Pain in the wrist after a fall with outstretched hand: Possible scaphoid fracture.

Patient : I fell down a flight of stairs 3 1/2 weeks ago landing on my hand, and went to A&E as my wrist was very painful, particularly under the thumb. I was x-rayed for a suspected scaphoid fracture but as nothing showed up I was given a wrist and thumb velcro splint and asked to return in 2 weeks for further x-rays. I returned only a week later due to pain in my wrist and tingling and numbness in my thumb and index finger. I was then put into a scaphoid cast for the pain and told to return in a week. The following week the cast was removed and I was re x-rayed. Again no fracture was seen and I was diagnosed with a sprain and given another wrist splint (no thumb). I saw my my GP shortly afterwards (for an unrelated issue) and was advised to rest the wrist and take ibuprofen for the swelling and pain. My parents then insisted I see a second GP back at home, who advised me to use the wrist more and try some home physiotherapy exercises (flexion-extension, side-to-side, rotation). I have tried this for a few days but am still in pain and have occasional tingling down the outer side of my thumb. What should my next action be?
Doctor :   Sometimes the scaphoid fractures are really hard to see in the X-rays, so the best imaging study to visualize them is th e CT scan. In your case the way you fell, your age, and the pain under the thumb, is typical of an scaphoid fracture, and most of the orthopedic surgeons treat such cases as the mentioned fracture even with x rays showing no fracture, and they order CT scan right away or after 2 weeks of the trauma. I suggest that you get an evaluation by an orthopedic surgeon or a hand specialist.

Related Q&A

Q: My 14 month old has muscle joint contractures in both legs, but much worse on the left side. This is preventing him f...

Q: My elbow did something weird (as in I felt it slide out of place and back) and now I can't fully straighten it, what ...

Q: This is probably 2 separate issues. On June 12th, I fell 10ft but I am still having problems with constant burning pa...

Q: Hi i am 29year old male. I have shoulder joint pain from at least 10 years. I feel my plams are slightly numb when i ...

Q: Well, I just came home from my friends house, and I just noticed that my middle finger was hurting whenever I squeeze...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon