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Sunday, October 25, 2009

I've sprained my wrist, it really hurts, what could i use/do to stop the sharp pains?

i was on a fairground ride yesterday , you know the one, known as ''The Rotor'' where you all stand in a circular thing %26 it spins, The gravity makes you stick 2 the wall, and the aim is to reach the blue thing in the middle before it stops with you still stuck on the wall. i was on that and i was trying to reach it %26 because the ride hadnt stopped it thrown me back onto the wall %26 i fell over %26 sprained my wrist. I've Been to A%26E And they just said its sprained. Is there anything i can use/do to make the sharp pains every so often stop? its really hurting.
Answer:
Rest Ice Compression ElevationAnalgesia
- paracetamol (= acetaminophen)
- ibuprofen
These simple pain relief medications are usually well tolerated. They can be useful if you don't have any allergy/intolerance to them.Sling/splint
well i have broken and sprained myself plenty of times...so i would say just get it in a splint and ice that bad boy!!
rub with tiger balm and wear a warm sock that goes up your arm. move it a lot- keeps blood flowing there and helps to heal.
You must have seen a young house officer in A%26E. He's likely right, but there's an old maxim in emergency medicine, "There's no such thing as a sprained wrist in the emergency department." It should be immobilized in a cast or splint until the pain's gone, and ice packs and simple analgesics, or perhaps even narcotics, used until the pain subsides. There are several bones in the wrist, the navicular being the most infamous, known for their propensity to break but not show the fracture on x-ray, so it pays to be conservative with these things.
For the pain, you can:
-use ice. It also helps reduce swelling and thus speeds healing. Use crushed ice in a bag, wrapped in a towel (or a bag of frozen peas / veggies!) for up to 20 min. at a time %26 no more than once every two hours.-use a mild pain medication. Something with anti-inflammatory properties (e.g. ibuprofen) has the added benefit of reducing inflammation and thus helps healing.Aside from that, you may want to:
-support and protect it - use taping / a splint / a tensor bandage to prevent further damage.-rest it. Don't use it for anything that causes pain.-mild compression (e.g. a tensor bandage) during the first two hours and elevating it (keeping it above your heart) are good for minimising swelling.

-gentle movement reduces swelling, helps circulation and speeds healing. Discontinue if it causes an increase in pain.Until it is post acute (i.e. after 48 hours), avoid heat, alcohol and massage as they can increase inflammation and slow healing.If it is causing you sharp pain after two days, ask a doctor to look at it and ask her if you should have an X-ray. Although the navicular bone is safe (it is in the foot), your hand / wrist has other small bones with poor blood supply (meaning they may not heal if a facture is left untreated) , so don't ignore lasting sharp pain.

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