and Treating Old Wrist Injuries: Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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Old wrist injury


The incident occurred at the end of November last year when I was arm wrestling with a classmate.
During the process, my wrist was bent in an awkward position, making a popping sound.
I had an X-ray taken, and the bones were found to be intact.
Since the injury, I have experienced a popping sound when rotating my wrist, and I can feel a sensation of friction between the bones and tendons.
The affected area is on the ulnar side of the wrist, and I experience pain when lifting objects at certain angles (for example, lifting something with my palm facing up, like a podium).
I would like to know what might be causing this condition.
Thank you.

abc, 10~19 year old female. Ask Date: 2016/03/28

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear online friend abc: At the moment of bending, if you hear a sound like "bia bia bia," it may indicate a ligament or tendon injury.
Ligaments are connective tissues that connect bones to other bones, while tendons are cord-like connective tissues that connect muscles to bones.
If either of these structures is injured, you may feel a loss of strength during movement.
Wishing you good health and safety! Sincerely, Su-Mei Yen, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2016/03/28

More Info


Understanding wrist injuries, especially those that have persisted over time, requires a comprehensive approach that incorporates both Western medicine and Traditional Chinese Medicine (TCM). Your experience of a wrist injury during an arm wrestling match, followed by a sound and subsequent discomfort, suggests that there may be underlying issues that need to be addressed.

Firstly, the fact that X-rays showed no bone damage is a positive sign, indicating that there are likely no fractures. However, the symptoms you describe—audible sounds during rotation, a sensation of friction, and pain when lifting objects—suggest that there may be soft tissue injuries or joint issues at play. In TCM, wrist injuries can be attributed to "wind," "cold," or "dampness" invading the meridians, leading to stagnation of Qi and blood, which can cause pain and discomfort.

In TCM, the diagnosis of wrist injuries often involves a thorough examination of the affected area, including palpation and assessment of the range of motion. Practitioners may also consider the patient's overall health, lifestyle, and any other symptoms to determine the underlying cause of the injury. For instance, if the injury is due to a sudden impact or strain, it may be classified as a "sprain" or "strain," which can lead to Qi and blood stagnation.

Treatment options in TCM for wrist injuries may include acupuncture, herbal medicine, and manual therapies such as Tui Na (Chinese therapeutic massage). Acupuncture can help alleviate pain and promote healing by stimulating specific points along the meridians. Herbal remedies may be prescribed to invigorate blood circulation and dispel any stagnation. Tui Na can also be beneficial in restoring mobility and reducing pain by addressing the soft tissue and muscle tension surrounding the wrist.

In your case, the persistent symptoms you are experiencing may indicate that the soft tissues, such as ligaments or tendons, may have been strained or partially torn during the injury. The sensation of friction could suggest that there is some degree of inflammation or scar tissue formation, which can impede normal movement and cause discomfort. It is essential to address these issues to prevent long-term complications.

In addition to TCM treatments, it may be beneficial to consider physical therapy or rehabilitation exercises. These can help strengthen the muscles around the wrist, improve flexibility, and restore function. A physical therapist can provide tailored exercises that focus on stabilizing the wrist and gradually increasing its range of motion.

As for the duration of recovery, it can vary significantly depending on the severity of the injury and the treatment approach. Generally, soft tissue injuries can take several weeks to months to heal fully. Consistent treatment, whether through TCM or physical therapy, can significantly enhance recovery speed and effectiveness.

In conclusion, your wrist injury requires a multifaceted approach that includes both TCM and possibly Western rehabilitation methods. It is advisable to consult with a qualified TCM practitioner who can provide a thorough assessment and develop a personalized treatment plan. Additionally, consider working with a physical therapist to address any functional limitations and ensure a comprehensive recovery. By combining these approaches, you can optimize healing and regain full function of your wrist.

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