Lateral Wrist Pain: Causes and Rehabilitation Tips - Rehabilitation

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Lateral wrist pain, especially after an injury like the one you described while playing volleyball, can be attributed to several potential causes. Given that you experienced pain during and after the activity, it is likely that you may have sustained a sprain or strain to the wrist ligaments or tendons. The repetitive motion of lifting the ball could have led to overuse injuries, which are common in sports that require frequent wrist movements.


Common Causes of Lateral Wrist Pain
1. Wrist Sprains: This occurs when the ligaments in the wrist are stretched or torn. Sprains can happen when the wrist is twisted or bent awkwardly, which is common in sports.

2. Tendonitis: Inflammation of the tendons around the wrist, particularly the extensor tendons, can cause pain. This is often due to repetitive motion and overuse.

3. De Quervain's Tenosynovitis: This condition affects the tendons on the thumb side of the wrist and can cause pain on the lateral side of the wrist, especially when gripping or twisting motions are involved.

4. TFCC Injury: The triangular fibrocartilage complex (TFCC) is a structure in the wrist that can be injured during activities that involve wrist rotation or impact, leading to pain on the ulnar side of the wrist.

5. Wrist Fractures: Although you mentioned that the pain was not severe at the time of injury, it is still important to rule out any fractures, especially if the pain persists.


Rehabilitation Tips
1. Rest: It is crucial to allow your wrist to rest and avoid activities that exacerbate the pain. Continuing to play volleyball or engage in similar activities may worsen the injury.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and alleviate pain.

3. Compression: Using a compression bandage can help minimize swelling and provide support to the wrist.

4. Elevation: Keeping the wrist elevated above heart level can also help reduce swelling.

5. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore mobility and strength. It is essential to start slowly and avoid any movements that cause pain.

6. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can provide a tailored rehabilitation program that includes specific exercises to strengthen the wrist and improve flexibility.

7. Wrist Brace: Wearing a wrist brace during activities can provide additional support and prevent further injury.

8. Gradual Return to Activity: When you feel ready to return to volleyball or other activities, do so gradually. Start with light activities and progressively increase intensity as tolerated.


When to Seek Medical Attention
If the pain does not improve with rest and conservative measures, or if you experience significant swelling, bruising, or difficulty moving your wrist, it is essential to seek medical attention. A healthcare professional may recommend imaging studies, such as X-rays or an MRI, to assess for any underlying injuries that may require more intensive treatment.

In summary, lateral wrist pain following an injury can stem from various causes, primarily related to sprains, tendonitis, or overuse. Implementing a rehabilitation strategy focused on rest, ice, compression, and gradual strengthening can aid in recovery. However, persistent pain warrants further evaluation to ensure proper diagnosis and treatment.