Wrist Arthritis
Overview
Wrist arthritis is degeneration of the wrist joint, causing pain, stiffness and reduced grip strength, often following prior injury or wear over time.
Symptoms
Wrist pain with movement or gripping, stiffness, swelling, and reduced range of motion, which may worsen with activity.
What Causes It?
Prior wrist fracture or ligament injury, repetitive strain, and inflammatory conditions such as rheumatoid arthritis are common causes.
When Should I See a Hand Surgeon?
See a hand surgeon if wrist pain and stiffness persist and limit daily activities despite simple measures.
How Dr. Safwat Evaluates It
Clinical examination of wrist range of motion, swelling, and areas of tenderness.
Investigations
X-rays assess joint space narrowing and alignment; MRI is occasionally used to evaluate cartilage and ligament status.
Non-Operative Treatment
Splinting, activity modification, anti-inflammatory medication, and joint injections.
When Surgery May Be Recommended
Surgery is considered when pain and disability persist despite conservative treatment.
Procedure
Surgical options range from partial wrist fusion to total wrist fusion or replacement, chosen based on the pattern of arthritis and patient needs.
Recovery
Recovery varies by procedure, generally requiring immobilization for six to eight weeks followed by hand therapy.
Expected Outcomes
Surgery typically provides good pain relief, with fusion procedures trading some motion for stability.
Risks
Infection, stiffness, nonunion (with fusion), and implant wear (with replacement).
Frequently Asked Questions
Will I lose wrist movement after surgery?
Fusion procedures reduce motion but relieve pain reliably; replacement aims to preserve more motion in appropriate candidates.
Can wrist arthritis be prevented?
Prompt treatment of wrist injuries and avoiding repetitive strain can help reduce the risk of later arthritis.
