- Post-traumatic Arthritis
Post-traumatic arthritis occurs when the joint surface wears away following an injury to the wrist joint cartilage. Post-traumatic wrist arthritis most commonly occurs when there is a fracture of the wrist that involves the cartilage surface of the joint. If the fracture extends into the joint surface, the cartilage can become uneven, and prone to wrist arthritis.
- Wrist Instability
Wrist instability occurs after injuries to the small ligaments and bones in the wrist called the carpal bones and the carpal ligaments. When these structures are injured, the normal movements of these bones become abnormal--this abnormal movement can wear away the cartilage of the wrist joint.
- Rheumatoid Arthritis
Rheumatoid arthritis is among the most common causes of wrist arthritis. Rheumatoid arthritis is a systemic problem, meaning it affects the entire body. Rheumatoid arthritis causes inflammation of joints; this inflammation can become so severe that it leads to destruction of the normal bones and cartilage.
Wrist arthritis common leads to the following symptoms:
- Wrist pain
- Swelling around the joint
- Difficulty gripping objects
Patients with rheumatoid arthritis commonly have inflammation of the finger joints in addition to having arthritis of the wrist.
What treatments are available for wrist arthritis?
- Lifestyle Modifications
Many patients with symptoms from wrist arthritis can find successful relief simply by modifying their activities. Avoiding certain movements or avoiding lifting and carrying heavy loads may provide relief from wrist arthritis.
- Wrist Splint
Support braces can help patients who have wrist arthritis. These braces act as a gentle support to wrist movements. They will not prevent severe injuries, but may help you perform simple activities.
- Heat Applications
Heat applications are among the most commonly used treatments for wrist arthritis. How do you perform heat applications? And how long should the heat treatments last? Read on for more information about heat treatment...
- Anti Inflammatory Medications
Nonsteroidal anti-inflammatory pain medications, commonly referred to as NSAIDs, are some of the most commonly prescribed medications, especially for patients with pain caused by problems such as wrist arthritis.
- Cortisone Injections
Cortisone is a powerful medication that treats inflammation, and inflammation is a common problem in patients with wrist arthritis. Discuss with your doctor the possible benefits of a cortisone injection for your wrist arthritis.
Can surgery be performed for the treatment of wrist arthritis?
Surgery is most often not needed in the treatment of wrist arthritis, but can be performed when symptoms are severe and other treatments have not provided relief. Surgical procedures include:
A wrist fusion is a procedure that eliminates all movement at the wrist joint by securing the bones of the forearm to the bones in the wrist and hand. A fusion provides predictable relief of pain from wrist arthritis, but the loss of motion can prevent some normal activities.
A proximal row carpectomy is a procedure to remove three of the small bones from the wrist joint. By removing the arthritic bone, pain is diminished. Because there is no fusion, motion is preserved. Proximal row carpectomy is only an option for some types of wrist arthritis, but can provide excellent pain relief while preserving motion.
A wrist replacement surgery is performed to remove the damaged bone and replace it with a metal and plastic implant. Not many wrist replacements are being performed, and the results are not as predictable as some other surgical procedures (such as knee replacements and hip replacements). In the future, wrist replacement surgery may be the standard treatment for severe wrist arthritis. Last updated: 11/16/2005