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What Makes Your Wrists Hurt? 7 Medical Causes

The wrist may be only a small part of your musculoskeletal system, but it’s one of the most complex and delicate structures in the human body. The wrist anatomy consists of several joints, eight bones, tendons, ligaments, nerves, and blood vessels all crammed in a very narrow area. 

That’s why diagnosing wrist pain can be quite tricky. This is not to say that it is not necessary, as we use our wrists a lot - from grabbing and holding onto objects to complex movements like writing and typing. Therefore, wrist pain can be quite debilitating and certainly interferes with one’s daily life. 

We review several major causes of wrist pain in this informative guide.

The Symptoms of Wrist Pain

Wrist Pain Causes Wrist anatomy

Researchers suggest that around 10% of all people suffer from wrist pain. Depending on the underlying cause, the type of wrist pain one can experience varies from tightness and lack of mobility to sharp pain:

  • Sharp and sudden pain in the hand
  • Difficulty moving the wrist or gripping objects
  • Swollen wrist or fingers
  • Redness or warmth around the wrist
  • Numbness or a pins and needles sensation in the hand
  • Symptoms that get worse at night.

Read on to learn about the common medical causes of wrist pain.

1. Arthritis

Wrist Pain Causes elderly man with joint pain

Arthritis refers to joint inflammation that leads to swelling, stiffness, and pain. It's a very widespread issue, and contrary to popular belief, arthritis can affect adults of any age. There are many types of arthritis, but three particular forms known to affect the wrists are:

  • Rheumatoid arthritis - an autoimmune disease that damages and wears down the joints, typically in both wrists. Painful swelling and reduced mobility are common symptoms.
  • Gout - a form of arthritis where sharp uric acid crystals build up in joints and cause pain and swelling.
  • Osteoarthritis - the degenerative type of arthritis associated with wear and tear and advanced age. When the cartilage that surrounds the joints degrades, bones rub against each other, leading to pain and swelling.

Depending on the form of arthritis, causes and treatments vary tremendously. Read more in-depth information about these and other forms of arthritis here - This Guide Will Teach to Identify 8 Types of Arthritis.

2. Carpal tunnel syndrome

Wrist Pain Causes wrist pain

Carpal tunnel syndrome is an extremely painful disease that affects 5% of the population. Anyone, particularly office workers, artists, and manual laborers can be affected by the condition. Carpal tunnel syndrome occurs when the median nerve (the nerve connecting the wrist and the palm) is compressed as a result of friction or inflammation. Symptoms can develop in one or both wrists and tend to get worse at night. One can experience pain, weakness, numbness, or a pins and needles sensation in the palms and fingers (except for the pinkie).

Mild cases of carpal tunnel syndrome are treated by wearing a wrist brace, applying hot or cold compresses, and taking over-the-counter anti-inflammatory (NSAID) medications (e.g. ibuprofen, acetaminophen, or naproxen) to reduce the pain. More serious cases may require steroid medication or even injury. We go into much greater detail on the topic here - Guide: What To Do About Carpal Tunnel Syndrome.

Wrist exercises are also beneficial. Read our article titled 3 Easy Exercises to Prevent Carpal Tunnel Syndrome for some ideas.

3. Ganglion cysts

Wrist Pain Causes Ganglion cyst

If the wrist pain you’re experiencing is accompanied by an apparent bump on your wrist, a ganglion cyst could be to blame. Ganglion cysts are benign lumps filled with fluid. These cysts typically appear on the back of the wrist or hand, and they can either be painless or quite bothersome. The cause of these cysts is unknown, but the American Academy of Orthopaedic Surgeons points out that they appear more often in individuals aged 15-40, women, and gymnasts.

Ganglion cysts can sometimes go away on their own, so your doctor may instruct you to wait and observe. Wearing a splint, draining the ganglion cyst, or surgically removing it may also be instructed by a doctor.

4. Carpal boss

Wrist Pain Causes Carpal boss
A bump on the back of your hand or wrist that’s accompanied by wrist pain may also be a sign of a carpal boss. Also known as a carpometacarpal boss, this is a bony lump that forms where your finger bones meet the bones of the forearm. Unlike a ganglion cyst that’s mobile and somewhat squishy, carpal bosses are firm and immobile bumps.
The causes of a carpal boss are yet to be discovered. It usually occurs in younger adults - between 20 and 40 years of age - according to the American Society for Surgery of the Hand. Apart from at-home treatments like wearing a splint and taking over-the-counter pain relievers, your doctor may recommend steroid injections into the boss or even surgery if the condition is extremely bothersome.

5. Wrist injuries

Wrist Pain Causes injury

A wrist injury is one of the most widespread causes of wrist pain. Protective yourself with your hands as you fall is a common way to injure this area of the body. Swelling, bruises, or disfigured joints in the area are all known symptoms of injury. But remember that an injury can occur even if pain following the fall is the only symptom; this is because nerves and other soft tissues can become injured too. 

Sprains are a common ligament injury of the wrist. When a ligament is overly stretched or partially torn, you will experience pain while moving the wrist, as well as swelling, bruising, or tingling. Wearing a splint, keeping your wrist elevated, resting, cold compresses, and taking NSAIDs to relieve pain can all help heal the sprain faster.

That being said, we highly recommend that you see a doctor and get an X-ray when you experience pain after a fall or any other potentially traumatic event to the wrists. As we already mentioned, the wrist is a very delicate area, and even seemingly-minor trauma could lead to fractures and other serious injuries. If the bones or ligaments don’t heal well, you may be left with chronic wrist pain.

6. Wrist tendonitis

Wrist Pain Causes woman with wrist pain

Inflammation of the tendons, also known as tendonitis, is another extremely common cause of wrist pain. In the wrist area, tendons connect the muscles of the forearms with the hand and finger bones. It is these tendons that allow the hands to flex and extend. When any of these tendons become inflamed, the result is tendonitis. The symptoms of tendonitis are:

  • Morning stiffness
  • Dull pain
  • Grinding sensation when moving the wrist
  • In some cases, minor warmth or swelling.

Tendonitis usually occurs with overuse of the wrists. This can happen with repetitive wrist movements (like typing, writing, playing golf, or tennis) or as a result of injury. At-home care of tendonitis is similar to other conditions that cause wrist pain: rest, immobilization with a splint, icing, hand exercises, and taking NSAIDs.

When these home treatments are not effective, a professional may advise you to get steroid injections directly into the wrist or, in rare cases, surgery.


Related article: 4 Simple Hand Exercises to Alleviate Arthritis Symptoms

 

7. Cubital tunnel syndrome

So you’ve heard about carpal tunnel syndrome already, but what is this cubital tunnel syndrome? Also known as ulnar neuropathy, this condition occurs when the ulnar nerve that goes through your arm gets pinched at the bend right behind the elbow. Sufferers describe the pain they experience when the ulnar nerve is compressed as “being hit in the funny bone,” but the pain may also extend downward and cause pain, numbness, and tingling in the wrist or even the ring and pinky fingers.
Wrist Pain Causes Cubital tunnel syndrome

There are many causes of cubital tunnel syndrome, but the treatment is mainly symptomatic: rest, immobilization with a splint, icing, hand exercises, and NSAIDs. Those suffering from cubital tunnel syndrome are advised against leaning on the affected elbow, as this may increase the pain. Padding the elbow with a soft cushion may also be helpful. Depending on the severity of the condition, symptoms may go away quickly. But in some cases, they never fully resolve on their own, and surgery is required.
 

There are several less common causes of wrist pain too. Here are just a few: 

  • De Quervain’s tenosynovitis - a painful condition caused by inflammation in the tendons surrounding the thumb.
  • Kienbock's disease - an illness that affects young adults and triggers the destruction of one small bone in the wrist.
  • Benign or cancerous tumors in the wrist.
  • Wrist bursitis - the inflammation of the liquid-filled sacs that protect the joints.
  • Systemic lupus erythematosus - a systemic autoimmune disease that can affect the joints.

Minor wrist pain can go away on its own, but you consult your physician if you’re experiencing signs of an infection (fever, warmth, redness), injury (swelling, bruising, deformity, and inability to move the joint), neuropathy (tingling, numbness, sharp pain) or you become gradually less and less capable of using the wrist to carry objects and completing everyday tasks.

In some cases, wrist pain can be a medical emergency. If you have a high fever, your wrist feels warm to the touch, and looks red, seek emergency medical help immediately. This could be a sign of septic arthritis, which is a quickly-developing infection that requires hospital care. Extreme pain and a bluish color to your hand or fingers are also symptoms that require emergency care.

As you can see, quite a wide range of medical conditions can potentially cause wrist pain. Your doctor will be able to arrive at a specific diagnosis with the help of imaging and a variety of medical tests. Take care!

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