Pain in the wrist and top of the hand can significantly interfere with your daily activities, making simple tasks like typing, lifting, and writing more challenging. Whether the discomfort comes on suddenly or develops over time, it is important to identify its root cause and know when professional treatment might be necessary.
Let us explore the common causes of pain in the wrist and top of the hand, providing clear insights into when you should see an orthopedic doctor.
What Causes Pain in the Wrist and Top of the Hand
There are several reasons why individuals may experience pain in the wrist and top of the hand. These causes can range from minor injuries to serious medical conditions.
Understanding these potential causes can help you take appropriate action to address the issue.
Injuries Like Sprains or Fractures
The wrist and hand are made up of many small bones, ligaments, and tendons, making them prone to injury. A wrist sprain occurs when the ligaments are stretched or torn due to a sudden twist or fall.
Fractures, such as a broken wrist bone, commonly occur after falling onto an outstretched hand.
Symptoms to watch for:
- Swelling or bruising around the wrist
- Difficulty moving the wrist or using the hand
- Pain that worsens with touch or movement
If you suspect a significant injury, an X-ray may be required to determine if there is a fracture.
Carpal Tunnel Syndrome
Carpal tunnel syndrome happens when the median nerve, which runs through the wrist, becomes compressed. This condition is often caused by repetitive hand and wrist movements, such as typing on a keyboard or using machinery.
Symptoms to watch for:
- Tingling or numbness in the thumb, index, or middle fingers
- Weakness in the hand
- Pain that may worsen at night
Treatments for carpal tunnel syndrome can range from braces and physical therapy to minimally invasive procedures for severe cases.
Tendonitis
Tendonitis is the inflammation of tendons, often caused by overuse or repetitive motion. For example, De Quervain’s tenosynovitis affects the tendons around the base of the thumb, causing pain that can extend into the wrist and hand.
Symptoms to watch for:
- Pain when gripping or twisting objects
- Swelling near the thumb or wrist
- Difficulty performing tasks requiring thumb movement
Rest, anti-inflammatory medications, and wearing a splint can help alleviate tendonitis symptoms.
Arthritis (Including Rheumatoid Arthritis and Osteoarthritis)
Arthritis is another common cause of pain in the wrist and top of the hand. Rheumatoid arthritis is an autoimmune condition that causes inflammation in joints, while osteoarthritis results from cartilage wear and tear over time. Both forms can affect the hands and wrists.
Symptoms to watch for:
- Joint stiffness and swelling
- Reduced range of motion in the hand
- Pain in the hand and wrist that may be worse in the morning or after periods of inactivity
Treatment for arthritis includes lifestyle adjustments, physical therapy, and medication to manage inflammation.
Ganglion Cysts
Ganglion cysts are non-cancerous lumps filled with fluid that commonly develop along the tendons or joints in the wrist. These cysts may cause discomfort or limit movement if they press against surrounding nerves.
Symptoms to watch for:
- Noticeable swelling or lump on the wrist or top of the hand
- Pain or tingling around the cyst, especially during movement
- Difficulty gripping objects
Minor cases may resolve on their own, but larger cysts often require medical evaluation or removal.
When Should You See a Doctor for Wrist and Hand Pain
While minor discomfort can often be managed at home with rest, ice, and over-the-counter pain relievers, there are situations where professional care is essential. You should consult a hand doctor if you experience any of the following symptoms:
- Persistent pain that does not improve in a few days
- Swelling, redness, or warmth in the wrist or hand
- Numbness or tingling that spreads beyond the hand
- Limited range of motion or inability to use the hand or wrist
- Visible deformities, such as lumps or misaligned bones
Addressing these symptoms promptly can prevent further complications and ensure optimal recovery.
Diagnostic Steps and Treatment Options
When you visit a healthcare professional for wrist or hand pain, they will typically begin with a detailed medical history and physical examination. Depending on the findings, additional diagnostic tests may include X-rays, CT scans, or MRIs.
Treatment plans are tailored to the specific cause of pain and may include:
- Immobilization with splints or braces
- Physical therapy to restore strength and flexibility
- Medications, such as anti-inflammatories or injections
- Minimally invasive procedures for conditions like carpal tunnel syndrome or ganglion cysts
- Surgical intervention in severe or unresponsive cases
Treatment for Pain in Wrist and Top of Hand in Miami Lakes & Plantation, FL
Do not ignore pain in the wrist and top of the hand. Early intervention is key to avoiding long-term damage and ensuring optimal hand and wrist recovery.
At The Orthopaedic Hand and Arm Center, we are dedicated to providing comprehensive orthopedic care for wrist pain, arthritis, carpal tunnel syndrome, and more. Led by board-certified Dr. Tosca Kinchelow, our team focuses on patient education, empowerment, and personalized treatment plans to address your unique needs.
If your wrist or hand pain is holding you back, contact us today at (954) 635-5300 to schedule an appointment. You can also fill out our easy-to-fill appointment request form.
We look forward to serving you!
