Pain in the wrist

Pain on or in the wrist is a common complaint. The wrists are very mobile and sometimes absorb hard blows. A lot is also demanded of the wrist during sports or work. A wrist injury was quickly sustained. The wrist can also be subject to wear and tear. Rheumatism also causes pain. An overload or inflammation is also sometimes the cause.

Pain on the thumb side of the wrist

Pain in the wrist can manifest itself in different places. When the pain is on the inside of the wrist, we also speak of the thumb side. An important cause is tendon sheath inflammation. Tendons are surrounded by a sheath, called the tendon sheath. When this socket becomes inflamed, the pain is often palpable on the thumb side of the wrist. Overload of the wrist is the cause of this. Bending or stretching the thumb is painful, as is rotating the wrist. Later, these complaints can spread to the forearm. Sometimes the complaints arise quite acutely, in other cases they have been present for a long time and are becoming increasingly severe. With tendon sheath inflammation, the tendon sheath/sheath becomes narrowed, causing the tendon to no longer move properly.
Treatment consists of rest, medications such as anti-inflammatories and painkillers or an injection of corticosteroids. Sometimes it is better to wear a splint for two to four weeks. If all this does not help, surgery will be performed. The tendon sheath is expanded, giving the tendon more space. Ultimately, the inflammation will decrease and the complaints will disappear completely.
Another cause of pain on the thumb side is tendonitis, where the tendons themselves become inflamed. The cause is once again overload. Treatment consists of rest, anti-inflammatories and painkillers. A corticosteroid injection may also be administered.

The little finger side hurts

On the other hand, the outside, the wrist can also start to hurt. There is then pain on the little finger side. The cause often lies with the TFCC. This complex consists of ligaments and cartilage that connect the ulna, the radius and part of the carpal bones. A tear in the TFCC can occur, for example due to a fall or a blow to the wrist. Old age and wear also play a role. Symptoms include pain on the little finger side, but straining on this side also hurts. The pain can arise suddenly after a fall, but can also be present for a longer period of time, such as due to wear and tear (arthrosis).
Treatment depends on the cause. Painkillers are often prescribed for osteoarthritis, but surgery is also possible. This shortens the ulna so that it is less stressed. A tear in the TFCC can be sutured. This is also done through surgery. A splint is often applied after the operation and physiotherapy is recommended. Also, after surgery, the wrist should not be lifted until it has healed.

Broken wrist

A wrist fracture or broken wrist cannot always be prevented. When we fall, we automatically extend our arms to break the fall. This sometimes breaks the wrist. A bone fracture mainly hurts when moving the wrist. The wrist may be partially broken (closed fracture) or completely broken (open fracture). Sometimes a piece of bone even protrudes through the skin or under the skin. Sometimes osteoporosis (bone decalcification) is the cause of a rapid bone fracture at the wrist.
Depending on the fracture, the wrist is set and then plastered, or surgical intervention is required. A beautiful bone fracture does not need to be treated surgically. This is only necessary when the bone parts are not properly opposite each other. Sometimes a beautiful bone fracture does not heal as desired and surgery is still necessary. Recovery can take 4 to 12 weeks, depending on the fracture and the patient’s age.

Carpal tunnel syndrome

The carpal tunnel is located in the forearm and wrist and contains a nerve and tendons. This tunnel can become narrowed due to thyroid problems or during pregnancy. This causes the nerve that runs in the tunnel to become pinched. Numbness or tingling occurs in the fingers and sometimes in the wrist. These complaints often disappear when the wrist is shaken briefly. These complaints usually disappear quickly after pregnancy. An anti-inflammatory agent can also be administered. In severe cases, the tunnel is opened and enlarged, giving the nerve more space.

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