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What causes pain in left hand wrist?

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Posted on Mon, 25 May 2015
Question: My 58 yr old mom is having pain on her left hand wrist for the last 4 months. By evening wrist is swelling and pain is increasing. She consulted the doctor and took medicines for reducing the pain. Her blood sugar and cholestrol are normal but ESR count is high(56 mm/1hr). What may be the reason for pain?
Doctors prescribtion and lab results are attached for your reference.
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Answered by Dr. Nishad BN (2 hours later)
Brief Answer:
A rheumatologic work out is necessary.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query and reports. Your last doctor has given the diagnosis as De-quervain tenosynovitis. Her ESR level is increased which signify some systemic rheumatologic problem.

Does she have any morning stiffness of joints?
Is this the only joint involved?

Serum uric acid levels, RA factor, ANA profile should be done to rule out rheumatologic problems. Wrist joint X ray also should be taken after examination. A consultation with a rheumatologist or Orthopedician is well appreciated also.
If it is just De quervain synovitis then local cortcosteroid injections will be helpful. Physiotherapy like TENS ,infrared therapy, cold lasers and UST are helpful also.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5336 Questions

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What causes pain in left hand wrist?

Brief Answer: A rheumatologic work out is necessary. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query and reports. Your last doctor has given the diagnosis as De-quervain tenosynovitis. Her ESR level is increased which signify some systemic rheumatologic problem. Does she have any morning stiffness of joints? Is this the only joint involved? Serum uric acid levels, RA factor, ANA profile should be done to rule out rheumatologic problems. Wrist joint X ray also should be taken after examination. A consultation with a rheumatologist or Orthopedician is well appreciated also. If it is just De quervain synovitis then local cortcosteroid injections will be helpful. Physiotherapy like TENS ,infrared therapy, cold lasers and UST are helpful also. Hope this may help you. Let me know if anything not clear. Thanks.