Persistent Wrist Inflammation After Basketball Injury: What to Do?

Is the wrist inflammation taking a long time to heal?

Six months ago, I fell while playing basketball and landed on my hand.
At the time, I didn't think much of it, but after six months, I went to an orthopedic doctor who said I had a fracture causing inflammation.
He advised me to apply a medicated patch and use heat therapy, and to wear a wrist brace while playing.
However, I have already rested for 3-4 weeks, and the inflammation symptoms have not improved, preventing me from participating in practice.
Could you please provide your insights and what I should do? I suspect that the fracture is located at the triquetrum (based on the X-ray).
Symptoms include pain on the outer side of my wrist when shooting the basketball, and a bony prominence appears after playing the piano for a while.
Thank you!

ST, 10~19 year old female. Ask Date: 2015/12/31

Dr. Shi Guozheng reply Orthopedics

If a fracture is suspected, a clear X-ray should be taken for diagnosis.
Wrist injuries typically take a long time to heal, so it is important to be patient and engage in rehabilitation.
If recovery does not occur, it is necessary to consult a physician again.

Reply Date: 2015/12/31

More Info

Persistent wrist inflammation following a basketball injury can be quite frustrating, especially when it hinders your ability to participate in activities you enjoy. Based on your description, it sounds like you may have sustained a significant injury to your wrist, potentially involving the triangular fibrocartilage complex (TFCC) or a fracture that has not healed properly.

Understanding Your Condition
When you fell and landed on your wrist, it is possible that you sustained a fracture or a sprain that affected the ligaments and cartilage in your wrist. The TFCC is a structure that provides stability to the wrist and can be injured during falls or when excessive force is applied. If the injury was not properly diagnosed or treated initially, it could lead to chronic inflammation and pain.

The symptoms you describe—pain on the outer side of the wrist during activities like shooting a basketball or playing the piano—are indicative of ongoing inflammation or instability in the wrist joint. The presence of a "bump" or protrusion in the wrist could suggest swelling or a possible bone deformity resulting from the injury.

Recommended Actions
1. Seek a Specialist Opinion: If you haven't already, consider consulting with an orthopedic specialist who focuses on sports injuries or hand and wrist conditions. They may recommend advanced imaging, such as an MRI, to assess soft tissue injuries that X-rays might not reveal.

2. Rest and Activity Modification: While you have already taken a break from basketball, it is essential to continue avoiding activities that exacerbate the pain. This includes not only basketball but also any repetitive wrist movements that could strain the area.

3. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can provide exercises to strengthen the wrist, improve flexibility, and enhance stability. They may also employ modalities such as ultrasound or electrical stimulation to reduce inflammation.

4. Immobilization: If you haven't been using a wrist brace consistently, consider doing so. A brace can help stabilize the wrist and prevent movements that could aggravate the injury. Make sure the brace is well-fitted and provides adequate support.

5. Medication: Over-the-counter anti-inflammatory medications (like ibuprofen or naproxen) can help manage pain and reduce inflammation. However, consult with your healthcare provider before starting any new medication, especially if you have other health conditions or are taking other medications.

6. Gradual Return to Activity: Once your symptoms improve, gradually reintroduce activities. Start with low-impact exercises that do not strain the wrist, such as swimming or cycling. When you feel ready to return to basketball, begin with light shooting drills before progressing to full practice.

7. Consider Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture or chiropractic care. While the evidence is mixed, these approaches may provide additional pain relief and promote healing.

Prognosis and Recovery
The recovery time for wrist injuries can vary significantly depending on the severity of the injury and the effectiveness of the treatment plan. If the injury involves a fracture, it may take several weeks to months for complete healing. Chronic inflammation can also prolong recovery, so it is crucial to follow a comprehensive rehabilitation program.

Managing Anxiety and Fear of Re-injury
It is common to feel anxious about returning to sports after an injury. To manage these feelings, consider the following strategies:
- Educate Yourself: Understanding your injury and the rehabilitation process can help alleviate fears. Knowledge empowers you to make informed decisions about your recovery.

- Set Realistic Goals: Work with your therapist to set achievable milestones. Celebrate small victories to build confidence.

- Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing, or yoga can help reduce anxiety and improve your mental well-being.

In conclusion, persistent wrist inflammation after an injury requires careful evaluation and a tailored treatment approach. By seeking appropriate medical care, adhering to a rehabilitation program, and addressing any psychological barriers, you can work towards a successful recovery and return to basketball.

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