What Causes Wrist Pain?

Kienbock's Disease

Kienbock's disease is rarer than carpal tunnel syndrome. It disrupts the blood as it is on the way to the carpal bones in the wrist. The lunate, one of the carpal bones in the wrist, is in the center of the wrist and it is vital for wrist movement. In the beginning, the disease causes pain. However, as it progresses, it causes the tissue and bone to die, resulting in the immobility of the wrist and arthritis. Typically it will only affect one wrist. If patients notice they have tenderness over the wrist bone, stiffness, lack of grip, swelling, or difficulty turning the hand upward, they might have KIenbock's disease. It typically progresses through four stages, and it is believed to progress quickly. The first stage might not show damage in x-rays, but by the fourth stage, the lunate has deteriorated. When the lunate deteriorates, it causes arthritis in the wrist, and it can be debilitating in the final stage.

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Repetitive Stress

Repetitive stress on the joint can also cause the damage to building up in the wrist, leading to a repetitive strain injury. This occurs when the wrist does repetitive moments constantly, causing the tendons and muscles to become damaged over the course of a significant period. Some activities increase the risk of repetitive stress on the joint like typing, using a mouse, working at an assembly line, swiping items at the checkout, grasping tools, or training for sports. Symptoms may start slowly and then become more consistent and intense. It may even prevent individuals from performing their typical activities. Individuals who have desk jobs are more at risk of developing repetitive injuries. However other occupations can also be at risk. Cooks, cleaners, bus drivers, musicians, and dental hygienists might be at risk as well because they perform the same motions many times over a long time. To diagnose this disorder, the physician will ask patients about their activities and what they do for work, trying to discover what movements they do repetitively throughout the day. The exam will also consist of several motion tests, while also searching for inflammation and tenderness.

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