Mississauga Chiropractor Presents: Wrist Sprains

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Here’s another blog from a Mississauga chiropractor…

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A sprained wrist is the traumatic overstretching of the ligaments of the distal radioulnar, intercarpal or carpometacarpal joints.  Hyperextension of the wrist is the most common mechanism of injury.  Radiocarpal & Intercarpal Sprains most often encompasses some combination of hyperextension, ulnar flexion & intercarpal Supination.  It often occurs in contact sports, gymnastics, racket sports, motor vehicle accidents and most commonly during FOOSH injuries (Fall On Out-Stretched Hand)

 

Symptoms:

a)      Immediate pain after the injury; 15-30 minutes later, the pain will subside then gradually intensify over the next 3-4 hours; Swelling starts approximately 1 hour after the injury.  The amount of swelling often correlates with the degree of injury.

 

b)      Bruising will occur in severe sprains.  It is usually confined to the injured area.

 

c)      Local tenderness on deep palpation & individual carpal joint play to the injured ligaments

 

d)      Increased pain and decreased range of motion with all wrist movements

 

e)      Decreased grip strength is common

 

Management:

Acute:

a)      PRICE:  Protect, Rest, Ice, Compress and Elevate as needed

b)      Wrist mobilization in mild sprains opposite direction of the injured mechanism and toward pain relief

c)      Electrotherapy

d)      Ice for 5-7 days

 

Post-Acute:

a)      Exercises:  Wrist curls & extensions, Pronation/Supination exercises

b)      Ice after work or exercise

c)      Massage Therapy or Active Release Technique (ART) – trigger point, myofacial release, cross fibre friction massage to wrist and forearm muscles

 

Prognosis:

a)      Mild sprain – most respond well with excellent outcomes within 6 weeks

b)      Moderate sprains – most respond with occasional exacerbations following heavy lifting or repetitive activity after 6-12 weeks

 

 

 

 

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