Managing Wrist and Elbow Tendon Issues After a Fall: Tips for Relief

Wrist joint and elbow tendons?

Hello Doctor, I previously fell and landed on my right hand.
During my last X-ray examination, it seemed that one of the bones on the outer side of my wrist was slightly displaced.
Now, when I bend my wrist, I hear a clicking sound, and it feels like the joint is loose.
Would wearing a wrist brace help improve this? Additionally, during my last check-up, the doctor mentioned that my tendon had slipped at the elbow, and I can feel it moving when I bend my elbow.
My entire hand also feels easily fatigued.
The doctor said that resting more would help alleviate the soreness, and that the tendon issue is not a concern.
However, I frequently use the computer, and I find that the soreness tends to recur easily.
Is there any method to improve the issues with my wrist and elbow?

Yang Xiansheng, 20~29 year old female. Ask Date: 2012/10/01

Dr. Li Wenlin reply Orthopedics

1.
A rupture of the distal radioulnar ligament can be improved by wearing a wrist brace; however, severe cases may require surgical reconstruction.
2.
Inflammation of the elbow, such as tennis elbow, may also cause similar sensations.
It is recommended to perform 5 minutes of stretching exercises after every hour of computer use and to wear supportive gear for improvement.

Reply Date: 2012/10/01

More Info

Managing wrist and elbow tendon issues after a fall can be challenging, especially when dealing with symptoms like joint instability, clicking sounds, and discomfort. Based on your description, it seems you have experienced a wrist injury with possible displacement of the bone and tendon issues in your elbow. Here are some tips for relief and management of your symptoms:

1. Rest and Activity Modification
- Rest: It’s crucial to allow your wrist and elbow to rest, especially if you are experiencing pain or discomfort. Avoid activities that exacerbate your symptoms, such as heavy lifting or repetitive motions.

- Modify Activities: Since you frequently use a computer, consider adjusting your workstation ergonomically. Ensure your chair, desk, and keyboard are at appropriate heights to minimize strain on your wrists and elbows.

2. Use of Supportive Devices
- Wrist Brace: Wearing a wrist brace can provide stability and support to your wrist, potentially reducing the sensation of looseness and preventing further injury. However, if you experience increased pressure or pain while wearing it, consider adjusting the fit or consulting with a healthcare professional for alternatives.

- Elbow Support: Similarly, an elbow brace may help stabilize the joint and reduce strain on the tendons.

3. Physical Therapy
- Consult a Physical Therapist: A physical therapist can design a tailored rehabilitation program that includes exercises to strengthen the muscles around your wrist and elbow, improve flexibility, and enhance stability.

- Stretching and Strengthening Exercises: Gentle stretching and strengthening exercises can help restore function and reduce stiffness. Focus on exercises that target the forearm muscles, wrist flexors, and extensors, as well as the muscles around the elbow.

4. Pain Management
- Cold Therapy: Applying ice to the affected areas can help reduce swelling and alleviate pain. Use ice packs for 15-20 minutes several times a day, especially after activities that aggravate your symptoms.

- Over-the-Counter Pain Relief: If you are not allergic to NSAIDs, medications like ibuprofen or naproxen can help manage pain and inflammation. However, consult your doctor before taking any medication, especially if you have a history of allergies.

5. Gradual Return to Activity
- Progress Slowly: Once your symptoms improve, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity as tolerated.

- Listen to Your Body: Pay attention to any signs of pain or discomfort during activities. If symptoms return, it may be necessary to scale back and allow more time for recovery.

6. Ergonomic Adjustments
- Keyboard and Mouse Position: Ensure your keyboard and mouse are positioned to keep your wrists in a neutral position. Consider using ergonomic devices designed to reduce strain.

- Breaks: Take regular breaks from computer work to stretch and move around, which can help prevent stiffness and discomfort.

7. Follow-Up with Healthcare Providers
- Regular Check-Ups: Keep in touch with your healthcare provider to monitor your recovery. If symptoms persist or worsen, further evaluation may be necessary, including imaging studies to assess for any underlying issues.

Conclusion
Managing wrist and elbow tendon issues after a fall requires a multifaceted approach that includes rest, supportive devices, physical therapy, and ergonomic adjustments. By taking proactive steps and listening to your body, you can work towards alleviating your symptoms and restoring function. If you have any concerns or if your symptoms do not improve, do not hesitate to seek further medical advice.

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