Ulnar-Sided Wrist Pain

Ulnar-sided wrist pain refers to discomfort or pain experienced on the ulnar side of the wrist, which is the side of the little finger. This type of pain can be caused by various factors and conditions affecting the bones, ligaments, tendons, and nerves in this area.

Causes

  • Ulnar impaction syndrome: A condition where the ulna bone is longer than the radius bone, causing the ulna to impact against the wrist bones, leading to pain and inflammation.
  • Triangular fibrocartilage complex (TFCC) injuries: The TFCC is a ligamentous structure that supports the wrist joint. Injuries to this area can cause ulnar-sided wrist pain.
  • Ulnar tunnel syndrome: Compression of the ulnar nerve as it passes through Guyon's canal in the wrist, leading to numbness, tingling, and pain on the ulnar side of the hand.
  • Ganglion cysts: Non-cancerous lumps that can develop on the wrist joint, causing pain and discomfort.
  • Wrist fractures or sprains: Traumatic injuries to the wrist bones or ligaments can cause ulnar-sided wrist pain.

Symptoms

Common symptoms of ulnar-sided wrist pain include:

  • Pain or tenderness on the ulnar side of the wrist
  • Numbness or tingling in the little finger and ring finger
  • Weakened grip strength
  • Difficulty rotating the wrist or forearm
  • Sensitivity to pressure or touch on the affected area

Diagnosis

Diagnosing ulnar-sided wrist pain typically involves a combination of:

  • Medical history and physical examination
  • Imaging tests, such as X-rays, MRI, or CT scans, to evaluate the bones and soft tissues in the wrist
  • Nerve conduction studies or electromyography (EMG) to assess nerve function

Treatment

Treatment for ulnar-sided wrist pain depends on the underlying cause and may include:

  • Conservative management, such as rest, ice, compression, and elevation (RICE)
  • Pain relief medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections
  • Physical therapy to improve wrist mobility and strength
  • Surgery, in some cases, to repair or remove damaged tissues or to realign the bones

Prevention

To prevent ulnar-sided wrist pain, it is essential to:

  • Maintain good wrist posture and avoid repetitive strain injuries
  • Use proper techniques when performing activities that involve the wrist, such as lifting or bending
  • Strengthen the muscles in the forearm and wrist through exercises and stretching
  • Avoid smoking, which can reduce blood flow to the wrist and increase the risk of injury

Article last updated on: 6th June 2025.
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