Dealing with Wrist Injuries: Recovery Tips and Expert Advice - Orthopedics

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I injured my wrist?


On November 26th, I was playing arm wrestling with my classmates, and as a result, my wrist was bent downwards, making a popping sound.
Since the injury, it has improved somewhat, but when I rotate it, there is still a sound like something is stuck in the tendon.
I went to the hospital for an X-ray, and the doctor said the bones are fine.
Could you please advise me on what I should do now, or if there are any other recommendations? Thank you!

abc, 10~19 year old female. Ask Date: 2016/01/06

Dr. Shi Guozheng reply Orthopedics


It sounds like you may have injured a tendon or ligament.
Usually, applying heat can help, and if the pain persists, you can take some pain relievers to alleviate the symptoms.
Complete recovery typically takes about six to twelve weeks, and it's important to commit to rehabilitation.

Reply Date: 2016/01/06

More Info


Dealing with wrist injuries can be quite challenging, especially when it comes to recovery and rehabilitation. Based on your description, it sounds like you experienced a wrist injury during a strength competition, which resulted in some discomfort and a popping sound during rotation. Since you have already had an X-ray that confirmed there are no fractures, it is essential to focus on the soft tissue and functional recovery of your wrist.


Understanding Your Injury
The popping sound you hear during wrist rotation may indicate that there is some soft tissue involvement, such as ligament strain or tendon irritation. These types of injuries can lead to inflammation and swelling, which may cause the sensation of "catching" or "locking" during movement. It's also possible that the ligaments or tendons around the wrist are not functioning optimally due to the injury.


Recommended Recovery Steps
1. Rest and Ice: Initially, it is crucial to rest your wrist and avoid activities that exacerbate the pain. Applying ice to the injured area for 15-20 minutes every few hours can help reduce swelling and alleviate pain.

2. Compression and Elevation: Using a compression bandage can help manage swelling. Elevating your wrist above heart level can also assist in reducing inflammation.

3. Gentle Range of Motion Exercises: Once the acute pain and swelling have subsided, you can begin gentle range of motion exercises. Start with wrist flexion and extension, and gradually incorporate circular motions. It’s essential to perform these exercises within a pain-free range to avoid aggravating the injury.

4. Strengthening Exercises: After you regain some range of motion, you can start strengthening exercises. Using a soft stress ball or a wrist roller can help improve strength. Begin with light resistance and gradually increase as tolerated.

5. Physical Therapy: If your symptoms persist or if you experience significant limitations in movement, consider seeking physical therapy. A physical therapist can provide a tailored rehabilitation program that includes manual therapy, modalities for pain relief, and specific exercises to restore function.

6. Avoiding Aggravating Activities: Be mindful of activities that may put excessive strain on your wrist, such as heavy lifting or repetitive wrist motions. Gradually reintroduce these activities as your wrist heals.

7. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice increased pain, swelling, or instability, it may be necessary to revisit your healthcare provider for further evaluation.


When to Seek Further Medical Attention
If your wrist does not improve with conservative measures, or if you experience symptoms such as persistent pain, swelling, or instability, it is advisable to consult a healthcare professional. They may recommend imaging studies, such as an MRI, to assess for any soft tissue injuries that may not be visible on X-rays.


Conclusion
Recovery from a wrist injury can take time, and patience is key. Following a structured rehabilitation program, being mindful of your activities, and seeking professional guidance when needed will help you regain full function. Remember to listen to your body and avoid pushing through pain, as this can lead to further injury. With appropriate care and attention, you should be able to return to your normal activities without long-term complications.

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