Differential Diagnosis for Right Wrist Pain and Numbness
Single Most Likely Diagnosis
- Carpal Tunnel Syndrome: This condition is the most likely diagnosis due to its high prevalence and the symptoms of wrist pain and numbness, which are classic presentations of median nerve compression at the wrist.
Other Likely Diagnoses
- Wrist Tendinitis: Inflammation of the tendons surrounding the wrist can cause pain and numbness, especially if the tendons are compressed or irritated.
- Wrist Sprain or Strain: Injury to the ligaments or muscles around the wrist can lead to pain and numbness, particularly if there is associated swelling or bruising.
- Ganglion Cyst: A benign lump that can develop on the wrist, potentially causing pain and numbness if it compresses nearby nerves.
Do Not Miss Diagnoses
- Acute Compartment Syndrome: A medical emergency where increased pressure within the muscle compartments of the wrist can lead to nerve and muscle damage, requiring prompt surgical intervention.
- Infection (e.g., Cellulitis or Abscess): Bacterial infections in the wrist area can cause severe pain, swelling, and numbness, necessitating urgent antibiotic treatment or drainage.
- Fracture: A broken bone in the wrist can cause pain and numbness, especially if the fracture affects the nerves or blood supply to the hand.
Rare Diagnoses
- Thoracic Outlet Syndrome: Compression of the nerves or blood vessels that pass from the neck into the arm can cause wrist pain and numbness, although this is less common.
- Peripheral Neuropathy: Damage to the peripheral nerves can cause numbness and pain in the wrist and hand, often associated with systemic diseases like diabetes.
- Tumor (e.g., Soft Tissue Sarcoma): Although rare, tumors in the wrist area can cause pain and numbness due to compression of nerves or invasion into surrounding tissues.