause of the pain and may include:

  • Surgical treatment of wrist fractures

  • Wrist arthroscopy

  • Carpal tunnel release

  • Tendon release (such as in De Quervain’s tendinitis)

  • Ganglion removal

If you suffer from wrist pain, contact the specialised Orthopaedic Surgeon for personalised diagnosis and treatment of your condition.

Book your appointment for immediate diagnosis, specialist care, and targeted treatment in just one visit.