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Wrist Arthritis: Causes, Symptoms, and Treatment Options

Wrist arthritis can severely affect your ability to perform daily tasks—from gripping a steering wheel to typing or lifting groceries. If you're experiencing wrist pain, stiffness, or swelling, it could be caused by one of several types of arthritis that affect the wrist joint.

At Midwest Orthopaedics at Rush, our hand and wrist specialists diagnose and treat all forms of wrist arthritis using advanced, personalized approaches. Read on to understand the types of wrist arthritis, what causes them, and how they can be treated.

What Is Wrist Arthritis?

Arthritis is inflammation of one or more joints, and in the wrist, this can lead to pain, stiffness, swelling, and loss of motion. The wrist is a complex joint made up of eight small bones and multiple articulations, which means that arthritis can occur in several places and in different forms.

Types of Wrist Arthritis

Understanding the type of wrist arthritis is critical to choosing the best treatment. Below are the most common types:

Osteoarthritis (Degenerative Arthritis)

Osteoarthritis is the most common form of arthritis and typically occurs due to age-related wear and tear. The cartilage between bones gradually wears away, leading to bone-on-bone contact, joint pain, and stiffness.

  • Who it affects: People over 50, manual laborers, or those with a history of wrist overuse or previous injury.
  • Symptoms: Deep aching pain, decreased grip strength, stiffness in the morning or after activity.

Rheumatoid Arthritis (RA)

RA is an autoimmune condition where the body’s immune system attacks the joint lining (synovium), causing inflammation that can damage cartilage and bone.

  • Who it affects: Typically women between ages 30–60; can also occur in men and younger patients.
  • Symptoms: Symmetrical pain in both wrists, swelling, warmth, fatigue, and morning stiffness lasting more than an hour.

Post-Traumatic Arthritis

This form develops after a previous wrist injury, such as a fracture or ligament tear, that disrupts normal joint mechanics and accelerates cartilage breakdown.

  • Who it affects: Anyone with a history of wrist trauma or surgery.
  • Symptoms: Pain, clicking, instability, and reduced range of motion.

Psoriatic Arthritis

Associated with the skin condition psoriasis, this inflammatory arthritis can affect the wrist and cause joint swelling and stiffness.

  • Who it affects: People with a known history of psoriasis.
  • Symptoms: Swelling of entire fingers or wrists, joint pain, nail changes, or skin rashes.

Gout and Pseudogout

These types result from the accumulation of crystals in the joint. Gout involves uric acid crystals, while pseudogout involves calcium pyrophosphate crystals.

  • Who it affects: Typically middle-aged men and postmenopausal women; can be associated with diet and kidney issues.
  • Symptoms: Sudden, intense pain, redness, swelling, and warmth in the wrist.

How Is Wrist Arthritis Diagnosed?

At Midwest Orthopaedics at Rush, your evaluation may include:

  • Physical exam to assess motion, tenderness, and swelling.
  • X-rays to view the joint space and bone condition.
  • MRI or CT scans for a more detailed view of cartilage and soft tissues.
  • Lab tests to identify autoimmune or crystal-related arthritis (RA, gout).

Non-Surgical Treatment Options

Many patients find relief from wrist arthritis with non-surgical care, especially in the early stages:

Activity Modification

Avoid aggravating movements or using ergonomic tools to reduce strain on the wrist.


Splints or Braces

Immobilizing the wrist can reduce inflammation and prevent further wear.


Anti-inflammatory Medications

NSAIDs like ibuprofen or prescription medications to relieve pain and swelling.


Corticosteroid Injections

Injections directly into the wrist joint to reduce inflammation and provide temporary relief.


Occupational Therapy

Therapists can teach joint-protective techniques, offer exercises to maintain mobility, and fit customized splints.

Surgical Treatment Options

When non-surgical treatments no longer provide relief, surgery may be considered. Our hand and wrist surgeons offer advanced surgical procedures customized to your arthritis type and severity.

Wrist Arthroscopy

Minimally invasive surgery to clean out inflamed tissue or loose cartilage fragments. Often used in early-stage arthritis.


Proximal Row Carpectomy

Removes the first row of wrist bones to relieve pain while maintaining some motion. Ideal for localized osteoarthritis or post-traumatic arthritis.


Partial Wrist Fusion

Fuses only a portion of the wrist bones, preserving more motion than a full fusion.


Total Wrist Fusion (Arthrodesis)

Fuses the entire wrist for maximum pain relief. Typically used in severe arthritis when motion is less important than pain control.


Wrist Joint Replacement (Arthroplasty)

An artificial joint replaces the damaged one to relieve pain and restore motion. Suitable for low-demand patients with severe arthritis.

Expert Care at Midwest Orthopaedics at Rush

While wrist arthritis is a chronic condition, many patients successfully manage it and return to their normal routines, especially with the right treatment plan and support.

At Midwest Orthopaedics at Rush, our orthopedic specialists work closely with each patient to customize a treatment strategy based on your lifestyle, severity of arthritis, and personal goals.

If you're experiencing wrist pain, stiffness, or weakness, don’t wait. Early diagnosis and treatment can slow arthritis progression and preserve function.

Ready to See a Hand and Wrist Specialist?

Schedule an appointment today and get back to your best.