Wrist Pain in Dancers: Causes and Solutions - Rehabilitation

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I have pain in my left wrist. Details..?


I am a college student, and my interest is dancing, specifically in the style of breaking.
However, about six months ago, while practicing some moves, I fell and tried to catch myself with my left hand.
As a result, I injured my left wrist.
Now, I experience pain on the side of my left wrist near the little finger, especially when I push down with my left palm on the floor.
The pain is located from the little finger down to the wrist joint.
I thought it had healed after resting for six months, but recently, as I started practicing dancing seriously again, the pain has returned.
Six months ago, I visited a traditional Chinese medicine practitioner covered by my health insurance, and he told me that it was healing well.
Although I continued to practice dancing during that time, it wasn't very intense.
Recently, as I have started practicing more vigorously, I have noticed that the pain returns after prolonged practice, and it is quite concerning.
Please help me.
Thank you.

BBoy Longlong, 20~29 year old female. Ask Date: 2009/08/21

Dr. Lai Yanting reply Rehabilitation


Wrist pain caused by trauma (on the side of the little finger) should raise suspicion for 1.
triangular fibrocartilage complex (TFCC) tear, 2.
wrist arthritis, or 3.
ligament sprain.
Recommendations include 1.
visiting a hospital (orthopedics or rehabilitation department) for further evaluation, and 2.
applying ice therapy after exercise if pain occurs.
Thank you for your inquiry.
For more information on "triangular fibrocartilage complex tear," you can refer to http://www.hand123.com.tw/disease_detail.php?classsid=1&productsid=31.

Reply Date: 2009/08/21

More Info


Wrist pain in dancers, particularly in styles like breaking, can be a significant concern due to the physical demands placed on the wrists during various movements and stunts. Your experience of pain in the left wrist, especially after a fall and subsequent attempts to practice intensively, suggests that you may be dealing with a repetitive strain injury or a previous injury that hasn't fully healed.


Understanding the Causes of Wrist Pain
1. Acute Injuries: The initial fall you described likely caused some form of acute injury to your wrist. This could include sprains, strains, or even fractures, depending on the severity of the impact and how you landed.

2. Repetitive Strain Injuries: After the initial injury, if you continued to practice without allowing adequate time for recovery, you may have developed a repetitive strain injury. This is common in dancers who frequently use their wrists for support during moves like freezes or handstands.

3. Ligament or Cartilage Damage: Given the location of your pain (near the small finger side of the wrist), there is a possibility of damage to the triangular fibrocartilage complex (TFCC) or the ligaments surrounding the wrist joint. Injuries to these structures can lead to chronic pain and instability.

4. Tendinitis: Overuse can also lead to tendinitis, where the tendons around the wrist become inflamed due to repetitive motion. This is often exacerbated by activities that require weight-bearing on the hands.


Recommended Solutions
1. Rest and Recovery: The first step in managing your wrist pain is to allow adequate rest. Continuing to practice dance moves that put stress on your wrist can prolong healing. Consider taking a break from activities that exacerbate the pain.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and alleviate pain. Aim for 15-20 minutes of ice application several times a day, especially after any activity that causes discomfort.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Additionally, keeping your wrist elevated can assist in reducing inflammation.

4. Physical Therapy: Consulting a physical therapist who specializes in dance injuries can be beneficial. They can provide tailored exercises to strengthen the wrist and improve flexibility, which can help prevent future injuries.

5. Medical Evaluation: If the pain persists despite rest and conservative measures, it’s crucial to seek a thorough evaluation from a healthcare professional, such as an orthopedic specialist. They may recommend imaging studies like an MRI or X-ray to assess for any underlying injuries that may require more specific treatment.

6. Gradual Return to Activity: Once you start feeling better, gradually reintroduce dance movements. Begin with low-impact activities and slowly increase intensity as tolerated. Pay attention to your body’s signals; if pain returns, it’s essential to back off and reassess.

7. Strengthening and Flexibility Exercises: Incorporating wrist-strengthening exercises and stretches into your routine can help improve resilience and flexibility. Focus on exercises that target the forearm muscles, as they play a crucial role in wrist stability.


Conclusion
Wrist pain in dancers, particularly after an injury, is not uncommon and can often be managed effectively with the right approach. Prioritize rest and recovery, seek professional guidance if necessary, and gradually return to your dance practice while being mindful of your body’s signals. Remember that taking care of your body is essential for a long and healthy dancing career.

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