Swelling in the Wrist

Wrist swelling is a common clinical situation. Sometimes the swelling is accompanied by pain, sometimes it may not be.

One of the most common conditions in the wrist is the ganglion. Ganglions are benign cysts arising from the sheath of the tendons that move the fingers. Ganglion manifests itself mostly as a small swelling on the back of the wrist, sometimes on the inner side. It can be a few mm or 1-2 cm. It’s usually pretty tough. That’s why patients come to the doctor because they have a bone in my wrist. Although it is usually painless, it can sometimes be painful. Clinically, patients usually complain of visual impairment. Although there are methods such as tying money among the people and massaging with olive oil, such treatments are ineffective. In fact, if there is no complaint, there is no need for treatment. It resolves on its own in most of the cases. As treatment, it is sufficient to protect the wrist from unnecessary excessive movement, rest it and, if necessary, give a wristband and ice application. Antirheumatic creams may also work partially. Rarely, when they are large, the material inside can be withdrawn with the needle, but usually it can be difficult to pull out because the inside of the cyst is filled with a very dense, almost gel-like material.

Another condition that can cause swelling in the wrist is tenosnovits. It is characterized by the collection of fluid along the long axis into the tendon sheaths. The cause is often excessive use or strain of the wrist. Unlike ganglia, it is more likely to be painful. Diagnostic examination, ultrasound or MRI examination is sufficient. As treatment, rest, wristband, ice application, antirheumatic cream and pills are used as in ganglia. Differently, these patients benefit greatly from cortisone injection into the tendon sheath. In stubborn cases, physical therapy can also be applied.

The most important disease group that can cause swelling and pain in the wrist is inflammatory rheumatism. In these diseases, pain and swelling are almost always together. The most important distinguishing feature from other local rheumatism is that it usually holds both wrists together. Often knuckles are also added to the event. In such cases, the swelling in the wrists of the patients is not local and involves the entire wrist. Sometimes the increase in temperature is accompanied by redness. Wrist movements are limited and painful. The patient is typically worse in the morning and has morning stiffness. This stiffness can last for half an hour. In these cases, a blood test is very important in addition to the examination to make the diagnosis. High rheumatic tests in the blood are diagnostic for inflammatory joint rheumatism together with clinical findings. Ultrasound and contrast-enhanced MRI are also helpful in diagnosis. The treatment is carried out according to the related inflammatory joint rheumatism. Medication is indispensable. Sometimes, wrist cortisone injections may also be required. With exercises, freezing of joint movements is prevented. In such cases, the treatment is long-term.

Painful or painless swelling in the wrist is important as it can be a sign of soft tissue rheumatism or inflammatory rheumatism. In such a case, patients should consult a specialist without wasting time.

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