Contents
How to Diagnose Wrist Pain: A Step-by-Step Guide
Published: Jun 04, 2024
Diagnosing wrist pain can be complex, but a systematic approach can simplify the process. This guide outlines key steps for identifying wrist pain causes.
Start with the Patient's History
A thorough history is essential in diagnosing wrist pain. Clinicians should ask about any previous injuries, the patient's occupation, and specific activities that may exacerbate the pain. Understanding whether the pain is associated with systemic symptoms or localized to a specific region can provide crucial diagnostic clues.
Conduct a Physical Examination
The physical exam includes inspection, palpation, and range of motion tests. Special tests like the Tinel test for nerve issues or the Finkelstein test for tendinopathy may be performed based on initial findings. Comparing the affected wrist with the unaffected side can also reveal subtle abnormalities.
Utilize Imaging Studies
Imaging studies are often necessary to confirm a diagnosis. Initial assessments typically involve plain radiographs, but additional tests like MRI or ultrasound may be needed for soft tissue evaluation. These tools can help identify fractures, ligament tears, and other abnormalities that are not visible on X-rays.
Frequently Asked Questions
The first step is obtaining a detailed patient history.
Tests include the Tinel test for nerves and Finkelstein for tendons.
Imaging is needed to confirm diagnoses like fractures or soft tissue injuries.
The Bottom Line
A structured approach can effectively diagnose the source of wrist pain.
References
- Wright-Chisem J, Trehan S. The Hand and Wrist Examination for Video Telehealth Encounters. HSS J 2021; 17:70.
- Nagle DJ. Evaluation of chronic wrist pain. J Am Acad Orthop Surg 2000; 8:45.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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