How to Handle Wrist Pain in Children After a Play Injury

Pediatric Orthopedics

Hello, my child is experiencing pain and crying whenever her right wrist is touched, which seems to have resulted from pulling during play.
How should I handle this situation? Thank you!

Ling, 20~29 year old female. Ask Date: 2002/11/08

Dr. Luo Zhongwei reply Orthopedics

If you experience pain when encountering wrist discomfort, it is best to consult an orthopedic physician for a clinical examination to determine whether it is a fracture or a sprain.

Reply Date: 2002/11/08

More Info

When dealing with wrist pain in children, especially after an injury sustained during play, it is crucial to approach the situation with care and attention. The first step is to assess the severity of the injury. If your child is experiencing significant pain, especially to the point of crying when the wrist is touched, it is advisable to seek medical attention from a pediatric orthopedic specialist. They can perform a thorough clinical examination to determine whether the injury is a fracture, sprain, or another type of soft tissue injury.

In the case of a sprain, which is common in children who engage in physical activities, the initial treatment typically involves the R.I.C.E. method: Rest, Ice, Compression, and Elevation. Resting the affected wrist is essential to prevent further injury. Applying ice can help reduce swelling and alleviate pain; it is recommended to ice the area for about 15-20 minutes every hour as needed. Compression with a soft bandage can provide support and minimize swelling, while elevating the wrist above heart level can also help reduce swelling.

If the pain persists or worsens, or if there are signs of a more serious injury such as visible deformity, inability to move the wrist, or severe swelling, immediate medical evaluation is necessary. X-rays may be required to rule out fractures, and if a fracture is confirmed, treatment may involve immobilization with a splint or cast, depending on the type and location of the fracture.

For ongoing pain after initial treatment, physical therapy may be beneficial. A physical therapist can guide your child through exercises designed to strengthen the wrist and improve flexibility. This is particularly important if the child is experiencing stiffness or limited range of motion after the injury.

In addition to physical therapy, it is essential to monitor your child's pain levels and functionality. If your child continues to experience pain during normal activities or if the pain interferes with their daily life, further evaluation may be necessary. Sometimes, children may develop a fear of using the injured limb, which can lead to decreased mobility and increased discomfort. Encouraging gentle use of the wrist, as tolerated, can help prevent this.

Lastly, it is important to educate your child about the injury and the healing process. Understanding that it is normal for injuries to take time to heal can help alleviate anxiety and encourage cooperation with treatment plans.

In summary, handling wrist pain in children after a play injury involves a careful assessment of the injury, appropriate initial treatment using the R.I.C.E. method, seeking medical evaluation if necessary, and considering physical therapy for recovery. Always prioritize your child's comfort and well-being, and do not hesitate to consult healthcare professionals for guidance tailored to your child's specific situation.

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