Osteoarthritis (OA) of the Wrist Book Now

Osteoarthritis (OA) of the Wrist

Osteoarthritis (OA) occurs when cartilage deteriorates. This smooth, flexible tissue acts as a cushion, protecting the bones’ ends and enabling them to move effortlessly against one another.

In the wrist, the gradual breakdown of cartilage can lead to direct bone-on-bone contact, hence resulting in friction and inflammation. This may cause pain, as exposed bone contains nerve endings. Over time, changes in the joint’s structure can further increase discomfort and limit the wrist and hand’s range of motion.

Symptoms

Osteoarthritis of the wrist is characterised by a variety of symptoms, including:

  • Pain or tenderness
  • Swelling
  • Stiffness
  • Reduced range of motion
  • Warmth or discoloration
  • Decreased grip strength or hand function
  • A joint sound (crepitus) during wrist movement
  • A feeling of locking or catching of the wrist joint
  • Trouble using hands

Diagnosis

During wrist OA diagnosis, your doctor will begin by asking about your symptoms and medical history, followed by a physical examination. This includes assessing specific parts of concern, particularly those linked to the purpose of your appointment.

Additional diagnostic tests and procedures include:

X-rays

X-rays use high-frequency electromagnetic radiation to create images of bones and internal structures. They assist in identifying issues related to osteoarthritis.

MRI (magnetic resonance imaging)

MRI scans provide detailed pictures of body structures using radiofrequency pulsations, a magnetic field and a computer. In some cases, a contrast agent may be injected to enhance imaging. MRI offers greater detail, mostly for soft tissues and joint structures. However, it may not be suitable for individuals with pacemakers or metal implants.

Blood tests

A blood test is widely used to screen disease and analyse various body substances, including blood cells, minerals, hormones, and proteins.

Treating and Managing Osteoarthritis of the Wrist

While osteoarthritis has no cure, several management strategies can help relieve symptoms and slow its progression.

Exercise and physical therapy:

Engaging in physical therapy can help maintain wrist flexibility and preserve the range of motion. A physical therapist may recommend specific workouts to relieve OA symptoms including:

  • Range-of-motion exercises.
  • Aerobic exercise.
  • Strengthening exercises.

Heat and cold therapy:

Both heat and cold applications can provide relief from wrist OA symptoms. Heat therapy, like paraffin wax bath, improves circulation by widening blood vessels to help ease wrist stiffness and discomfort. On the other hand, cold therapy reduces swelling and inflammation by constricting blood vessels. Applying an ice pack wrapped in a towel to the affected area can help manage pain.

Wrist braces and straps:

Various wrist supports serve different purposes. For instance, resting splints hold the wrist and hand in position when at rest to help reduce strain. Working splints support proper wrist positioning during daily activities.

Before purchasing a wrist strap or brace, it is ideal to consult with a healthcare provider to identify the correct fit and type for use.

Additional Treatment Options

Apart from home remedies, providers may suggest the following treatments to assist in managing wrist osteoarthritis:

Medications:

Several medications can help relieve pain and inflammation associated with wrist OA:

  • Analgesics – Pain relievers like ibuprofen or acetaminophen can help manage discomfort and inflammation.
  • Topical pain relief – NSAID-based creams and gels can be applied directly to the wrist to relieve localised pain. Capsaicin creams, derived from cayenne pepper, may also help lessen pain.
  • Corticosteroid injections – If non-prescription oral or topical medications are not working, your provider may administer steroid injections directly into the joint. These help reduce inflammation and provide relief for many months.

Surgical options:

If non-surgical treatments fail to provide relief, surgery may be recommended. Prevalent surgical procedures comprise:

  • Proximal row carpectomy – Involves removing three carpal bones near the forearm to reduce pain while preserving wrist motion.
  • Fusion (arthrodesis) – Damaged cartilage is removed, while wrist bones are fused so as to form a single solid structure. This eliminates pain but restricts movement.
  • Wrist replacement – Involves replacing damaged cartilage and bones with artificial joints made of plastic or metal. Nevertheless, this is a less common option compared to other surgical treatments.

Conclusion

Osteoarthritis of the wrist is a degenerative disorder that leads to pain, stiffness, and restricted movement. OA is not curable, but available treatments may relieve symptoms and improve function. Early diagnosis and intervention can slow progression and reduce joint damage.

Schedule an appointment with our experts today to explore treatment options and find the relief you want.