Wrist pain with bruising and swelling is often a sign of an injury.There can also be cartilage injuries in the wrist. Other common injuries include sprain, strain, tendinitis, and bursitis. For a recent injury: Rest your wrist. Keep it elevated above the heart level Apply ice to the tender and swollen area. Take over-the-counter pain medicines, such as ibuprofen or acetaminophen. Get emergency care if: You are unable to move your wrist, hand or a finger. Your wrist, hand, or fingers are misshapen.