Medical history (history of illness) is an important component in the diagnosis of wrist arthralgia (wrist pain). Family history Are there any bone/joint conditions in your family that are common? Social history What is your profession? Do you work physically hard in your profession? Current medical history/systemic history (somatic and psychological complaints). Where is the … Wrist Pain: Medical History
Musculoskeletal system and connective tissue (M00-M99). Osteoarthritis, e.g., rhizarthrosis (thumb saddle joint arthrosis) [load-dependent pain at the junction of the thumb (1st metacarpal bone) and the wrist] Chondrocalcinosis (synonym: pseudogout); gout-like disease of the joints caused by deposition of calcium pyrophosphate in cartilage and other tissues; leads, among other things, to joint degeneration (often of … Wrist Pain: Or something else? Differential Diagnosis
The following are the most important conditions or complications that may be contributed to by wrist arthralgia (wrist pain): Musculoskeletal system and connective tissue (M00-M99). Movement restriction/restraint
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Joint (abrasions/wounds, swelling (tumor), redness (rubor), hyperthermia (calor); injury indications such as hematoma formation, arthritic joint lumpiness, leg … Wrist Pain: Examination
2nd-order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein). Uric acid If necessary, rheumatism diagnostics (see at the corresponding clinical picture).
Therapy goals Reduction of pain and thus increase of mobility. Diagnosis finding Therapy recommendations Analgesia (pain relief) during diagnosis until definitive therapy according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, anti-inflammatory drugs / drugs that … Wrist Pain: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-rays of the wrist Computed tomography (CT; sectional imaging procedure (X-ray images taken from different directions with computer-based analysis), particularly well suited for imaging bony injuries) of the wrist … Wrist Pain: Diagnostic Tests
The following symptoms and complaints may indicate wrist arthralgia (wrist pain): Radiating pain into the fingers/forearm. Restriction of movement Gentle posture Tension / hardening of the muscles
General measures Avoidance of: Overloading of the joints, e.g., through competitive and high-performance sports or long-lasting heavy physical stress, e.g., at work. Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: A total of 5 servings of … Wrist Pain: Therapy