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Physiotherapy


Wrist & Hand Pain

The wrist joint is a complex joint consisting of radius, ulna and carpel bones. The distal ends of the forearm bones (radius and ulna) articulate with the carpel bones allowing good range of motion. The carpal bones are 8 in number. They are Lunate, Triquetrum, Pisiform, Scaphoid, (proximal) Capitate, Trapezium, Trapezoid and Hamate (distal).

Causes:

• Hand problems include Lacerations/cuts, Fractures of bones, Dislocations, Infections, Ligament sprains, Soft tissue injuries, Infections, Burns, Sports injuries, Nerve compressions (carpel tunnel syndrome), Osteoarthritis, Rheumatoid arthritis, Finger disorders and injuries.

Symptoms (mostly depend on type &severity of condition):

• Pain, Tenderness, Swelling, Discoloration at affected area.
• Decreased/Difficulty in moving the hand and wrist.
• Deformity and Numbness(less sensation)

Diagnosis:

• X ray , MRI(magnetic resonance imaging)

Treatment:

NOTE: The treatment to the fractures, severe pain and post-operative cases should be followed by the advice of the doctor.

• R I C E treatment program is to be followed for pain reduction.

   - Rest is given to the affected area applying cast/splint (well padded-snuggly fitting)

   - Ice application is to be done near the pain area for every 2-3hrs for few days.

   - Compression and Elevation helps reduce swelling and induce healing.

• Analgesics, Anti-inflammatory drugs, Cortisone injections given under doctor’s supervision.

• Joint mobilization, Soft tissue massage, Electrotherapy modalities done by the physiotherapist.

• Hand & Wrist stretching exercises

  1. Flexion- Keep your arm straight and palm towards celing and push your palm upwards.

  2. Extension- Keep your arm straight and palm towards celing and push your palm down.

  3. Adduction (radial deviation)- Keep your arm straight, palm towards floor and move the palm towards inner side of the body.

  4. Abduction (ulnar deviation)- Keep your arm straight, palm towards floor and move the palm towards outer side of the body.

  5. Bring your palms together as if you are praying the god. Then stretch your fingers and press palms together and gradually move your hands to chest level so that they are parallel to the floor.

• Finger exercises

  1. Making a fist slowly and with slight force, opening it slowly.

  2. Extend and flex the each finger along with stretching them slightly (as shown in fig).

  3. Flex and extend the thumb slowly.

  4. Ball squeezing, Spread fingers apart and bring them close, Typing action.

  5. Touching all the fingers with each one by one.

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