Wrist Pain After a Fall: Recovery Insights and Tips - Rehabilitation

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Wrist discomfort?


Hello! In January of this year, I accidentally slipped and fell, landing on my hand.
It hurt a lot at the time, and I felt pain near my wrist when I bent my hand backward.
I underwent physical therapy, and after a few sessions, it improved.
The therapist said my hand is mostly fine now, but I still feel a bit stiff.
At first, I couldn't even do push-ups because I couldn't put my full weight on it, but now I still experience some pain when I support myself.
I fell quite hard...
What exactly happened to my hand? I don't want to be in pain anymore!

Xiao Yu, 10~19 year old female. Ask Date: 2016/04/17

Dr. Zhou Jianwen reply Rehabilitation


It may be due to poor ligament stability.

Reply Date: 2016/04/17

More Info


Wrist pain following a fall can be a common issue, especially if you used your hand to break the fall. The symptoms you describe, such as pain in the wrist area and a feeling of stiffness or "catching," suggest that you may have sustained an injury to the wrist, such as a sprain, strain, or even a fracture.
When you fell and landed on your wrist, the force of the impact could have caused damage to the ligaments, tendons, or even the bones in the wrist. Common injuries include wrist sprains, which occur when the ligaments are stretched or torn, and fractures, which involve a break in the bone. The fact that you experienced immediate pain and difficulty bearing weight on your wrist indicates that there was likely some level of injury.

Physical therapy is often a crucial part of recovery from wrist injuries. It helps to restore strength, flexibility, and function to the wrist. The fact that you have seen improvement with physical therapy is a positive sign, but lingering pain and stiffness can be frustrating. It's not uncommon for wrist injuries to take time to heal fully, especially if there was significant trauma involved.

Here are some insights and tips for managing your wrist pain and aiding recovery:
1. Rest and Ice: After an injury, it's important to give your wrist time to heal. Resting the wrist and applying ice can help reduce swelling and pain. Ice should be applied for 15-20 minutes every few hours, especially in the first few days after the injury.

2. Gradual Return to Activity: As you recover, it's essential to gradually return to activities that involve the wrist. Start with gentle range-of-motion exercises as recommended by your physical therapist. Avoid activities that cause pain or discomfort.

3. Strengthening Exercises: Once the initial pain and swelling have decreased, your therapist may introduce strengthening exercises. These exercises can help rebuild muscle strength around the wrist, providing better support and stability.

4. Use of a Brace: A wrist brace can provide support and limit movement, which may help alleviate pain during the healing process. Consult with your healthcare provider about whether a brace is appropriate for your situation.

5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always follow the recommended dosage and consult with your doctor if you have any concerns.

6. Follow-Up with Your Doctor: If your pain persists or worsens, it’s important to follow up with your healthcare provider. They may recommend further imaging studies, such as an X-ray or MRI, to rule out any fractures or other underlying issues that may not have been initially detected.

7. Patience and Consistency: Recovery from wrist injuries can take time. It's essential to be patient and consistent with your rehabilitation exercises. Improvement may be gradual, and it's normal to experience some discomfort as you work through the recovery process.

In summary, while it sounds like you are on the right track with physical therapy, it's crucial to continue monitoring your symptoms and communicate with your healthcare provider about any ongoing issues. With proper care and rehabilitation, many people can fully recover from wrist injuries and return to their normal activities without pain.

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