Pain Location Guide
Wrist / Finger / Elbow Pain
手麻、手腕痛、手指卡住或手肘痛可影響工作、家務及睡眠。常見原因包括神經受壓、肌腱發炎、關節退化或骨折。
若手麻夜晚痛醒、手指伸直困難、握力下降或手腕腫痛,建議接受評估。
Common Causes
Common Causes Of Wrist / Finger / Elbow Pain
Pain in the same area may come from different tissues, including joints, tendons, ligaments, nerves or bones. The following are common possibilities, but diagnosis requires clinical assessment.
腕管綜合症
常見夜間手麻、手指麻痺或握力下降。
彈弓指
手指屈伸卡住、彈響或疼痛。
媽媽手
拇指側手腕痛,抱小朋友、扭毛巾或提物時可加劇。
網球肘
手肘外側痛,握物或扭動時加劇。
高爾夫球肘
手肘內側痛,與前臂肌腱負荷有關。
手腕骨折
跌倒撐手後手腕痛、腫脹或變形要排除骨折。
腱鞘囊腫
手背或手腕腫塊可時大時細,需分辨良性囊腫或其他問題。
When To Seek Urgent Medical Help
- 跌倒後手腕變形或劇痛
- 手部麻痺愈來愈嚴重
- 手指不能伸直或握力明顯下降
- 傷口、紅腫或懷疑感染
- 痛楚影響睡眠或工作
How Does The Doctor Diagnose It?
醫生會檢查痛點、肌腱滑動、神經感覺、握力及關節活動。X 光可排除骨折或退化;超聲波可評估肌腱、囊腫或腱鞘;神經傳導檢查可協助判斷腕管綜合症。
Treatment Direction
治療可包括休息、護托、藥物、物理治療或職業治療、注射治療。若神經長期受壓、彈弓指嚴重或骨折移位,才按情況考慮手術。
Rehabilitation And Prevention
復康會針對手腕及手指活動、握力、工作姿勢和重複動作管理,協助逐步回復日常功能。
If pain persists, affects activity or follows an injury, consider booking an orthopaedic specialist assessment.
Book Orthopaedic AssessmentWhen To Seek Help
When Should You See An Orthopaedic Specialist?
If pain persists, keeps recurring or already affects daily life, you should not simply endure it. Early diagnosis can help identify the source of the problem, guide suitable treatment and reduce the chance of worsening or repeated injury.
Pain Does Not Settle
If pain has not improved after one to two weeks, or keeps recurring, consider professional assessment.
Affects Daily Life
If pain affects walking, stairs, work, exercise or sleep, it should not be delayed for too long.
Joint Swelling, Locking Or Instability
Swelling, locking, weakness or repeated sprains in joints such as the knee, shoulder or ankle may involve ligaments, meniscus, tendons or cartilage.
Numbness Or Weakness
Numbness, tingling or weakness in the limbs may be related to nerve compression or spinal problems and should be assessed early.
Pain After Fall Or Sports Injury
Obvious pain, swelling, difficulty moving or inability to bear weight after injury should be assessed to exclude fracture or significant soft tissue injury.
Pain After A Fall In Older Adults
In older adults, even mild pain after a fall may still indicate an occult fracture, especially in the hip, wrist or spine.
Patient FAQ
FAQ
No. Many orthopaedic problems can first be managed without surgery, such as medication, physiotherapy, posture and activity modification, braces, injections or rehabilitation training. The specialist’s role is to identify the cause of pain and recommend suitable options.
In general, it is better to see a doctor first for symptom review and clinical examination, then decide whether X-ray, MRI, ultrasound or other tests are needed. Different pain problems require different tests.
If pain recurs, becomes more frequent, affects exercise or daily activity, or is associated with numbness, swelling, weakness or locking, consider an orthopaedic assessment.
Minor strains may improve with rest. However, if there is obvious swelling, inability to bear weight, instability, limited movement, severe pain or suspected fracture, seek medical care promptly.
Not necessarily. Older adults, especially those at risk of osteoporosis, may still have an occult fracture or spinal compression fracture even if they can walk. Persistent hip, back, wrist or shoulder pain should be assessed.
Many orthopaedic problems benefit from rehabilitation after treatment to improve range of movement, strength, balance and function. The doctor will recommend a suitable plan based on the condition and recovery progress.
Pain does not always need to be endured. Early assessment may help prevent worsening.
Many orthopaedic problems do not require immediate surgery. An orthopaedic specialist will first understand your symptoms, perform a clinical examination and arrange X-ray, MRI, ultrasound or other investigations if needed, before recommending suitable options such as medication, physiotherapy, injections, braces, rehabilitation training or surgery when appropriate.
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