Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
If there is no fracture seen on the x-ray, the doctor may diagnose a
sprain. In cases where there is tenderness in the anatomical snuffbox, the
doctor may also suspect there may be a fracture of the scaphoid that is not
apparent on the x-rays.
For a wrist sprain, the doctor may decide to treat you with no splint, a
Velcro wrist splint, or plaster splint (like a cast). The decision about a
splint will be based on your level of pain, amount of swelling, restriction of
movement, and concern about an occult or hidden fracture. (An occult fracture is
a fracture that is so small that it does not appear on the initial x-rays.) If
the doctor has concerns about an occult fracture, the doctor may splint you and
advise you to have repeat x-rays at your doctor's office or with an orthopedist
(bone specialist) in 5-10 days.
For minor sprains, you will likely not be given a splint and told to limit
activity appropriate to your level of pain.
For more severe sprains, you will likely be given a Velcro wrist splint
that you can take on and off. Also you might be prescribed some form of pain
medication. You should make sure that you let the doctor know what other
medications you are taking and any allergies that you have.
Most experts recommend only the use of ice or cold therapy for sprains.
Some doctors may still recommend switching to heat therapy after 24-48 hours.
Treatment of a fracture (a broken bone) depends on the specific type of
fracture found. If you have a fracture, you may be treated by the doctor who
sees you initially or you may be referred to an orthopedic surgeon.