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.