WRIST AND HAND

The wrist and hand areas are complex as they are comprised of many bones and cartilage formations. There are many different conditions which may cause pain and restriction of movement. Structures that may be the source of pain include: Carpal Tunnel inflammation; Tendonitis, i.e. from repeated movements; Fracture/broken bones; Sprain of ligament, joint, tendon.

Causes:

• Poor manual technique i.e. work, instrument
• Trauma i.e. fall
• Use of mouse/keyboard
• Poor Work place set up

Symptoms:

Difficulty moving the hand in simple tasks such as turning a key, lifting a kettle, dressing. Pain may be at any point on the wrist depending on the structure involved. Pins and needles in the fingers will often indicate the involvement of the carpal tunnel, where the nerves become compressed or inflamed. Fractures are often characterised by a constant and unrelenting pain. It is best to get an x-ray when this is the case.

Treatments:

Typically mobilisation if there is a restriction of movement involving stretches and traction techniques. Manipulation is indicated where the bones in the hand are displaced or stiff. Electrotherapy utilizing ultrasound and TENS are effective for pain relief and optimizing the healing time of damaged tissues. Acupuncture for pain and the reduction of inflammation. Exercise is important for the restoration of movement and in order to capitalize on benefits gained during the treatment session.