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Wrist Pain (Sprains, Tendonitis, Arthritis & Fractures)

Wrist pain has many causes, from sprains and overuse tendon problems to arthritis, cysts and broken bones. Many settle with a splint, activity changes and exercise, but a bent or out-of-place wrist, numb or pale fingers, or a hot swollen joint with fever needs care right away.

Get urgent or emergency care right away if:

  • The wrist looks bent, twisted or out of place after a fall or other injury, the pain is very severe, or the fingers are numb, tingling, pale or cold. The AAOS says to go straight to urgent care or an emergency room for a very painful injury, a badly bent wrist, or numb or pale fingers (AAOS OrthoInfo). The NHS says a numb or tingling wrist after an injury, a bone through the skin, or a wrist that has changed color, shape or sits at an odd angle means emergency care, without driving yourself (NHS), and that skin that looks blue or grey or feels cold after an injury may mean a broken bone (NHS). MBHA suggests calling 911 or going to an emergency room.
  • Pain gets worse or the hand weakens after a broken bone. Rarely, a broken forearm bone causes dangerous pressure in the forearm or on a nerve at the wrist. The AAOS says to go to an emergency room for severe pain that does not ease or gets worse, severe pain when someone gently straightens your fingers, or new weakness bending your thumb or index finger (AAOS OrthoInfo).
  • The wrist (or any joint) is hot, red and swollen and you have a fever, or feel hot, cold or shivery. The NHS says sudden severe joint pain, trouble moving the joint, and hot, swollen or red skin can be septic arthritis, a serious joint infection that needs urgent help and usually hospital treatment (NHS).
  • Sudden severe pain during an accident, especially with a pop, snap or crack, which the NHS says can mean a torn tendon (NHS) or a broken bone (NHS).
  • Call 911 for sudden numbness or weakness, especially on one side of the body, with a drooping face or slurred speech, which can be a stroke (NHLBI); see our stroke guide.

Don’t wait for a chiropractic, acupuncture or massage appointment, or try a brace or home remedy first, if you have any of these signs.

What is wrist pain?

Your wrist connects your hand to your forearm. MedlinePlus explains that it is several small joints, made up of two big forearm bones, eight small carpal bones, and the tendons and ligaments that tie them together, and lists carpal tunnel syndrome, ganglion cysts, gout, fractures, osteoarthritis, sprains and strains, and tendinitis as common problems (MedlinePlus). This guide covers the main ones.

Who gets it?

MedlinePlus lists sports (falling on an outstretched hand while skating or snowboarding, contact sports, gymnastics), repetitive motions such as typing, assembly-line work or power tools, and diseases such as rheumatoid arthritis (MedlinePlus). About 1 in 6 broken bones treated in U.S. emergency rooms is a distal radius fracture, and in older people with osteoporosis a simple fall can cause one (AAOS OrthoInfo). De Quervain’s tenosynovitis is most common in people in their 40s and 50s and linked to pregnancy and the weeks after birth (AAOS OrthoInfo).

What does it feel like, and what else can it be?

MedlinePlus says pain is the common symptom, with possible swelling, less strength and sudden numbness or tingling (MedlinePlus). The location often points toward a cause:

Your provider will ask about symptoms, check strength and movement, and may order an X-ray or other imaging (MedlinePlus). The NHS says it can be hard to tell whether a wrist is broken, dislocated or badly sprained, so you will probably need an X-ray (NHS).

How long does it last?

It depends. Mild sprains often recover over several weeks, while severe tears can take 6 to 12 months (AAOS OrthoInfo). The NHS says a broken wrist usually takes 6 to 12 weeks to recover (NHS); the AAOS says most distal radius fractures take about 3 months to heal enough for all activities, with full recovery up to a year (AAOS OrthoInfo). Arthritis cannot be cured, but many people get significant relief with treatment (AAOS OrthoInfo).

When to see a provider (not an emergency): the AAOS says even a mild-seeming wrist injury should be checked if it does not improve quickly, because an unrecognized fracture (most often of the scaphoid) can be mistaken for a sprain, and pain lasting more than 48 hours after a sprain needs a doctor (AAOS OrthoInfo). The NHS says to see a doctor for a lump that gets bigger or is hard and does not move (NHS), and for repetitive strain symptoms that are not going away (NHS).

Side by side

Six approaches compared

For every condition we look at the same six approaches: what each involves, what it typically costs, and what a patient can realistically expect.

ApproachWhat it involves Estimated costWhat to expect
Conventional medicine (AMA) A splint or cast, ice, pain relievers by class, hand or physical therapy, selected injections, and surgery for some fractures, tears, cysts and advanced arthritis. Medicare Part B covers medically necessary outpatient physical therapy (20% of the approved amount after the deductible). Without insurance, The Pricer lists about $600 to $2,200 for a straightforward broken wrist managed without surgery and about $9,500 to $16,500 or more with surgery; a basic cortisone shot about $100 to $500. Other costs: being researched. Mild sprains often recover in several weeks; most broken wrists take about 3 months to heal and up to a year to recover fully. Most people with De Quervain’s do well. Arthritis cannot be cured but can be managed.
Chiropractic Hands-on joint work for the wrist, forearm, neck and upper back, soft-tissue work and exercise advice — never on a fresh injury, a deformed wrist or a hot, swollen joint. About $55 to $100 for a self-pay follow-up visit and $90 to $200 for a first visit, per The Pricer. Medicare covers only spinal adjustments for a subluxation. We found little research. A 2016 review found no well-done studies of combined treatment programs for wrist problems other than carpal tunnel, where the evidence did not support them.
Acupuncture Fine needles near the wrist, forearm and hand, alongside splinting, exercise and activity changes. About $90 to $185 per follow-up visit, per The Pricer; community acupuncture about $50 to $90. Medicare covers acupuncture only for chronic low back pain. Small, mixed trials. Reviews suggest possible short-term pain relief for De Quervain’s and other hand and wrist conditions, but call the evidence limited and low in certainty.
Herbal medicine No herb is proven for wrist injuries. Turmeric, arnica gel, vitamin C after a wrist fracture and anti-inflammatory gels (a medicine) are covered below. Cost estimate being researched. We found little research. Two reviews disagree on whether vitamin C prevents a painful nerve-related complication after a wrist fracture. Check every product with a pharmacist if you take a blood thinner.
Massage therapy Gentle soft-tissue work on the hand, forearm and shoulder once an injury has been cleared, often alongside exercise — not on a fresh sprain. One national chain: about $125 to $160 for a 60-minute massage for non-members and about $65 to $90 for members, per The Pricer. Medicare does not cover massage. We found little research on wrist-specific massage. One small trial in arthritis of the arm favored moderate over light pressure; a 2022 review found manual lymph drainage reduced swelling after a broken wrist.
MBHA Wellness Coach Fall prevention, wrist guards for risky sports, workstation and tool set-up, pacing your return to activity, keeping fingers moving, sticking with hand-therapy exercises, bone health and quitting tobacco. Cost estimate being researched. Supports — never replaces — medical care. Fewer falls, better set-ups and steady exercise are the most direct ways to lower the odds of a repeat problem.

Approach 1 of 6

Conventional medicine (AMA)

Most wrist problems are treated without surgery first. The sections below on sprains and TFCC injuries, fractures, tendons and cysts and arthritis add details. Here are the tools doctors, hand therapists and surgeons share.

1. Rest, ice and elevation

For a mild sprain, the AAOS recommends rest from strenuous activity, ice for 20 minutes at a time (never directly on the skin), a snug but not tight elastic bandage, and raising the wrist above the heart (AAOS OrthoInfo). The NHS adds that heat, alcohol and massage can add to swelling in the first couple of days (NHS). For repetitive strain, it says not to rest for more than a few days, because the area can become weaker and less flexible (NHS). If a bone may be broken, take off rings and watches before the hand swells and do not use the arm (NHS).

2. Pain relievers (by class)

3. Splints, braces and casts

The AAOS uses splints for a moderate sprain, De Quervain’s (a removable splint keeping the wrist straight and thumb still, especially at night), a painful arthritic wrist, and a suspected scaphoid fracture that does not show on the first X-ray (2 to 3 weeks, then a repeat X-ray) (AAOS OrthoInfo, AAOS OrthoInfo, AAOS OrthoInfo, AAOS OrthoInfo). The research adds two cautions:

  • In a trial of 43 adults with post-injury wrist pain and no fracture or major ligament injury on MRI, two weeks in a cast meant less movement and worse scores at 2 and 4 weeks than early mobilization, with no difference at 6 weeks (Clementson et al., 2016). Rest is not always better.
  • For scaphoid fractures treated without surgery, a 2025 review found limited evidence that including the thumb in the cast improved union or hand function (Thumb immobilization review, 2025).

4. Hand therapy and physical therapy

The AAOS says formal therapy can be quite helpful after a significant sprain (AAOS OrthoInfo), and that a trained hand therapist can help you regain motion and strength after a scaphoid fracture (AAOS OrthoInfo). The evidence is modest. A Cochrane review of 26 mostly small, high-risk trials after wrist fractures found it insufficient to say which rehabilitation works best (Handoll and Elliott, Cochrane, 2015). A 2022 review found small benefits from exercise and manual therapy, with home exercises comparable to therapist-led ones (Pradhan et al., 2022). A 2026 analysis of 13 trials found supervised therapy beat home programs at 6 weeks for function (Gutierrez-Espinoza et al., 2026).

5. Injections

  • Corticosteroid (cortisone) shots reduce swelling and pain and are used for De Quervain’s and arthritic wrists, though relief in an arthritic joint may be temporary (AAOS OrthoInfo, AAOS OrthoInfo). The AAOS cortisone page says pain may flare for 1 to 2 days first, a shot should generally not be used for tendinitis because of tendon rupture risk, repeated shots raise the risk of infection and tendon tears, and blood sugar can rise for a time in people with diabetes (AAOS OrthoInfo).
  • Platelet-rich plasma (PRP), a concentrate of your own blood: a 2024 review of eight studies called it a promising and safe alternative to steroid injection for De Quervain’s but said larger studies are needed (PRP review, 2024); we read only the abstract.

6. Surgery

Surgery can fix a broken bone, repair a torn ligament, release a stubborn tendon sheath, remove a cyst, or fuse or replace an arthritic wrist. Each is covered in the sections below.

7. Getting back to activity

The AAOS says most people with a distal radius fracture can return to light activities such as swimming within 1 to 2 months of the cast coming off or surgery, and to more demanding ones such as skiing or football between 3 and 6 months after the injury (AAOS OrthoInfo). After a sprain, the NHS advises avoiding strenuous exercise for up to 8 weeks (NHS).

What it costs

  • Physical therapy: Medicare Part B covers medically necessary outpatient physical therapy; after the deductible you pay 20% of the approved amount (Medicare.gov). The Pricer cites about $118 per session on average ($42 to $179) (The Pricer) and says hand therapy can add about $1,200 to $4,000 or more to a recovery (The Pricer).
  • Broken wrist (no insurance): about $600 to $2,200 for a straightforward fracture managed without surgery, roughly $2,000 to $6,500 when bones need resetting in an outpatient procedure, and about $9,500 to $16,500 or more with surgery; a wrist X-ray about $13 to $363 (The Pricer).
  • Cortisone shot: usually $100 to $500 in a medical office, up to $300 to $1,000 or more when the exam, imaging and facility fee are billed separately (The Pricer).
  • Ganglion cyst: self-pay aspiration about $113.50 to $450 and removal about $1,000 to $1,950 (The Pricer). Splints, braces, office visits and imaging: cost estimate being researched.

Find a medical doctor in our directory

Approach 2 of 6

Chiropractic

Some chiropractors treat wrist and hand problems with gentle joint mobilization of the wrist and forearm, adjustments of the neck and upper back, soft-tissue work, and advice about exercise and work habits. We found little research on chiropractic care for wrist problems, so be cautious about big promises.

What the research says

  • Multimodal care: a 2016 Ontario review found no low-risk-of-bias studies of combined treatments for elbow, forearm, wrist and hand problems other than carpal tunnel syndrome and tennis elbow, and the evidence did not support it for carpal tunnel syndrome (Multimodal care review, 2016).
  • After a wrist fracture: a 2022 review of eight trials found adding mobilization with movement to an exercise program showed significant gains in function at 12 weeks, with certainty from very low to high depending on the comparison (Manual therapy review, 2022); most of this work was done by physical therapists.

Safety and cost

Mild soreness, stiffness or headache are common after spinal manipulation and most go away within 24 hours; serious problems such as strokes involving neck arteries are very rare (NCCIH). MBHA suggests never having a wrist adjusted after a fall or injury until a doctor has ruled out a break, and never putting hands-on pressure on a hot, red, swollen joint. The Pricer lists about $55 to $100 for a self-pay follow-up and $90 to $200 for a first visit (The Pricer). Medicare Part B covers only spinal adjustments to correct a subluxation, not other services the chiropractor orders (Medicare.gov).

Find a chiropractor in our directory

Approach 3 of 6

Acupuncture

Acupuncture places fine needles at specific points. The trials for wrist and hand pain are small and mixed, so it is best seen as an add-on for short-term relief, not a replacement for a splint, a cast or an X-ray.

What the research says

  • Hand and wrist conditions overall: a 2022 review of 10 trials (622 people) found acupuncture may be effective and safe for short-term pain and function, but results were mixed: one tenosynovitis trial showed benefit, but none showed a significant benefit for thumb-base osteoarthritis. The authors urged caution (Trinh et al., 2022).
  • De Quervain’s: a 2024 meta-analysis of 14 trials (851 people) found acupuncture beat topical pain medicine and a waiting list for pain and was not statistically different from steroid injection, but the authors said study numbers and quality limit conclusions (Qin et al., 2024). A 2026 comparison ranked it third behind splint plus injection and injection alone, with low to very low certainty (Conservative treatments review, 2026).
  • Part of acupuncture’s benefit in pain studies appears to come from nonspecific (placebo) effects (NCCIH).

Safety and cost

Relatively few complications have been reported; they have come from non-sterile needles and improper treatment, and the FDA requires acupuncture needles to be sterile and single-use (NCCIH). MBHA suggests telling the practitioner about any blood thinner and avoiding needles in a hot, red or swollen joint. The Pricer lists about $90 to $185 per follow-up visit, up to about $230 for a first private visit, and community acupuncture around $50 to $90 (The Pricer). Medicare Part B covers acupuncture, including dry needling, only for chronic low back pain (Medicare.gov).

Find an acupuncturist in our directory

Approach 4 of 6

Herbal medicine

We found no herb or supplement shown to treat a sprain, a tendon problem or a broken bone, and little research on herbal remedies for the wrist. Here is what we did find.

Vitamin C after a wrist fracture

Complex regional pain syndrome (CRPS) is a painful nerve-related problem that can follow a fracture (AAOS OrthoInfo). Two reviews of three small placebo-controlled trials disagree on whether vitamin C prevents it: one found no significant reduction, with low-quality evidence (Evaniew et al., 2015), the other a lower risk in the vitamin C group (Aim et al., 2017). We don’t list doses; ask your surgeon before adding a supplement.

Turmeric

NCCIH says we do not know enough to conclude that turmeric or curcumin helps any health purpose; highly absorbable curcumin products may harm the liver, and turmeric supplements may be unsafe in pregnancy (NCCIH). One 3-month trial of 162 people with hand osteoarthritis found a modest pain benefit from a patented turmeric and Boswellia extract over placebo; we read only the abstract, and it tested a single product (Henrotin et al., 2025). We found no wrist-specific trials.

Arnica gel

A few trials suggest topical arnica helps osteoarthritis, but one small study found it increased pain after calf exercises. It can irritate the skin, should not be used by people allergic to sunflowers, marigolds or ragweed, and may raise bleeding risk with blood thinners such as warfarin (Memorial Sloan Kettering). We found no trials of arnica for wrist problems.

Herbs and your other medicines: ginkgo taken with the blood thinner warfarin is linked to more major bleeding, and St. John’s wort has an overall high risk of drug interactions (NCCIH). Tell your doctor or pharmacist about every herb and supplement, especially before surgery or if you take an NSAID or blood thinner. No herb treats a broken bone, a torn tendon or an infected joint. See our medication safety guide.

Approach 5 of 6

Massage therapy

Massage is part of some physiotherapy for repetitive strain injury (NHS). For wrist problems we found little research, and timing matters.

  • Not on a fresh injury: the NHS advises avoiding massage, heat and alcohol for the first couple of days after a sprain because they can add to swelling (NHS).
  • Swelling after a fracture: in the 2022 manual therapy review, adding manual lymph drainage to usual care after a distal radius fracture reduced hand swelling at several time points (Manual therapy review, 2022). That is a specialized technique, not a general massage.
  • Arthritis of the arm: in a small trial of 42 adults with rheumatoid arthritis in the upper limbs, four weeks of moderate-pressure massage plus self-massage led to less pain, greater grip strength and better wrist motion than light-pressure massage (Field et al., 2013).

The risk of harm from massage appears low, but rare serious problems such as a blood clot, nerve injury or broken bone have been reported, some with vigorous deep tissue massage or in older adults (NCCIH). MBHA suggests skipping massage on a wrist that is hot, red and swollen or has not been examined after an injury. At one national chain, franchise price lists show about $125 to $160 for a 60-minute massage for non-members and about $65 to $90 for members, whose memberships run about $70 to $90 a month (The Pricer). Tips are extra. Medicare does not cover massage therapy (Medicare.gov).

Find a massage therapist in our directory

Approach 6 of 6

MBHA Wellness Coach

Many wrist problems start with a fall or with repeating the same motion, so everyday habits matter. An MBHA Wellness Coach can help you spot and change them, alongside — never instead of — your medical care.

Preventing falls and protecting the wrist

Work and daily-activity set-up

Recovery habits

Another approach

Sprains, ligament tears and TFCC injuries

Wrist ligaments link the wrist bones and keep them in position. The AAOS says a sprain happens when the wrist is bent or twisted forcefully, usually in a fall onto an outstretched hand (AAOS OrthoInfo).

  • Grades: grade 1 (stretched), grade 2 (partly torn, with some loss of function) and grade 3 (completely torn or pulled off the bone) (AAOS OrthoInfo).
  • Treatment: mild sprains usually improve with rest, ice, compression and elevation; moderate sprains may need a splint, then stretching; severe sprains may need surgery to reattach or rebuild the ligament. The ligament usually heals in 8 to 12 weeks, but full recovery can take 6 to 12 months. Some people with severe tears who go untreated, or whose treatment is unsuccessful, develop wrist arthritis over several years (AAOS OrthoInfo).

TFCC injuries. The triangular fibrocartilage complex, on the little-finger (ulnar) side of the wrist, is a common source of ulnar-sided pain, along with the hook of the hamate bone and tendon problems. Symptoms include pain with activity, swelling and sometimes snapping or clicking; initial treatment is usually nonoperative, with splinting and activity changes (Rios-Russo et al., 2021). A 2024 review of eight studies (425 patients) found nonoperative care gave outcomes comparable to surgery, but called the data mixed and scarce and asked for randomized trials (Choi et al., 2024). In athletes who need surgery, peripheral tears are repaired and central tears trimmed (debrided) through the arthroscope (Pace et al., 2024). A hook of the hamate fracture causes pain on the small-finger side of the palm just past the wrist (AAOS OrthoInfo).

Another approach

Fractures: scaphoid and distal radius (broken wrist)

Scaphoid fracture. The scaphoid is a small boat-shaped wrist bone on the thumb side. The AAOS says a break usually follows a fall onto an outstretched hand, with swelling and pain at or near the anatomic snuffbox at the base of the thumb, worse with pinching or gripping. Pain may not be severe and can be mistaken for a sprain, and because parts of the bone have a poor blood supply, healing problems are more common than with other fractures (AAOS OrthoInfo).

  • Diagnosis: the doctor checks for snuffbox tenderness and orders an X-ray. If a break is suspected but not visible, you may wear a splint or cast for 2 to 3 weeks and have a repeat X-ray; MRI or CT can sometimes show it sooner (AAOS OrthoInfo).
  • Treatment: a cast or splint (sometimes for up to 6 months), or surgery if the break is at the waist or nearest the forearm, or if the pieces have shifted (AAOS OrthoInfo). A 2026 review of four randomized cohorts (559 people) with minimally displaced waist fractures found surgery lowered the risk of non-union (a bone that fails to heal), but the pooled non-union rate in the cast groups was 6% and the largest trial found no difference in patient-rated function at 1 or 5 years; the authors called a cast a reasonable first choice (Scaphoid review, 2026).

Distal radius fracture. The AAOS says this break of the forearm bone near the wrist causes immediate pain, swelling and bruising, and the wrist may look bent. A splint is used for the first few weeks, then a cast; a displaced bone may be put back in place, and sometimes surgery with plates, screws or pins is needed. Without surgery the cast usually comes off about 4 to 6 weeks after the break. Almost everyone has some stiffness, which usually keeps improving for at least 2 years (AAOS OrthoInfo). A 2024 meta-analysis of 17 trials (1,730 people) found surgery slightly improved arm function scores and grip strength (Zhu et al., 2024); in people over 60, a 2022 review found a statistically significant edge for a volar plate at one year but said the differences were not clinically important and both approaches were equally effective (Gutierrez-Espinoza et al., 2022). Severe pain that does not improve may be a sign of CRPS (AAOS OrthoInfo).

Another approach

Tendon problems, De Quervain’s and ganglion cysts

Tendonitis and repetitive strain. The NHS says tendonitis is a swollen tendon after an injury, with pain that worsens on movement and sometimes a grating feeling or heat; a mild injury should feel better within 2 to 3 weeks with rest, ice and support, and severe cases may be offered physiotherapy, steroid injections or surgery (NHS). Repetitive strain injury covers pain from repeated use of the wrists and hands, such as typing, hairdressing or power tools; most people get better without further treatment (NHS).

De Quervain’s tenosynovitis. The AAOS says two thumb tendons become irritated in a narrow tunnel on the thumb side of the wrist, causing pain that worsens when you move the thumb, make a fist, grip, turn the wrist or lift a child with your thumbs up; the doctor may use the Finkelstein test (thumb in the palm, wrist bent toward the little finger) (AAOS OrthoInfo).

Ganglion cysts. The NHS says these are smooth, soft fluid-filled lumps, usually on the wrist or hand, that are common, much more common in women, and usually painless. Most go away without treatment; do not try to burst one, and wrist supports and NSAIDs can help if it hurts. Options are needle drainage, a steroid injection or a small operation; after removal a cyst usually does not return, but sometimes it can (NHS). A 2015 review of 35 studies found average return rates of 59% after drainage, 21% after open removal and 6% after arthroscopic removal, with complications in 3%, 14% and 4%; in randomized trials, open surgery cut recurrence by 76% compared with drainage (Head et al., 2015). Our cysts guide covers lumps elsewhere in the body.

Another approach

Arthritis of the wrist

The AAOS says arthritis wears away the smooth cartilage that cushions the wrist, causing pain, stiffness, swelling and less motion. The three common types are osteoarthritis (wear and tear), post-traumatic arthritis (after a broken bone or torn ligament, sometimes developing over many years even with proper treatment), and inflammatory arthritis such as rheumatoid arthritis, an autoimmune disease (AAOS OrthoInfo). The NHS says rheumatoid arthritis usually affects the hands, feet and wrists, and early treatment can reduce joint damage (NHS). See our arthritis guide.

  • Treatment: there is no cure, but the AAOS lists activity changes, a short-term splint, NSAIDs (including gels), exercise with a therapist, steroid injections (relief may be temporary) and contrast soaks; inflammatory arthritis may also need disease-modifying drugs directed by a rheumatologist (AAOS OrthoInfo).
  • Surgery: options include removing three wrist bones to keep some motion, partial or complete fusion (which removes wrist motion but relieves pain), or total wrist replacement, which allows more motion but may need revision. Many people who need surgery are satisfied, especially with pain relief (AAOS OrthoInfo).

A hot, swollen joint with fever is not a flare to ride out; see the warning signs at the top. People with rheumatoid arthritis are at higher risk of septic arthritis (NHS). Our hand guide covers the fingers and thumb.

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This page is for education only and is not medical advice. Costs are typical U.S. ranges and estimates; yours will depend on your provider, location and insurance. Talk with your doctor before starting, stopping or combining any treatment. In an emergency, call 911. See our disclaimer.

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