Conversation: The conversation between human and AI assistant.
[|Human|] i broke 2 bones in my wrist and dislocated my hand from my wrist i have a plate and screws and my wrist is always hot and it hurt my surgeon first said i should be in the pain i am in but then tells me to come back in a month if it still hurts. i hurts everyday and everytime i use it or move it. i did the theaphy. it has only been since february. the pain and hotness concern me he gives me no pain medication and there is no relief it keeps me up at night
[|AI|]  Dear patient What is the duration post your surgery and is there fever ? Common causes for pain after implants in wrist and hand are 1. Infection of implants 2. Screw back out 3. Implants are broken 4. Rarely if screws are going into joint and leading to early arthritis.  Since it is hot and causing pain possibility of infection should be considered.  I would advise X-ray of involved wrist and hand anteroposterior and oblique views.  It can help in diagnosis and ruling out other conditions. If there is lysis around screws and screw back out it suggests infection.  If implants are broken it suggests non-union of fracture.  Please take visit to expert orthopedic surgeon with X-ray report. All the best.