Pain inside and on top of wrist by pressure

Events: 22 year old woman with pain inside and on the wrist when pressing. The pain is localized to the upper side and inside the wrist itself - and is particularly aggravated by pressure and compressive forces (load that presses the joint together). The pain goes beyond function and she can no longer perform functional movements (push-ups) that she has done all her life. Of note, it is noted that carrying shopping bags does not provoke the pain - this may be due to the fact that this provides better joint space due to traction (deduction).

Also read: - Carpal Tunnel Syndrome: Read This If You Have Wrist Pain

Wrist movements - Photo GetMSG

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Age / Gender: 22 year old woman

Current - your pain situation (supplementary about your problem, your everyday situation, disabilities and where you are in pain): I struggle with pain in my wrist. I have had pain on and off for over 1 year. At first I thought it was because I was supporting my head with my hand when I was asleep. But even though I stopped it, the pain has not disappeared. The pain is difficult to explain, but it lies in the "background" and in a way sends pressure waves / is pulsating. And when I lean on my wrist or carry things on top, the pain becomes very intense. Should I try to do push ups, something I have done all my life, then I break down so that the pain becomes too strong - but if I carry bags home from the grocery store, there is no pain at all. There are no visible signs when I am in pain - neither swelling nor color. In the beginning it was rare between each time, but lately it has been more frequent. Have now been in pain for so long that I can not remember the last time I was pain free.

Topical - pain location (where are the pains): Inside the right wrist on the upper side.

Topical - pain character (how would you describe the pain): Pulsating. Feels that it may be similar to what I feel when I know my meningitis. And when the pain is provoked it feels stinging.

How do you stay active / in training: Has been active with handball for 11 years and taekwondo for 8 years. Exercised fast over 20 hours a week plus work and school. Four years ago, it was enough and I stopped training completely. Have not put on me, but have lost weight mtp that the muscles were turned into fat. Have tried exercising a little now and then but have never done a routine of it since the desire has not been there. Have tried exercising a little differently over the past year, both with taekwondo, gym and at home, but it has not worked as the pain has become too severe. Even when working in a nursing home and in a store, some tasks have become too painful for me to do.

Previous imaging diagnostics (X-ray, MRI, CT and / or diagnostic ultrasound) - if so, where / what / when / result: Never examined the wrist.

Previous injuries / trauma / accidents - if so, where / what / when: Nothing that has had an impact on the wrist.

Previous surgery / surgery - if yes, where / what / when: Not because of the wrist.

Previous investigations / blood tests - if so, where / what / when / result: No.

Previous treatment - if so, what kind of treatment methods and results: No.

SVAR

Hello and thank you for your inquiry.

The way you describe it may sound like DeQuervain's tenosynovitt - but this will especially cause pain in that part of the wrist against the thumb. The diagnosis involves an overload and irritation of the "tunnel" around the tendons that control thumb movement. Other symptoms of DeQuervain's tenosynovitis may include pain when bending the wrist downwards, decreased grip strength and burning / spasm-like pain. One theory is that you are not in pain when you carry shopping bags due to the fact that you do not actually load this area - but then it rather stretches.

The damage process: Previously it was thought that DeQuervain's tenosynovitis was due to inflammation, but research (Clarke et al, 1998) showed that deceased people with this disorder showed thickening and degenerative change of the tendon fibers - and not signs of inflammation (as previously thought and as many actually believe the day today).

In case of prolonged pain and lack of improvement, it can be beneficial with an imaging examination - especially MRI examination. Would then recommend that you get a clinical assessment by a doctor, chiropractor or manual therapist - all of whom are state-authorized occupational groups with both referral rights and good competence in musculoskeletal, skeletal and skeletal disorders. It should also be mentioned that there are other differential diagnoses that are possible causes of your pain.

Exercises and self-measures: Prolonged inactivity will lead to the muscles becoming weaker and the muscle fibers becoming tighter, as well as possibly also more pain-sensitive. In order to increase blood circulation and "loosen up" in the tendon damage, it is important that you start with stretching and adapted strength exercises. Exercises aimed at carpal tunnel syndrome are considered gentle and suitable for the treatment of DeQuervain's tenosynovitis as well. You can see a selection of these here - or use the search function at the top right. Of other measures so recommended compression noise which increases blood circulation towards the affected area - it may also be relevant to sleep with support (splints) during the periods when the area is significantly irritated / bothered. Also exercises with exercise knit for shoulders is both gentle and effective - and can be a good place to start in addition to the aforementioned stretching exercises.

Wishing you good recovery and good luck for the future.

Sincerely,

Alexander Andorff, off. authorized chiropractor, M.sc. Chiro, B.sc. Health, MNKF