Swelling with use Discussion

Hand or wrist swelling with use is a common problem following a local injury, and usually resolves spontaneously. Persistent swelling may indicate an ongoing local inflammatory process, a metabolic abnormality, lymphatic or venous insufficiency, or other underlying problems. Swelling may be obvious with local dilation of visible veins, or be subtle with only a feeling of tightness. Even if a local problem is present, investigation into persistent swelling may involve a metabolic evaluation with blood tests, or vascular evaluation to study the condition of the large veins which drain blood out of the arm. Some patients defy all attempts at diagnosis and remain persistently symptomatic.

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