Wrist Pain: Causes, Symptoms And Treatment

by Administrator 19. March 2015 09:12

Wrist is a complex joint that is made of a number of bones, which are connected with various ligaments, joints, muscle and nerves. Damage to any of these structures can lead to wrist injury. Wrist pain commonly occurs due to an injury or fracture, repeated stress, carpal tunnel syndrome, Arthritis and various other reasons.

Causes:

Wrist pain occurs due to an array of reasons including

  • Injury and fracture that occurs because of falling on the outstretched hand
  • With age the bones become weak and susceptible to injury
  • Tendonitis and bursitis
  • Rheumatoid arthritis, which may affect one or both the wrists
  • Osteoarthritis
  • Carpal tunnel syndrome that results due to compression of median nerve
  • Repetitive movement of wrist such as typing on keyboard, sewing, etc
  • Overuse of wrist
  • Infection
  • Gout
  • Ganglion cyst

Symptoms:

Some of the common symptoms of wrist pain include:

  • Pain of varying intensity
  • Burning sensation
  • Tenderness
  • Stiffness
  • Numbness
  • Lumps
  • Bruises
  • Inability to move the joint
  • Muscle weakness
  • Wrist deformity
  • Inflammation

Diagnosis:

In order to treat the wrist pain effectively, it is important to diagnose the condition and determine the cause of the pain. The orthopedic doctor will physically examine the wrist and question the patient about his medical history. Certain imaging tests such as MRI, X-ray, CT scan, bone scan, also assist in determining the extent of the condition.

Treatment:

Depending upon the cause of the pain, patient’s age and the general health of the patient, the orthopedic surgeon will decide a course of treatment. In order to manage pain and improve mobility of the wrist, the doctor recommends various treatments.

The patient can be advised to use ice packs, cold compression and elastic bandage to get relief from the injury. The physician usually also prescribes anti-inflammatory medicines to reduce inflammation and pain. The patients are also advised to use wrist support such as braces, splints, or cast in order to support the wrist. In case the symptoms are severe like a fracture or symptoms of Carpal Tunnel Syndrome, then the orthopedic surgeon may need to repair the tendons and ligaments surgically. The surgeon frees the trapped tendons, removes damaged tissues and fuses the wrist.

For rehabilitation and post surgery care, the physician could refer the patient to an occupational or physical therapist. The physiotherapist will help the patient rebuild the strength with different exercises and recover from the surgery.

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Wrist Fracture: Orthopedic Treatment In Carrollton

by Administrator 23. February 2015 10:56

Wrist fracture is a common condition characterized by a break or crack in any of the three bones within the wrist – the Radius, Ulna or the Carpal bones. It is usually caused as a result of a fall on an outstretched hand or sudden high impact movements of the wrist. The condition can also occur due to participating in certain sports like soccer, wrestling, snowboarding, rugby etc.

Causes

  • Falls: Improper landing onto a stretched out hand is one of the most common causes of a wrist fracture.
  • Motor Vehicle Accidents: High impact vehicle accidents can also cause the wrist ones to break in several pieces.
  • Repetitive Activities: People who need to perform repetitive activities like driving, panting, typing or sewing are prone to stress fractures of the wrist.
  • Sports Injuries: Most wrist fractures occur while laying contact sports such as tackle football, basketball etc.
  • Other Medical Conditions: Orthopedic problems like Osteoporosis or Paget’s disease make the bones weak and fragile. This increases the chances of a wrist fracture.

Symptoms

  • Intense pain that increases while trying to bend or rotate the wrist
  • Bruising and swelling
  • Visible deformity
  • Tenderness
  • Numbness and stiffness in the hand
  • Difficulty moving the thumb or fingers
  • Decreased range of motion
  • Inability to grasp or lift things

Diagnosis

To diagnose a wrist fracture, the orthopedic doctor may conduct a physical examination to check for swelling, range of motion, open wound, bleeding, nerve damage etc. He may also recommend certain imaging tests such as X-ray, CT scan or MRI to evaluate the extent of damage caused to the wrist bones.

Treatment

  • Medications: The wrist specialist may prescribe non-steroidal anti-inflammatory medications to reduce the pain and inflammation in the joint.
  • Immobilization: The patient must restrict the movement of the wrist to allow the broken bones to heal. A cast or brace can also be worn to provide support to the wrist.
  • Physical Therapy: After the cast has been removed, performing certain stretching exercises can help to restore the normal strength and range of motion of the wrist.
  • Surgery: This is usually required in case of open and displaced fracture or if the bones have been broken into multiple pieces. During the procedure, the orthopedic surgeon may implant metal late, rods or screws to join the bone fragments together.

For comprehensive diagnosis and treatment of wrist fracture, visit Dr. Allmon in Carrollton, TX. To schedule an appointment with the wrist specialist, you can call at (972) 492 – 1334.

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Carpal Tunnel Syndrome: Orthopedic Treatment In Carrollton, TX

by Administrator 19. January 2015 13:57

Carpal Tunnel Syndrome is the condition that causes exasperation of the median nerve that is present in the palm of the hands. The median nerve is responsible to control the sensation of the thumb and fingers and this condition results in pain, numbness and tingling sensation in the hand or wrist. Carpal Tunnel Syndrome is the most common condition of the hand and wrist but it is important to seek advice from a specialized doctor who can help in proper diagnoses of the condition.

Causes:

There are a number of factors that are responsible for Carpal Tunnel Syndrome and some of them are:

  • Increased pressure on the median nerve
  • Trauma or injury to the wrist
  • Sprains or fractures
  • Over activity of the hand
  • Rheumatoid Arthritis
  • Work stress
  • Pregnancy
  • Cyst in the canal
  • Endocrine Disorders
  • Alcoholism

Symptoms:

The condition often affects the hand, forearm and can spread up to the shoulder. Some of the symptoms of Carpal Tunnel Syndrome are:

  • Numbness that may ease with shaking and moving fingers
  • Pins and needles sensation or pain
  • Stiffness in the fingers
  • Numbness may get worse while using hands for work
  • Pain between the elbow and the wrist
  • Pain that worsens in the morning
  • Difficulty in using the thumb

Treatment:

The treatment for Carpal Tunnel Syndrome usually depends on the severity of the condition and it is important to seek treatment as early as possible. Initially the patient is asked to rest the affected hand for atleast 2 weeks and avoid activities that may worsen the condition. Applying ice packs can also be helpful to reduce the inflammation.

An orthopedic surgeon can use both surgical and non-surgical approaches to treat the condition:

Non- Surgical Treatments

  • There are various anti-inflammatory drugs that a doctor may prescribe to ease the pain and swelling associated with the Carpal Tunnel Syndrome.
  • Stretching and strengthening exercises can also be helpful to reduce the symptoms.
  • Many doctors may also recommend physical therapy or occupational therapy as a part of treatment for the syndrome.

Surgical Treatments:

The surgery used to treat the Carpal Tunnel Syndrome is also known as Carpal Tunnel Release. It is the most common surgical procedure used by the hand wrist surgeons and is recommended if the symptoms prevail for more than 6 months. The Carpal Tunnel Release is basically of two types: open release surgery and Endoscopic surgery.  Although the symptoms may fade away after the surgery, it may take several months to heal.

For effective treatment of Carpal Tunnel Syndrome and other hand and wrist conditions, you can consult Dr. Christopher D Allmon. To schedule an appointment you can call at (972) 492 – 1334.

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Trigger Finger

by Administrator 12. February 2014 12:19

Trigger finger limits finger movement. When you try to straighten your finger, it will lock or catch before popping out straight.

 

Trigger finger is a condition that affects the tendons in your fingers or thumb. This condition is easily treatable.  Please visit handwristsurgeon.com to schedule with Dr. Allmon.  

Read more at www.orthoinfo.aaos.org

 

 

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