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Treatments and drugs
By Mayo Clinic staffTreatments for wrist problems vary greatly, depending on the type, location and severity of the injury, as well as on your age and overall health.
Medications
- Pain relievers. Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin, others) and acetaminophen (Tylenol, others), may help reduce wrist pain. Stronger pain relievers are available by prescription.
- Corticosteroids. If your wrist pain is being caused by inflammation, your doctor may inject the area with cortisone, a powerful anti-inflammatory drug.
Therapy
If you have a broken bone in your wrist, the pieces will need to be aligned so that it can heal properly. A cast can help hold the bone fragments together while they heal.
If you have sprained or strained your wrist, you may need to wear a splint to protect the injured tendon or ligament while it heals. Splints are particularly helpful with overuse injuries caused by repetitive motions.
Surgery
In some cases, surgery may be necessary. Examples include:
- Severely broken bones. Surgeons may need to hold the fragments of bone together with metal hardware.
- Carpal tunnel syndrome. If your symptoms are severe, you may need to have the tunnel cut open to relieve the pressure on the nerve.
- Tendon or ligament repair. Surgery is sometimes necessary to repair tendons or ligaments that have ruptured.
- Swigert CR. Hand and wrist pain. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/153033877-3/872097449/1807/301.html#4-u1.0-B978-1-4160-3285-4..10044-0_1249. Accessed Aug. 7, 2009.
- Questions and answers about sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Sprains_Strains/default.asp. Accessed Aug. 7, 2009.
- Swigert CR. Common etiologies for hand and wrist pain. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/153033877-3/872097449/1807/302.html. Accessed Aug. 7, 2009.
- Anderson BC. Evaluation of the adult patient with wrist pain. http://www.uptodate.com/home/index.html. Accessed Aug. 7, 2009.
- Upton DS, et al. Acute wrist injuries in children and adolescents. http://www.uptodate.com/home/index.html. Accessed Aug. 10. 2009.
- Upton DS, et al. Causes of chronic wrist pain in children and adolescents. http://www.uptodate.com/home/index.html. Accessed Aug. 10. 2009.
- Wrist pain. In: Ferri FF. Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/153069597-3/872221634/1701/1152.html#4-u1.0-B978-0-323-04134-8..50051-3--cesec8_15127. Accessed Aug. 7, 2009.
- Bone X-ray (radiography). Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=bonerad. Accessed Aug. 11, 2009.
- CT: Body. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=bodyct. Accessed Aug. 11, 2009.
- General nuclear medicine. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=gennuclear. Accessed Aug. 11, 2009.
- MRI of the musculoskeletal system. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=muscmr. Accessed Aug.11, 2009.
- Wrist arthroscopy. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00001. Accessed Aug. 11, 2009.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Aug. 11, 2009.
