- Acute injury or overuse syndromes can cause wrist pain.
- Acute injuries, such as a fall on outstretched hand, can cause sprains, strains and even fractures.
- Any activity that involves repetitive wrist movements can cause inflammation of structures in and around the wrist.
- Common overuse injuries include DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome.
- The risk of developing an overuse injury increases if there is poor technique whilst performing repetitive tasks.
- The wrist is a complex joint, comprised of 8 small carpal bones arranged in 2 rows, which lay between the bones in your forearm, and the bones in your hand.
- Ligaments connect the carpal bones to each other, to the forearm and to the bones of the hand.
- There are also many tendons responsible for flexing and extending the fingers and wrist, these may become injured at the wrist as well.
- Three major nerves are responsible for innervating your hand, the ulna, radial and median nerve, all of which cross the wrist.
- Finally, there is a disc known as the Triangular Fibrocartilage Complex that connects the ulna to the carpal rows/hand and provides a surface for the carpal bones to slide across during movement.
What you can expect/look out for
- Wrist pain varies, depending on what’s causing it. For example, osteoarthritis typically causes a dull pain, while tendonitis causes a sharp, stabbing pain, with a nerve impingement producing a sensation of pins and needles
- Ice and anti-inflammatory medication if the area is swollen
- An over-the-counter wrist brace may help support the joint and reduce pain
- The treatment for wrist pain varies based on the source of the pain. Conservative treatment with physiotherapy and/or cortisone injections is usually attempted before surgical intervention is considered, especially with chronic pain conditions.
- Physiotherapy intervention will focus on stretching tight structures and strengthening weak structures.
- The movement pattern used to perform your usual activities should also be analyzed for any errors in technique that may be contributing to your wrist pain.
- Use appropriate protective gear for sporting activities
- Pay attention to ergonomics. Use the ergonomic devices available for your task, take regular breaks, keep your wrists in a neutral position when you type and improve your posture, all can help to reduce your risk of developing an overuse injury.
At Sydney Sports and Orthopaedic Physiotherapy our highly qualified physiotherapists specialise in the assessment, treatment and prevention of neuromusculoskeletal injuries.
Contact us today – 9252 5770
This handout was prepared by Sydney Sports and Orthopaedic Physiotherapy and is intended as a general information service. Please note that the information provided is not intended as a substitute for advice from a registered physician or healthcare professional. If symptoms persist, please consult your doctor.