Wrist Pain: Causes and Solutions for Athletes - Orthopedics

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Wrist pain


A few months ago, I noticed pain in the wrist on the dorsal side of my right hand when doing push-ups.
Now, I have observed a slight protrusion in the middle of the wrist joint on the dorsal side when I flex my wrist inward, although it is not very pronounced.
I also experience pain when my palm is resting on the table and I push my body up, and I cannot bend it as much as I can with my left hand (with the dorsal side facing my body).
What could be the issue?

Cai Xiansheng, 10~19 year old female. Ask Date: 2017/10/18

Dr. Li Yongheng reply Orthopedics


Hello, based on your symptoms, it appears you have a sprain of the interosseous ligament of the right wrist.
It is recommended that you temporarily avoid weight-bearing exercises (such as push-ups and weight training).
Generally, recovery should take about 3 to 6 weeks.
Wishing you a speedy recovery.

Reply Date: 2017/10/18

More Info


Wrist pain in athletes, particularly those engaged in activities that require repetitive motions or significant strain, can stem from various causes. Based on your description, it sounds like you may be experiencing a condition related to overuse or injury, which is common among athletes who perform exercises like push-ups.

One potential cause of your wrist pain is tendonitis, which is the inflammation of the tendons in the wrist due to repetitive strain. This condition often arises in athletes who perform repetitive motions, such as push-ups, which can put significant stress on the wrist joints and surrounding tissues. The pain you feel when bending your wrist inward or when pushing your body weight up could indicate that the tendons are irritated or inflamed.

Another possibility is wrist sprain, which occurs when the ligaments in the wrist are stretched or torn. This can happen if you have fallen or twisted your wrist awkwardly during physical activity. The fact that you notice a slight bulge in the middle of your wrist joint when bending it could suggest swelling or inflammation, which is a common response to injury.

Additionally, you might be experiencing carpal tunnel syndrome, especially if the pain radiates into your fingers or if you experience numbness or tingling. This condition occurs when the median nerve, which runs through the wrist, becomes compressed, often due to repetitive motions or swelling in the wrist area.

To address your wrist pain, consider the following solutions:
1. Rest and Ice: Allow your wrist to rest and avoid activities that exacerbate the pain. Applying ice can help reduce swelling and alleviate pain. Ice the affected area for 15-20 minutes every few hours as needed.

2. Wrist Support: Using a wrist brace or support can help stabilize the wrist and reduce strain during activities. This can be particularly beneficial when performing exercises that put pressure on the wrist.

3. Modify Activities: If push-ups are causing pain, consider modifying your technique or switching to alternative exercises that place less strain on the wrist. For instance, you might try doing push-ups on your fists or using push-up bars to keep your wrists in a more neutral position.

4. Strengthening and Stretching Exercises: Once the pain subsides, incorporating wrist strengthening and stretching exercises can help improve flexibility and strength, reducing the risk of future injuries. Consult a physical therapist for a tailored exercise program.

5. Consult a Healthcare Professional: If the pain persists or worsens, it is crucial to seek medical advice. A healthcare professional can perform a thorough examination, possibly including imaging studies, to determine the exact cause of your wrist pain and recommend appropriate treatment options.

In summary, wrist pain in athletes can arise from various conditions, including tendonitis, sprains, or nerve compression. Addressing the issue promptly with rest, ice, and modifications to your activities can help alleviate symptoms. However, if the pain continues, seeking professional medical advice is essential to ensure proper diagnosis and treatment.

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