This is an automatically translated article.
The article is professionally consulted by Master, Doctor Luu Thi Bich Ngoc - Radiologist - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International Hospital
Wrist pain makes it difficult for patients to move and perform daily activities. Failure to diagnose and treat early can have serious consequences. With the advancement of modern medicine, many medical techniques have been introduced to diagnose wrist joint pain.
1. About wrist joint pain
1.1. What is wrist pain? When you suffer a strong impact or accident to the wrist joint will cause pain symptoms. This condition can be a sign of a cracked, cracked, or broken wrist joint. Wrist pain reduces the patient's quality of life.
1.2. Symptoms Depending on the severity of the injury, patients with wrist pain will experience symptoms such as:
Sharp to severe pain in the wrist location Tingling sensation, especially at night or early in the morning . Numbness in the hands If these symptoms do not improve after applying heat, apply cold. On the contrary, if they become more severe, you should see a specialist.
1.3. Causes of Physical Injury:
Wrist bones are impacted by strong forces such as: Sudden collision, resisting when falling... will lead to injury. Mild cases can lead to sprains, dislocations, or severe cases that can lead to fractures and fractures.
Wrist abuse:
When the nature of your work makes you often abuse your wrist position, over time the wrist will be degenerated and damaged. Some jobs involve a lot of wrists such as: Tennis, badminton, long-distance driving, playing the cello,...
Những môn thể thao sử dụng cổ tay nhiều sẽ dễ dẫn đến thoái hóa và tổn thương
Sports injuries:
With strong neck movements such as bowling, golf... athletes are at risk of injury.
Arthritis and Rheumatoid Arthritis
When the cartilage layers at the ends of bones degenerate, it causes inflammation and pain in the wrist. On the contrary, rheumatoid arthritis is a dangerous disease. The disease is caused by white blood cells attacking healthy tissues of the body. Rheumatoid arthritis patients will experience mild to severe wrist pain.
In addition, some diseases such as carpal tunnel syndrome, lymphadenopathy, and Kienbock's disease can all cause wrist pain.
2. Diagnosis of wrist pain by any medical technique?
Before performing any test, the doctor will perform a clinical diagnosis such as:
Check wrist flexibility by asking the patient to move the wrist. Let the patient hold any object to assess the ability to grasp Some tests are done to diagnose wrist pain such as:
2.1. X-ray X-ray is an imaging technique that uses X-rays. X-ray images allow to detect signs of bone fractures, fractures or bone degeneration.
2.2. The development of medicine has given birth to imaging techniques such as computed tomography (CT scan), magnetic resonance imaging (MRI). This method provides detailed and sharp bone imaging results.
CT scan is considered safe and non-invasive because it does not handle X-rays.
2.3. MRI This is the most modern imaging technique. An MRI scan is performed using a strong magnetic field and radiofrequency to produce 3D images of wrist joint problems.
Chụp MRI là phương pháp hiện đại nhất để chẩn đoán đau khớp cổ tay
2.4. Wrist arthroscopy Doctors when the exact cause and condition of wrist pain cannot be determined, will ask for wrist arthroscopy.
The doctor will make a small incision on the patient's wrist. Then insert the specialized device inside the wrist joint. At the top of the device is a camera attached to help monitor the condition of the wrist joint. The endoscope image is displayed on the computer screen.
2.5. An electromyogram (EMG) may be ordered if your doctor suspects carpal tunnel syndrome.
2.6. Ultrasound Ultrasound uses high frequency to determine the extent of nerve enlargement and the presence of cysts or carpal bursitis. The technique is highly appreciated by experts for its image accuracy. At the same time, provide a complete picture of the health of tendons, ligaments and cysts (if any).
In addition, there are a number of paraclinical tests used to help doctors diagnose wrist pain such as blood tests, urine tests, joint fluid tests...
3. Treatment of wrist joint pain
After performing the tests, the doctor's diagnosis will be based on the level and location of pain to give appropriate treatment.
3.1. Use of drugs The purpose of treatment is to use drugs to improve pain in wrist joints. This method is applied to patients with mild wrist pain symptoms. Prescribed drugs, including: Painkillers Paracetamol, Ibuprofen...
To achieve high effectiveness in the treatment of the disease, patients need to ensure strict adherence to the dosage and duration of the drug. It also reduces the risk of risks and side effects caused by overdosing or underdosing. Some side effects may occur when taking the drug such as: ulcers, stomach pain; negative effect on liver and kidney...
Người bệnh có thể sử dụng thuốc để cải thiện các cơn đau khớp cổ tay nhẹ
3.2. Therapeutic therapies When the wrist joint is painful due to cracking or minor fracture, the patient needs to perform
cast or wear a brace to fix the injury location. At this time, the specialist will straighten the bone fragments into place. Over time with the action of the drug, the wound in the wrist joint will heal on its own.
Wearing a brace, in addition to healing bones, is also applied when sprains, ligaments are torn, ... When wearing a brace, the patient will limit movement and move the wrist joint, facilitating the process. joint rehabilitation.
In addition, the doctor will guide the patient in some movements to restore the function of the wrist joint.
3.3. Surgery Surgery is a very rarely used treatment for patients with wrist pain. However, when the patient does not respond to the above methods, surgery will be indicated.
In addition, the following cases will also be indicated for surgery:
Serious fracture Patient with carpal tunnel syndrome Tendon or ligament rupture Vinmec International General Hospital is a high quality medical facility in Vietnam has a team of highly qualified, well-trained and experienced doctors and nurses in the country and abroad.
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