<s>[INST] My daughter is 16 years old and is experiencing pain in her wrist, hands, and to her knuckles as she explains it. The pain has worsen in the last 2 weeks. To the point of texting me during school and complaining about how much pain she is in. She has now formed an odd bruise on one wrist in the last 2 days and is growing rapidly. [/INST] Hello, As a first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief.  If symptoms persist better to consult an orthopedic and get evaluated. We have to rule out have to rule out possibilities like arthritis and carpal tunnel syn Chat Doctor.  An MRI is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care  </s>