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PT has pain in thumb and radial side of wrist. There is no trauma. What is the treatment?

User Anmari
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Final answer:

Treatment for wrist pain with no trauma varies based on the diagnosis but typically includes icing, NSAIDs, rest, and in some cases, physical therapy or surgery. Tendinitis and carpal tunnel syndrome are common conditions that can cause such symptoms, and severe cases may require medical intervention to prevent permanent damage.

Step-by-step explanation:

When a patient presents with pain in the thumb and radial side of the wrist without trauma, it's possible that wrist tendinitis or carpal tunnel syndrome could be the cause, among other potential diagnoses. If tendinitis is diagnosed, treatment typically includes icing the affected area, the use of non-steroidal anti-inflammatory medication (NSAIDs) to alleviate pain and reduce swelling, and ensuring the patient rests the wrist completely for several weeks. Due to the risk of condition exacerbation, patients should heed medical advice even if it interferes with activities such as sports, as ignoring symptoms could lead to the need for surgery. For carpal tunnel syndrome, symptoms may be managed with wrist splints or corticosteroid injections, and severe cases may require surgery to alleviate pressure on the median nerve. In the case of a fractured carpal bone like the scaphoid, a radiograph is necessary to confirm the diagnosis and due to its poor blood supply, healing is slow and carries a risk of bone necrosis and joint disease.

Physical Therapy for Wrist Injuries

An appropriate physical therapy plan plays a critical role in recovery. Initially, it may start with applying a heat pack to enhance blood circulation for healing, followed by a regimen of exercises to be performed at home, and icing to decrease inflammation. After completing the physical therapy program, the therapist will evaluate the patient's progress and provide a report to the doctor on the restored range of motion and normal limb function as the wrist recovers its strength and mobility.

User John Hubler
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