I would like some advice about a patient.
The patient presents with a >1yr Hx of wrist pain, with an incidious onset and increase in sx.
Pmh of 2x wrist # many years ago but nil else of note.
Her pain follows a mechanical pattern, and her symptoms are focused on the wrist joint area with ocaisional radiaion 3" up the arm on the palmar aspect.
She has full ROM, with P @ EOR on all mvts and no creps.
She has pain on muscle contraction which limits acurate Ax of true strength. PAMs are painful but not stiff, and on palpation she is acutely tender over the dorsal aspect of the wrist.

I am suprised there seems from the history and ax to be no inflam component.

Any ideas

Sorry for all the abreviations

Similar Threads: