How do I get rid of wrist discomfort that had no preceding trigger?

Doctor's Answer

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Dr Henry Chan

Orthopaedic Surgeon

Thank you for your email. From your description, it's likely that you are suffering from DeQuervain's tenosynovitis (aka texting thumb), basically it's due to the excessive usage of the thumb (likely from texting!) that is now causing some inflammation in the tendon sheath. (you can try rubbing your palms together forcefully for 1000 times, then you will know how the inflammation feels like).

Of course, there are many other causes of wrists pain that we need to exclude, for example:

1. Fracture of the carpal bones/ distal radius

2. Ligaments tears in the wrists

3. Ganglion/ any other abnormal growth

4. Impingment syndrome

I'd suggest you seek treatment from Orthopaedic Surgeons/ Hand Surgeons, we will take a detailed clinical history, physical examination and imaging (X rays/ MRI) to fully evaluate the cause of your symptoms.

Usually we will treat DeQuervain's tenosynovitis conservatively first - which includes anti-inflammatory medication, protective splint, hand therapy. Only for those severe/ persistent pain, that the patients may benefit from anti-inflammatory injection/ surgery.

I hope it clears some doubt for you.

Cheers,

Dr. Henry Chan

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