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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain In Wrist After A Stress Test

I had a stress test done yesterday to hopefully find the cause of my exertion-triggered dyspnea. They were supposed to do two ABG draws. The first one was done in my wrist and was relatively painless. The second one (done during the cool-down part of the exercise test) was painful and I could feel she hit a nerve and the tech said she needed to try in the elbow since she couldn t hit the artery. When she inserted the needle in the elbow she definitely hit a nerve and I had a painful shock and tingling sensation down my arm, running to my middle finger. I was told I was still not allowed to talk but was obviously in pain. They were not able to collect the second ABG sample. It felt similar to when I had my carpal tunnel test but MUCH more painful. I now have pain in my wrist even though there is pretty much no bruising but I m assuming that s normal. What I am worried about is the fact that any time I fully extend my arm, I have the painful shock all the way down my arm. I want to know if this (the shock/pain sensation) is normal and how long it might take to go away. How long should the wrist pain take to go away and is there anything I can do to minimize it or make it heal faster? I work at an animal hospital and am wondering if I might need to stabilize my wrist.
Tue, 4 May 2021
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General & Family Physician 's  Response
Hello,

Pain in the wrist after arterial blood gas examination may occur due to infection at the puncture site, vessel laceration, local anesthetic anaphylactic reaction, arterial vasospasm or occlusion, local hematoma, nerve injury, etc., that may cause pain and inflammation. You are suggested to give rest to the wrist. Do not do any heavy work. Apply ointment Soframycin on the affected area.

To reduce pain, inflammation and discomfort you can take Combiflam or acetaminophen, one stat after food or when needed. It should get reduced within 72 hours. If not get clinically examined to detect any nerve injury, hematoma, occlusion or vasospam. You may need to do imaging test if required. Get connected to a physical therapist and do wrist exercises so that your discomfort is reduced and you can get back to work.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Suggest Remedy For Pain In Wrist After A Stress Test

Hello, Pain in the wrist after arterial blood gas examination may occur due to infection at the puncture site, vessel laceration, local anesthetic anaphylactic reaction, arterial vasospasm or occlusion, local hematoma, nerve injury, etc., that may cause pain and inflammation. You are suggested to give rest to the wrist. Do not do any heavy work. Apply ointment Soframycin on the affected area. To reduce pain, inflammation and discomfort you can take Combiflam or acetaminophen, one stat after food or when needed. It should get reduced within 72 hours. If not get clinically examined to detect any nerve injury, hematoma, occlusion or vasospam. You may need to do imaging test if required. Get connected to a physical therapist and do wrist exercises so that your discomfort is reduced and you can get back to work. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician