Osteoarthritis, or "wear and tear" arthritis, is a common degenerative disease that can affect any joint in the body. Osteoarthritis of the wrist happens when the smooth cartilage (cushioning) at the end of the bones at the wrist joint wears away, causing friction and inflammation. Symptoms include pain, swelling and immobility. If left untreated, the bones that make up the wrist can lose their normal shape, resulting in more pain and less mobility. Typically seen in older people, the condition usually comes on gradually over time, and injury (like a broken wrist) can increase the chance of developing it.
Diagnosing Osteoarthritis of the Wrist
Physical Exam
Your physician will ask you a series of questions and is likely to do a physical exam. The physical exam will including examining any specific areas of concern, especially as they relate to the reason for your visit to the office.
X-Rays
A form of electromagnetic radiation with very high frequency and energy. X-rays are used to examine and make images of things such as the bones and organs inside the body.
MRI
This test uses a magnetic field, radiofrequency pulses, and a computer to produce detailed images of body structures in multiple places. You may be injected with a contrast agent for better imaging, and you will most likely lie on a moving table as pictures are taken. MRI is a more detailed tool than x-ray and ultrasound and for certain organs or areas of the body, it provides better images than CT. MRI may not be recommended if you have a pacemaker or other metal implants.
Blood Tests
A common tool for disease screening, blood tests provide information about many substances in the body, such as blood cells, hormones, minerals, and proteins.
Treatments for Osteoarthritis of the Wrist
Bracing/Splinting
A splint, also known as a brace, is a rigid device that holds a body part in place so that it is unable to move. It is usually used as a treatment for a suspected fracture, sprain/ligament damage, or other injury. It can be applied by first responders in the event of trauma. Splints can reduce pain, aid in proper healing, and can also prevent further injury. They can be worn for several days or weeks to hold the body part in place for the duration of healing time.
Activity Modification
Physicians may prescribe general lifestyle changes to a patient, in order to help relieve the symptoms of their condition and improve their overall physical function and well-being. Depending on the medical condition being treated, activity modification may include: decreasing or increasing one's level of physical activity; added rest; beginning a new activity or exercise program; changing sleep habits; or modifying one's physical environment at home, in their vehicle, or at work.
Corticosteroid injections
Also known as cortisone shots, these are injections that may help relieve pain and inflammation in a specific area of the body. Cortisone shots are most commonly given into joints — such as the ankle, elbow, hip, knee, shoulder, spine, and wrist.