Wrist & Hand Pain is most often caused by:
Traumatic incident(i.e. landing from height on hands, car accident).
Without trauma (repetitious work, poor strength, muscle imbalance).
Wrist & Hand pain is usually caused from one of the following:
- Ligament Sprain (carpal, finger collateral, joint capsule, radio ulnar)
- Nerve Irritation / Referred Pain (radial, ulnar, median, palmer)
- Boney degeneration of the Wrist & Hand (cartilage damage, bone degeneration, arthritis)
- Joint Sprain / Stiffness (Radio-ulnar, scapho-lunate, triangular fibrocartilage)
- Poor Wrist/ Hand Bio-mechanics (uncoordinated)
- Muscle Tears/Spasm (Muscular- Extensors, Flexors, Rotators)
- Fibrocartilage Impingement
- De Quervains Syndrome
- Carpal Tunnel Syndrome
- Fracture (Scaphoid, Radius, Ulnar) / Cartilage damage
- Dislocation of Finger, Wrist (sternocostal) joints
- Trigger Finger
- Rheumatoid Arthritis / Osteoarthritis
- Ganglion Cyst
- Tendonitis / Tenosynovitis / Tenovaginitis
If your Wrist of Hand hurt, don’t ignore it. Physiotherapists are well trained to give an accurate diagnosis and treatment the problem. We can refer for MRI, CT, X-ray, Ultrasound or blood test as required. We are able to provide a proven, safe and effective treatment.
1) Treat the pain and other symptoms
2) Help identify the causes to prevent recurrence
3) Provide self-management strategies
Treatment: Strong Evidence in Literature
1) Specific middle, Hand & Wrist strengthening and general exercise programs (core stabilisation, pilates)
2) Mobilisation, Manipulation and Hands On Therapy (Manipulation is traumatic and should only be used for certain conditions)
3) Acupuncture / Dry Needling
4) Electrotherapy (TENS)
1) Postural Modification (taping, bracing, body awareness exercises)
2) Hydrotherapy (great supportive environment)
3) Supportive Taping / Bracing
4) Use of Gels, Creams, Hot & Cold
Wrist or Hand pain is very individual due to the large number of structures and factors that contribute to your condition. What works for others may not work for you and you will have to trial various treatments under the guidance of your Physiotherapist to find what works for your particular condition.