There are a number of specific causes of wrist and hand pain, which include:
- Carpal tunnel syndrome is relatively common. Compression of the median nerve supplying the hand results in tingling, numbness and sometimes pain and weakness, often worse at night and usually in the thumb, index and middle fingers.
- Trigger Finger/Thumb – This occurs when the tendon to a finger or thumb gets stuck and causes the movement to stick. A triggering will be felt in the palm at the base of the affected digit
- De Quervains Tenosynovitis – Repetitive activity in the thumb can cause inflammation in the tendons supplying the thumb at the wrist.
- Osteoarthritis (OA) – This can affect wrist, thumb and fingers. It is rare below the age of 45 unless there is a history of previous joint injury. Onset is normally gradual over a few years with increasing pain and discomfort.
- Ganglion – A smooth fluid filled swelling is not uncommon around the hand and wrist (foot and ankle as well!). It is best left alone initially (several months) as they will often resolve with no treatment. If there is any clinical doubt around diagnosis please see your GP.