<s>[INST] The top of my wrist hurts most when bent in the downward motion. But also hurts when I bend it backward to brace myself for getting out of bed or a chair. My job is quite physical ie. Lifting boxes of up to 175lbs. The top of my wrist also hurts when I am picking the boxes up. There are no bumps, swelling, bruising,  numbness,  tingling, or itching of the hand or fingers. Just the pain in the top of the wrist. [/INST] Hi, What you have been a work induced muscle strain of your wrist. Since you are involved in lifting heavy weights continuously your muscles around the wrist joint have undergone a protective spasm. Taking hot packs for around 3/4 times a day with adequate rest will help you to relieve pain. Also doing strengthening exercises of your elbow and arm muscle will reduce the load on wrist. Besides following lifting ergonomic will help you out n an easy and efficient work. To subside pain you can take over the counter Diclofenac. Hope this helps you in relieving the pain. Let me know if I can assist you further. </s>