Managing Wrist Tendonitis: Effective Rehab Strategies for Quick Recovery

Wrist tendonitis

Hello, Director! I cannot be away from the computer for even a second at work, which has resulted in severe pain in the thumb area of my right wrist.
An orthopedic diagnosis indicated tendonitis, and I was prescribed anti-inflammatory medication and ointment, along with advice to rest my right hand as much as possible to alleviate the pain.
I also consulted a traditional Chinese medicine practitioner, who suggested that since I have passed the acute phase, I should use a grip strength ball to stretch the tendons and strengthen the muscles in my right hand, which should gradually reduce the pain.
Is that correct? Could rehabilitation therapy help me recover faster? Thank you for your response! Vivian

vivian, 30~39 year old female. Ask Date: 2006/11/04

Dr. Chen Xianchang reply Rehabilitation

1.
It may be "De Quervain's tenosynovitis," which involves inflammation of the abductor pollicis longus and extensor pollicis brevis tendons at the wrist.

2.
During the acute phase, apply ice therapy.

3.
After the acute phase, you can visit a rehabilitation department for ultrasound or paraffin therapy, and you may consult an occupational therapist for a hand splint.

Reply Date: 2006/11/04

More Info

Hello Vivian,
Thank you for reaching out regarding your wrist tendonitis. Managing this condition effectively is crucial, especially given your reliance on your right hand for work. Tendonitis, particularly in the wrist, can be quite debilitating, but with the right rehabilitation strategies, you can achieve a quicker recovery.

Firstly, it's essential to understand that tendonitis is an inflammation of the tendons, often caused by repetitive motion or overuse, which is common in individuals who spend long hours typing or using a mouse. The initial treatment typically involves rest, ice, compression, and elevation (RICE), along with anti-inflammatory medications to reduce pain and swelling, as your orthopedic specialist has advised.

While resting the wrist is important, complete immobilization can sometimes lead to stiffness and weakness. Therefore, after the acute phase has passed, rehabilitation becomes vital. Here are some effective rehab strategies that can help facilitate a quicker recovery:
1. Physical Therapy: Engaging in physical therapy can provide you with a tailored exercise program designed to strengthen the muscles around your wrist and improve flexibility. A physical therapist can guide you through specific exercises that target the affected area without exacerbating the pain.

2. Gradual Strengthening Exercises: Once the pain begins to subside, incorporating gentle strengthening exercises is crucial. Using a grip strengthener or a stress ball, as suggested by your traditional Chinese medicine practitioner, can help improve grip strength and flexibility. Start with light resistance and gradually increase as tolerated.

3. Stretching: Stretching exercises for the wrist and forearm can help maintain flexibility and prevent stiffness. Simple stretches, such as wrist flexor and extensor stretches, can be beneficial. Hold each stretch for 15-30 seconds and repeat several times throughout the day.

4. Ergonomic Adjustments: Since your work involves extensive computer use, consider evaluating your workstation ergonomics. Ensure that your keyboard and mouse are positioned to minimize strain on your wrist. Using wrist supports or ergonomic devices can also help reduce discomfort.

5. Heat and Cold Therapy: Alternating between heat and cold therapy can help manage pain and inflammation. Cold packs can reduce swelling, while heat can help relax and loosen tissues and stimulate blood flow.

6. Gradual Return to Activities: As your symptoms improve, gradually reintroduce activities that involve wrist movement. It’s important to listen to your body and avoid pushing through pain, as this can lead to setbacks.

7. Education on Body Mechanics: Learning proper body mechanics and techniques for lifting and using your hands can prevent future injuries. This education is often part of a comprehensive rehabilitation program.

In conclusion, while rest and medication are essential in the initial stages of tendonitis, rehabilitation plays a crucial role in recovery. Engaging in a structured rehab program can not only help alleviate your current symptoms but also prevent future occurrences. It’s advisable to consult with a physical therapist who can provide personalized guidance based on your specific condition and needs.

Remember, recovery takes time, and being patient with the process is key. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider.

Wishing you a speedy recovery!
Best regards.

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