Wrist and Hand pain can have many causes, many of them subtle. Thorough assessment and diagnosis is key to effective treatment
There are multiple tendons that run over the wrist joint and a significant change in these tendons being used , for example with excessive smart phone use, gaming or breastfeeding, can lead to pain in these tendons.
Normally by the time that the person seeks help the condition is not inflammatory. This is why the correct terminology is not tendonitis (it is means inflammation) but tendinopathy. However, there may be inflammation of the tendon sheath (tenosynovitis) or other local structures. De Quervain’s is the name given when the extensor pollicis brevis and abductor pollicis longus tendons are involved which are the tendons that move the thumb. Physiotherapy treatment of this condition can be very effective and we see people who can barely lift a coffee cup or hold a pen returning to high level function.
Carpal Tunnel is common condition of the wrist and hand that can cause tingling, pins and needles or numbness in the hand. The wrists and hands are innervated by nerves that come out of the neck. Therefore it is very common to have symptoms in the wrists or hands that stem from the neck, with or without the presence of neck pain. If you have pain in your hands or wrists it is really important that your Physiotherapist or Osteopaths assesses your neck to establish if this is a contributing factor or cause of your symptoms. If this is contributing to your symptoms then treatment will then be focused on this region of the body. We often see people who have been diagnosed with carpal tunnel syndrome or other wrist and hand conditions that are in fact caused by the neck. Subsequent treatment of the neck region therefore results in resolution of the distal symptoms.
It is important that treatment involves two main things:
These need to be done through the full range that is required for day to day and sporting activities.
Temporary relief may be achieved by things like taping, splinting, acupuncture, massage and ultrasound. However these modalities will only provide short term relief and the progressive loading exercises are key to long term recovery. If there is no significant improvement in symptoms with correct assessment treatment, then an injection may be indicated.
All of our videos are completely free and help to give a visual hints and tips.View Now
Cervical disc problems include degeneration, disc bulges or disc prolapses.If the discs in the neck become damaged they can bulge out and irritate or pinch the nerves coming out of the neck or the spinal cord itself. This clearly has serious implications, however can often be treated successfully with physiotherapy...Read More
Clicking or crunching in the neck can be caused by a number of things. Most people fear that the clicking is caused by bone hitting bone. However, thankfully nowadays this is rare. If you have this it is likely that for many years you have been suffering severe pain and...Read More
The complexity of the neck, the amount we use it for day-to-day activities, the degree of strain we put it through during training and sports, and the fact that we often use it inefficiently through poor posture and insufficiently strong deep stability muscles, all this can lead to many different...Read More
The complexity of the shoulder joint, the amount we use it for day to day activities and the degree of strain we put through it during training and sports can result in conditions that need surgery. Sometimes repair of damaged structures is necessary where rehab alone will not resolve the...Read More
We often find that this is over diagnosed and that often the arm and hand pain (and weakness) is actually being caused by a tendinopathy that is fully treatable with physiotherapy. However, true carpal tunnel syndrome is caused by irritation of the median nerve that runs though the wrist joint...Read More
Clicking or crunching in the shoulder can be caused by a number of things. Most people fear that the clicking is caused by bone hitting bone. However, thankfully nowadays this is rare. If you have this, it is likely that for many years you have been suffering severe pain and...Read More
There are a variety of exercises that are great for your shoulders including: 1) Train shoulder posture 2) Train your scapular stabilizers 3) Train serratus anterior muscle 4) Stretch the lats (latissimus dorsi) muscles 5) Train the rotator cuff musclesRead More
Sitting posture at work, at home or in the car is a major cause or cure of pain in the back, shoulders, neck, arms and knees. Please scroll down to the bottom for specific advice on how to adjust your posture in the car to avoid or reduce pain. Sitting...Read More
Please click here to read how the shoulder works before reading the following. It is essential to reposition the shoulder joint correctly, which you must do under the guidance of a physiotherapist to make sure you dont do more damage. The most common incorrect position is the shoulderblade being held...Read More
As a physiotherapist, I get lots of questions online and...
What gets tendons better and what doesn't As a...
Watching my toddler move to pick something up is a...
Don’t give up, even if treatment, including physiotherapy or osteopathy,...
Hover over the specific body parts and find out more
Use your mouse to hover over the dark grey dots and click through to the specific body parts to get advice about your injury.
We promise to never share your email address with anyone.