Effective Rehabilitation Exercises for Wrist Sprains After Four Months - Orthopedics

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Wrist sprain for four months?


Hello doctor, I injured my wrist while playing basketball about four months ago.
I had an X-ray and there are no fractures.
What kind of rehabilitation exercises should I do? Should I focus on wrist rotations or stretching?

Niming, 10~19 year old female. Ask Date: 2016/01/05

Dr. Shi Guozheng reply Orthopedics


You can first perform flexion and extension (backward bending and bending towards the palm side) before proceeding to ulnar and radial deviation (bending towards the ulnar side and bending towards the radial side).
Finally, you can incorporate rotational movements.
The movements should not be too forceful; gradually increasing the intensity will help prevent further injury.

Reply Date: 2016/01/05

More Info


When it comes to rehabilitation after a wrist sprain, especially after four months, it's essential to approach the recovery process with a structured plan that focuses on restoring strength, flexibility, and functionality. Since your X-ray results show no fractures, this is a positive sign, indicating that your injury is likely soft tissue-related, such as ligament damage or inflammation.


Effective Rehabilitation Exercises for Wrist Sprains
1. Range of Motion Exercises:
- Wrist Flexion and Extension: Start with gentle movements. Place your forearm on a table with your wrist hanging off the edge. Slowly flex your wrist upwards and then extend it downwards. Repeat this 10-15 times.

- Wrist Rotations: Hold your elbow close to your body and rotate your wrist in circles, first clockwise and then counterclockwise. This helps improve mobility and flexibility.

2. Stretching Exercises:
- Wrist Flexor Stretch: Extend your arm in front of you with your palm facing up. Use your other hand to gently pull back on your fingers, stretching the wrist flexors. Hold for 15-30 seconds and repeat 2-3 times.

- Wrist Extensor Stretch: Extend your arm with your palm facing down. Use your other hand to gently push down on the back of your hand, stretching the wrist extensors. Hold for 15-30 seconds and repeat 2-3 times.

3. Strengthening Exercises:
- Wrist Curls: Use a light dumbbell (1-5 lbs) and perform wrist curls. Sit with your forearm resting on your thigh or a table, palm facing up, and curl the weight upwards. Perform 2-3 sets of 10-15 repetitions.

- Reverse Wrist Curls: Similar to wrist curls but with your palm facing down. This targets the wrist extensors. Perform 2-3 sets of 10-15 repetitions.

- Grip Strengthening: Use a stress ball or a grip strengthener to improve your grip. Squeeze and hold for a few seconds, then release. Repeat 10-15 times.

4. Functional Exercises:
- Towel Twist: Hold a towel with both hands and twist it as if you are wringing out water. This mimics functional movements and helps build strength.

- Ball Rolling: Roll a small ball (like a tennis ball) on a table using your wrist. This can help improve coordination and strength.


Additional Considerations
- Ice and Heat Therapy: If you experience swelling or pain, applying ice can help reduce inflammation. After the acute phase, heat therapy can promote blood flow and healing.

- Gradual Progression: Start with low resistance and gradually increase as your strength improves. Listen to your body; if you feel pain during any exercise, stop immediately.

- Consult a Physical Therapist: If you have not already done so, consider working with a physical therapist. They can provide personalized guidance and ensure that you are performing exercises correctly to avoid further injury.


Conclusion
Rehabilitation after a wrist sprain is a gradual process that requires patience and consistency. By incorporating a combination of range of motion, stretching, strengthening, and functional exercises, you can effectively rehabilitate your wrist and regain full functionality. Remember to monitor your progress and adjust your exercises as needed, and consult with a healthcare professional if you have any concerns or if your symptoms persist.

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