Conversation: The conversation between human and AI assistant.
[|Human|] I have had extreme pain in my wrist for about a month now, I went for an X-ray and they said it isn t broken but I can not hardly Stan the pain. The bone on the outside of my wrist is swollen and hurts to move in any direction I move. I have tried elevating, Tylenol, ace wrap to keep from moving it much nothing has helped! I just lost my insurance after a layoff at work and don t know if I should go and get it looked at again or not. I am a 36 year old woman with insulin treated diabetes and I am not overweight if that helps.
[|AI|]  Dear patient Are your thumb movements particularly painful? If yes diagnosis of Dequervains tenosynovitis should be considered. Your age and diabetes supports diagnosis.  X-ray is usually normal as this is soft tissue abnormality.  This is caused by soft tissue constriction around tendons involved in thumb extension and abduction movements. So whenever this movement is done pain occurs. Ultrasound of involved wrist is helpful in diagnosis. So get it done. You need to consult expert orthopedic surgeon with report.  Treatment options are 1. Wrist blinder with anti-inflammatory Chat Doctor.  Injection depose