hand/wrist pain (for a friend)
This is for a colleague so the details are less than optimum.
History: He had a fall about 2 months ago and partly landed on left hand. He is right handed.
Current: Pain on palpation on palmar side of hand in the area of pisiform/hamate/triquetrum.
Major pain in same area if wrist is flexed and especially if pinky finger flexion is resisted. Some if 4th digit flexion is resisted.
Light pain in area with just normal unresisted wrist flexion and extension. No tingling or numbness noted. Gripping to make a tight fist (or grip a golf club) he can "feel it" but not the intense pain.
His questions are along the lines of:
Is doing nothing and waiting causing any long-term harm?
What if it was a fracture of the wrist - two months out now would there be any course of treatment other than doing nothing?
I told him to get seen but also that I'd ask here.
Thanks.
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