Wrist Strains: Recovery Time and Treatment Options - Orthopedics

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Wrist issues


Hello Doctor, I felt a strain in my right wrist while exercising due to improper control of force.
When I bend it backward, I experience tightness, pulling sensations, and sharp pain on the outer side.
I consulted a traditional Chinese medicine practitioner who diagnosed it as a sprain.
Currently, I am undergoing acupuncture treatment (about 1 to 2 times a week).
Although the discomfort has reduced by half, it is still not fully healed (as my right hand is frequently in use).
How long does it typically take for a sprain to recover? Should I regularly perform stretching exercises? Additionally, I have noticed a couple of instances of a popping sound on the outer side when bending it backward in the past two days.
Should I seek further examination? Thank you for your response, Doctor.

Xiao Yang, 20~29 year old female. Ask Date: 2016/12/15

Dr. Shi Guozheng reply Orthopedics


A sprain typically takes about six weeks to heal, and there is no need for specific stretching exercises; applying heat can be beneficial.

Reply Date: 2016/12/15

More Info


Wrist strains are common injuries, particularly among athletes or individuals engaged in physical activities. They occur when the ligaments in the wrist are stretched or torn, often resulting from a sudden twist or overextension. Based on your description, it sounds like you may have experienced a wrist strain, particularly affecting the lateral aspect of your wrist, which can lead to discomfort, pain, and limited mobility.


Recovery Time
The recovery time for a wrist strain can vary significantly depending on the severity of the injury. Generally, mild strains may take about 1 to 3 weeks to heal, while moderate strains can take 3 to 6 weeks. Severe strains, which may involve partial tears of the ligaments, can take several months to heal completely. Since you mentioned that your discomfort has reduced by half but you are still experiencing pain, it is likely that you are in the early to mid-stages of recovery.


Treatment Options
Your current treatment regimen, which includes acupuncture, topical medications, and heat therapy, is a good approach for managing pain and promoting healing. Here are some additional treatment options and recommendations:
1. Rest and Activity Modification: It is crucial to avoid activities that exacerbate your symptoms. If your wrist is still painful, consider modifying your activities to prevent further strain.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes every few hours can help reduce swelling and pain, especially in the initial days following the injury.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Elevating your wrist above heart level can also assist in reducing swelling.

4. Physical Therapy: Once the acute pain subsides, engaging in physical therapy can be beneficial. A physical therapist can guide you through specific exercises to restore strength and flexibility to your wrist.

5. Stretching and Strengthening Exercises: Gentle stretching and strengthening exercises can help improve the range of motion and prevent stiffness. However, these should be introduced gradually and only when you feel comfortable.

6. Pain Management: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), if you are not allergic, can help manage pain and inflammation. Always consult with your healthcare provider before starting any medication.


Stretching and Mobility
Regarding your question about stretching, it is essential to incorporate gentle stretching exercises into your recovery routine. However, these should be done cautiously and only when you are not experiencing acute pain. Stretching can help maintain flexibility and prevent stiffness in the wrist joint.


Clicking Sounds
The "clicking" or "popping" sounds you mentioned when bending your wrist backward could be due to several factors, including ligament movement over the bones or the presence of scar tissue. While occasional clicking may not be a cause for concern, if it is accompanied by pain, swelling, or instability, it would be wise to seek further evaluation. An imaging study, such as an MRI, may be necessary to assess the integrity of the ligaments and rule out any significant injuries.


Conclusion
In summary, wrist strains typically heal within a few weeks to a couple of months, depending on the severity. Continue with your current treatment, and consider incorporating gentle stretching and strengthening exercises as your pain allows. If symptoms persist or worsen, or if you experience significant clicking or instability, consult with a healthcare professional for further evaluation and management. Always listen to your body and avoid pushing through pain, as this can lead to prolonged recovery.

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