The pain started four weeks ago and seems to be getting worse. It is exacerbated by rotary movement of the right wrist. The patient is an avid racquetball player. The pain is worse after playing, but it has not kept him from playing. In fact, he plans to play in a tournament next week and is seeking instant pain relief.
Patient plays racquetball.
He is in a tournament next week and wants pain relief now. He denies any specific trauma, but does frequently hit his arms on the walls of the court. There is now pain with flex. This is the first episode of this type of pain. The patient is warned that, although he will have immediate pain reduction, the pain may be worse tomorrow.