How Wrist Pain Can Affect You
Wrist pain can make it difficult to perform activities that require easy movement of your hands and wrist, such as typing or playing the piano.
*Principles of anatomy and physiology, eighth edition, 1996. Tortora GJ and Grabowski SR, eds. John Wiley & Sons **GSK Global Pain Index Research 2014 full report p. 47
What Outcome Can I Expect If I Have Arthritis In My Hands
There is no cure for arthritis. However, you can usually manage mild to moderate symptoms with a combination of medication and non-medication approaches. Surgery may be an option if other treatments fail or the arthritis in your hands is severe. Your healthcare provider will explain what outcome you can expect for your type and severity of arthritis, your age, other existing medical conditions and other factors.
Symptoms Of Wrist Pain
Wrist and hand pain may be experienced in many different ways and can really affect your quality of life.
Wrist pain may stop you from carrying out basic activities such as lifting things, writing, typing, or putting weight on your hand or wrist.
Weakness, numbness, tingling, tenderness, inflammation and problems moving wrists and hands freely can also occur in various wrist problems.
If your wrist is injured it may appear bruised and swollen and you may have difficulties moving it.
Hand And Wrist Anatomy
The hand and wrist consist of dozens of bones, joints, ligaments, tendons, and muscles that need to work together seamlessly in a variety of positions hundreds of times a day. From performing minor repetitive tasks to suddenly stopping the force of the body during a fall, the hands and wrists are susceptible to pain and injury at all stages in life.
- The hand consists of several small bones called phalanges, metacarpals, and carpals.
- The wrist is where the radius and the ulna meet at the hand.
- Between these bones is capsule, cartilage, and ligaments that allow for movement.
The carpal tunnel is an area where several tendons and nerves pass through the wrist. In carpal tunnel syndrome, these nerves and tendons are compressed.
Another common problem is pain at the base of the thumb, usually later in life, from arthritis. This is called basal joint arthritis and can be treated with splints, injections, and reconstructive surgery, if needed.
Other common problems include bone fractures, dislocations, and inflamed tendons and ligaments from overuse.
Should I Exercise My Hands
Dont be afraid to use your hands. Regular exercise is important in reducing stiffness and keeping your joints and muscles working. Try to make sure you move any affected joints in your fingers, thumbs, knuckles and wrists as far as is comfortable several times a day. You could also see an occupational therapist or physiotherapist for specific hand exercises.
What Are The Symptoms Of Wrist Joint Pain
Wrist Joint Pain Symptom Are-
- Intensity of Pain- Wrist Joint Pain intensity can be mild, moderate or severe.
- Occurrence of Pain- Wrist Joint Pain can be either sudden or gradual in occurrence.
- Frequency of Pain- Frequency of occurrence of wrist joint pain is either constant or intermittent.
- Daily Incidence of Pain- Wrist Joint Pain is worse in the morning or at night.
- Character of Wrist Joint Pain- Pain is sharp, throbbing, or burning.
How Can I Protect My Sore Hands
Here are some ways to protect the joints in your hands:
- Take notice of pain it can serve as a warning that your joints are being overworked. Rather than giving up an activity altogether, try taking regular rests during the activity and learning ways to manage pain. You will usually find you can still do the things you enjoy without discomfort.
- Use larger, stronger joints for example, carry your shopping bags over your shoulder rather than in your hands.
- Spread the load over several joints try carrying things with two hands.
- Reduce the effort you have to put in there is a wide range of labour-saving tools and equipment available. Buy pre-cut vegetables and meat to make cooking easier.
- Avoid gripping things tightly find out about gadgets that can make gripping and holding objects easier.
- See an occupational therapist to learn more ways to make daily tasks easier and take pressure off your joints.
- Visit an Independent Living Centre. These centres have a wide range of tools and equipment on display. You can get advice, including where to purchase equipment, in person or over the phone. Occupational therapists are also available at the centres to provide advice about equipment. Although you can drop in at anytime, it is preferred that you call the telephone enquiry service beforehand.
Avoid Tasks That Make The Pain Worse
Try to avoid tasks that are causing the pain or making it worse. This may be anything that has a repetitive nature, such as using a screwdriver, painting or lifting heavy objects. You might be able to change the way you do some tasks to take the strain off your hands and wrists. Some conditions affecting the hand and wrist wont get better until you stop doing certain tasks.
Hand Grip Test: How Strong Is Your Grip Are Stiff Muscles Worsening Pain
To continue, youll need a small, soft ball such as a stress ball, a Nerf ball, or a foam ball. A tennis ball is too big, while a lacrosse or golf ball is too firm to use for these exercises. You could even start with a sponge or foam towel. Another option: putty, whether its kids putty or special rehab-therapy putty these dont stain or stick, though they are more costly.
1. Hold a soft ball in your right hand.
2. Squeeze the ball with a slow, moderate grip 3 to 4 times.
3. Switch hands and repeat.
Notes: Compare hands to see if there is a difference in strength between your two hands. You may note that your dominant hand is stronger than your non-dominant hand.
You can do this exercise throughout the day, says Wilmarth. Instead of using a quick, staccato grip and release, try a gradual hold and release so its not harsh on the muscles and joints.
One other tip: Dont try to do a large number of repetitions all at once. Spread them out throughout the day. For instance, do three to five reps every once in a while, up to 10 reps per day, Wilmarth says.
Tips To Ease Joint Pain
Arthritis joint pain and symptoms can make simple activities difficult. This head-to-toe guide can help.
Arthritis pain in even one joint can take a toll on your entire body. For example, a painful neck can prevent you from turning your head properly, placing stress on your shoulders. A painful knee may cause you to walk in a way that affects your hips, back and feet. And holding a joint still to protect it can make moving it more difficult and in some cases almost impossible over time.
If joint pain is caused by an inflammatory disease such as rheumatoid arthritis or juvenile idiopathic arthritis, systemic treatment is needed to stop inflammation that can lead to joint damage or destruction. For flares of pain, persistent pain or pain due to other causes, there are many things you can do on your own or ask your doctor or physical therapist about to get relief.
Solutions vary and may include splints, therapeutic exercises or more informal daily modifications at home and beyond. Here are a few suggestions to help ease joint pain head-to-toe:
Neck pain can make it difficult to look up or turn your head sideways. If you avoid twisting your neck by moving your shoulders or entire body, the surrounding muscles may hurt as much as the joints themselves.
The mandible joint can be a frequent source of discomfort, making it painful to bite into a thick sandwich or an apple. Jaw pain is common on the side of the face or just in front of the ear.
What To Expect From Your Doctor
First, your doctor will ask about your symptoms and medical history and perform a physical exam. During your physical exam, your doctor will examine your wrist for swelling, pain, and tenderness. The location of the swelling can tell your doctor which wrist joints are most affected. Problems in the wrist can affect peripheral tendons, causing tendonitis.
Next, your doctor will examine the range of motion of the wrist itself. This can show how mild or severe the arthritis is, or if you have carpal tunnel syndrome. Your doctor will ask you to twist and flex both wrists in every direction. Finally, theyll manipulate your wrist and thumb joints and ask if you feel pain.
What Are The Risk Factors For Wrist Joint Pain
Risk Factors For Wrist Joint Pain Are As Follows:
- Repetitive Use of Wrist Joint- Recurrent use of wrist joint in activities like typing, drawing, writing, or sewing can cause inflammation and tear of ligaments of the wrist causing wrist joint pain.
- is associated with osteoarthritis2 and carpal tunnel syndrome resulting in severe wrist joint pain
- Pregnancy- During pregnancy, endocrine gland secretes abundant quantity of relaxing hormone, which causes joint laxity and pain.
- Post Menopausal Joint Pain- Multiple joint pain including wrist joint pain is caused by hormonal changes and arthralgia following menopause.1
- Joint pain is often seen in patient suffering with diabetes secondary to diabetic neuropathy, vasculitis and obesity.
- Hypothyroidism- Hypothyroidism causes hypertrophy of the ligament of the wrist joint resulting in nerve compression such as carpal tunnel syndrome and restricted painful joint movements.3 Hypothyroidism also causes tendonitis.4
- Alcohol- Regular consumption of alcohol causes inflammatory tendonitis and neuropathy resulting in wrist joint pain.
How Can I Prevent A Wrist Sprain
Wrist sprains are hard to prevent, since they’re usually caused by accidents. Even the best-trained athlete can slip. But always make an effort to safely.
Some athletes benefit from using wrist guards or tape. These may prevent the wrist from bending backward during a fall.
Close Reduction Treatment For Wrist Joint Pain
Close Reduction is the treatment often tried for wrist joint dislocation and fracture. Isolated wrist joint dislocation and fracture of radius or ulna is often reduced to normal position without performing any surgery. Close reduction is performed under deep sedations or general anesthesia. Wrist joint movement is restricted with cast for 6 to 8 weeks. Orthopedic Surgeon mostly performs close reduction.
Indication for Close Reduction to Treat Wrist Joint Pain-
Advantages of Close Reduction Procedure for Treating Wrist Joint Pain-
Disadvantages of Close Reduction Procedure-
*anatomy Of Elbow Joint:
- The elbow joint is a synovial joint found in the upper limb between the arm and the forearm. It is the point of articulation of three bones: the humerus of the arm and the radius and the ulna of the forearm.
- The elbow joint is classified structurally as a synovial joint.
- It is also classified structurally as a compound joint, as there are two articulations in the joint. Synovial joints, also called diarthroses, are free movable joints. The articular surfaces of the bones at these joints are separated from each other by a layer of hyaline cartilage. Smooth movement at these joints is provided by a highly viscous synovial fluid, which acts as a lubricant.
- A fibrous capsule encloses the joint, and is lined internally by a synovial membrane. Synovial joints can be further categorized based on function. The elbow joint is functionally a hinge joint, allowing movement in only one plane .
Symptoms Of Hand Finger And Wrist Pain
Symptoms of hand, finger or wrist pain depend on the type of injury and mechanism of injury. The symptoms commonly include pain during use, swelling, and/or difficulty moving the affected area.
Treatment for hand, finger and wrist pain includes: over-the-counter pain medication, rest, ice, and elevation. In more severe injuries, immobilization or surgery may be necessary.
Symptoms Of Gout In Wrist
Gout in the wrist is not more commonly seen. While gout is more prevalent in men than women, wrist gout affects both genders. Sudden and intense pain in the wrist joint is the most common symptom.
The sufferer also experiences swelling and inflammation in the wrist joint. The joint becomes red and tender to move or to touch. The wrist joint may become stiff, causing difficulty in movement. In not treated immediately, the joint may be damaged, causing irreversible disability. In severe cases, there may be the formation of tophi beneath the skin of the wrist joint.
Stretches That Ease Wrist Pain
If everyday activities are leaving your wrists and hands achy, taking time to stretch throughout the day can help relieve the discomfort.
Stretching the wrist flexors is important if you want to prevent or treat wrist issues, says Lara Heimann, physical therapist and creator of LYT Style Yoga. “Because we spend so much of our day with our wrist in a flexed position, such as when we are driving a car, holding a phone, or typing on a computer, we must counter the shortening of the connective tissues with stretching in extension,” she says. “Stretching keeps the tissues from getting pulled asymmetrically, which causes strain, a key ingredient for repetitive stress injury. If these stretches are done consistently, they will be a preventative measure to combat tendonitis and carpal tunnel syndrome. “
Here are some gentle movements that you can perform daily to help relieve and prevent pain in the wrists and hands.
Conservative Treatment For Wrist Joint Pain
Conservative Treatment for Wrist Joint Pain Is As Follows-
- Wrist Brace or Splint Helps to Reduce Swelling and Ease Wrist Joint Pain.
- Hot or Cold Compresses are an effective treatment to soothe wrist joint pain.
- Weight Loss: It is important to try to lose weight if you are obese.
- Exercise or Therapy for Upper Extremity can help deal with wrist joint pain.
When To Visit A Doctor
- You cannot move your wrist, hand, or finger.
- Your wrist, hand, or fingers are deformed.
- You are bleeding a lot
- Fever over 100 Â° F
- Swelling and redness of the wrist and you have had a recent illness .
- Swelling, redness, or stiffness in one or both wrists
- Numbness, tingling, or weakness in painful wrist, hand, or fingers
- You lost muscle mass in your wrist, hand, or fingers.
- You still have pain even after following self-care treatments for 2 weeks
When To See A Doctor
Hand and wrist pain often gets better with things you can do at home.
However, youll need to visit your GP surgery if:
- your pain isnt getting better after treatment at home for two weeks
- the pain is getting worse
- the pain keeps returning
- the pain is stopping you from doing your everyday activities
- your hands are stiff and swollen, particularly in the mornings and these feelings dont get better after half an hour
- as well as being swollen and stiff, your hands are warm and red
- you also feel generally unwell, especially if you have a high temperature
- you have ongoing tingling, numbness or weakness in the hands or fingers.
Its important to get urgent medical attention, if:
- you think youve broken a bone
- you have extreme pain
- any part of your hand, wrist or fingers is a funny shape or colour
- you have lost the feeling of part or all of your hand
- there was a snap, grinding or popping noise when you injured your hand or wrist
- you cant move your hand, wrist or fingers properly.
If you have ongoing hand and wrist pain or a specific condition affecting the hand and wrist it could be helpful to see a hand therapist. These are healthcare professionals with expertise in treating conditions affecting the hand and wrist. Your , rheumatology department or orthopaedic department could refer you to one.
Medications Prescribed To Treat Wrist Joint Pain
Wrist joint pain is treated with following medication-
Most used Non-Steroidal Anti-inflammatory Medications are Motrin, Naproxen and Celebrex.
Opioids are prescribed for severe intractable wrist joint pain pain not responding to NSAIDs and NSAIDs are contraindicated because of severe side effects.
Which Opioids Are Prescribed For Wrist Joint Pain?
Acute wrist joint pain of less than 3 months duration is treated with short acting opioid medication and pain lasting more than 3 months is treated with long acting opioids. Breakthrough wrist joint pain is treated with short acting opioids.
What is Breakthrough Wrist Joint Pain?
The pain is known as breakthrough pain when wrist joint pain is induced by activities despite patient being treated with long acting opioids. You may suffer with severe sudden intractable pain while chronic wrist joint pain is treated with long acting opioids.
Which Are The Most Commonly Used Long Acting Opioids?
Long Acting Opioids That Are Most Commonly Used in the treatment for Chronic Wrist Joint Pain Are As Follows-
- Morphine- MS Contin.
Which Are The Most Commonly Used Short Acting Opioids?
Most common short acting opioids used in the treatment of wrist joint pain are as follows-
- Hydrocodone- Vicodin, Lortab and Norco.
- Oxycodone- Percocet.
Antidepressant Analgesics and Antiepileptic Analgesics
Antidepressant or antiepileptic analgesics for Wrist Joint Pain are used for following reason-
How To Relieve Hand Joint Pain And Wrist Pain
There are many ways to relieve pain in your hands and wrists. Based on your condition, simple stretches or balms may help relieve pain while more serious cases may require medication or, most likely, a combination of all three. Lets discuss some of the best ways to relieve pain in your wrists and hands:
Joint and wrist pain can put a huge damper on your ability to enjoy life to its fullest and get work done. However, with the right techniques, you can minimize that pain and get back to doing the things you love. For more information on CBDMEDIC products, please read our blog post on back pain relief with CBDMEDIC, take a look at our , or contact us directly.
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What Is Wrist Pain
Finding The Source Of Wrist Pain
Our doctors may be able to diagnose wrist pain based on an examination and simple in-office tests. In some cases, they may use additional diagnostic tools like:
- Imaging: X-rays can reveal bone fractures, while magnetic resonance imaging scans can show other structural issues inside your wrist. Both can help your doctor pinpoint the source of wrist pain.
- Blood tests: Your doctor may order blood tests to get more information about swelling or ongoing pain. Blood tests can help with the diagnosis of conditions like rheumatoid arthritis and gout.
- Exploratory arthroscopy: Sometimes, minimally invasive surgery using small incisions can help your doctor diagnose the cause of chronic wrist pain.
Keeping Your Hands And Wrists Moving
Moving your hands, wrists and fingers as much as possible can help ease pain and stiffness. This will also maintain range of movement, function and strength.
We have some exercises you can do at home. Try to do them as regularly as you can, especially if your hands and wrists are feeling stiff.
If you have carpal tunnel syndrome, talk to a physiotherapist, GP or hand therapist for specific advice on exercise.
Causes Of Gout In Wrist
Gout results from the accumulation of excess uric acid in the blood and synovial fluid. Uric acid is an end-product of purine metabolism. In normal individuals, uric acid is transported to the kidneys through the bloodstream, where it is excreted through urine.
When uric acid is formed in an extremely high amount, the kidneys are unable to eliminate it. The main reason behind hyperuricemia is the intake of foods rich in purines.
On the other hand, if the person is suffering from renal diseases, there is insufficient excretion of uric acid by the kidneys. All this leads to an extreme rise in uric acid levels in the body. Uric acid accumulates in the blood and synovial fluid to form crystals. The urate crystals deposit in the joints space of the wrist, causing pain and inflammation.
Gout is triggered by some predisposing factors like trauma, obesity, alcohol abuse, hypertension, stress, diabetes, and a purine-rich diet.
Why Does My Wrist Hurt When Exercising Or Lifting Something Heavy
Sometimes your wrists may hurt with exercise if your hands aren’t positioned correctly. When lifting weights, make sure to keep your hand and arm in alignment and don’t overextend your wrists. If you’re doing weight-bearing exercises, like push-ups, use padding under your hands. You can also provide some support by wearing athletic tape or straps around your wrists.
Are Glucosamine And Chondroitin Supplements Helpful For Treating Osteoarthritis Of The Hand
Supplements are not reviewed or approved by the Food and Drug Administration . They are not required to undergo the same rigorous clinical trial methods that medications must undergo in the U.S. Some clinical trials show benefits with pain relief; however, there is no proof that these supplements slow the progression of osteoarthritis. If you plan to try these, always check with your healthcare provider before using supplements. These products may interfere with medications you currently take.
A note from Cleveland Clinic
Dull or burning joint pain, morning stiffness, swollen joints in your hand are all symptoms of arthritis. Many types of arthritis could affect your hands. Many treatment options are available depending on your exact arthritis type. Medications can reduce joint pain and swelling. Researchers are still working on ways to slow the progression of osteoarthritis. See your healthcare provider if you think you have arthritis in your hands. They will perform a complete exam and offer you a complete treatment plan, which includes hand exercises, use of hot and cold packs, other lifestyle tips and traditional treatments including medications, braces/splints, steroid injections and surgery.
Last reviewed by a Cleveland Clinic medical professional on 07/06/2021.
Common Causes Of Hand Finger And Wrist Pain Treated At Boston Orthopaedic & Spine
Arthritis is painful inflammation and stiffness of the joints, which can be caused by many types of degenerative or inflammatory conditions. There are many types of arthritis, including osteoarthritis, rheumatoid, post-traumatic, septic, and gout. Arthritis symptoms often include swelling, tenderness, sharp pain, stiffness, and sometimes fever and chills.
Basal joint arthritis is a common type of osteoarthritis that occurs as a result of the degeneration of the cartilage that surrounds the thumb joint. Symptoms include pain, swelling, and difficulty with gripping or pinching motions . Treatment includes anti-inflammatory medicines, splinting the thumb, and injections. Surgery is also a treatment option for severe cases of basal joint arthritis.
Carpal tunnel syndrome
Carpal tunnel syndrome is caused by a pinched nerve in the wrist that leads to radiating pain, weakness, or numbness in the palm side of the hand, wrist or fingers. Many people describe symptoms that improve from shaking out the hand. Treatment includes anti-inflammatory medicine, splinting the wrist, or corticosteroid injections. If symptoms do not improve with this treatment, surgery may be necessary to decompress the nerve, relieve the symptoms, and restore function.
Dislocations are serious injuries that require immediate medical attention. First aid treatment includes removing any rings or other jewelry, applying an ice pack, and elevating the area higher than your heart.