How to Look After a Sprained Wrist Expert Reviewed How to Look After a Sprained Wrist Three Parts: Looking After a Mildly Sprained Wrist Looking After a Moderately Sprained Wrist Seeking Medical Attention Community Q&AA sprained wrist is an injury to the ligaments that connect the small bones of the wrist (called carpal bones) together. The most common ligament injured in the wrist is the scapho-lunate ligament, which connects the scaphoid bone to the lunate bone. [1] Wrist sprains have a wide range of severity depending on the degree of stretch or tearing to the ligament. The severity of your wrist sprain will dictate how you look after it at home or whether you need to see a health professional. 
SCAPHOID FRACTURE Home » Patient Info » Conditions & Procedures » Wrist » SCAPHOID FRACTURESCAPHOID FRACTUREIntroduction The scaphoid bone is a small, boat-shaped bone in the wrist, which, along with 7 other bones, forms the wrist joint. It is present on the thumb side of the wrist causing it to be at a high risk for fractures. A scaphoid fracture is usually seen in young men aged 20 to 30 years. They can occur at two places: near the thumb or near the forearm. Causes Scaphoid fracture occurs due to a fall on an outstretched hand with complete weight falling on the palm. This fracture usually occurs during motor accidents or sports activities. Symptoms Symptoms of a scaphoid fracture include pain and swelling at the site of injury (base of the thumb and forearm). There is usually no deformity at the site of fracture; hence it may be mistaken for just a sprain. Bruising is also a very rare symptom of the fracture. There are chances that the patient might not be aware of the fracture for months or even years after the fall as the pain generally improves in a few days. Diagnosis Scaphoid fractures are diagnosed by X-rays; however, a non-displaced fracture does not show up on an X-ray when it is taken as early as the first week. Hence, your doctor will test for tenderness at the site of the scaphoid bone to detect the fracture. Your doctor will also advise you to use a splint and avoid lifting anything heavy for a few weeks and then order another X-ray to check for visibility of the fracture. Sometimes, an MRI scan, CT scan or bone scan can also be ordered to confirm the diagnosis of the scaphoid fracture. Treatment Treatment for scaphoid fracture is based on the site of the fracture i.e. the fracture near the thumb or near the forearm. Non-surgical Treatment: Your doctor will suggest non-surgical treatment when the scaphoid fracture is not displaced. Non-surgical treatment involves immobilization of the forearm, hand and/or thumb in a cast. It might also include the elbow in case of fractures near the forearm. The time taken for the fracture to heal ranges from 6 – 10 weeks. Fractures near the thumb take relatively less time to heal when compared to fractures near the forearm as the blood supply necessary for healing is better near the thumb. Surgical Treatment: Surgical treatment may be suggested when the fracture is displaced or is present closer to the forearm. In surgical treatment an incision is made either in the front or back of the wrist. Your surgeon will use screws and wires to hold the scaphoid bone in place as it heals. If the bone is broken into more than 2 pieces, bone graft (graft usually taken from the forearm or hip) may be used to help in the healing process. Following surgery, your hand will be placed in a splint or cast until it completely heals. Until then, you will be advised by your doctor to avoid contact sports and not to lift, throw, push or pull heavy weights with the injured arm. During recovery, you will be given physical therapy and taught certain exercises to help you regain strength and range of motion in your wrist. Complications The complications involved in the treatment of scaphoid fracture include: Non-union: when a bone fails to heal after treatment. This is caused due to limited blood supply in the scaphoid region. A special kind of bone graft called a vascularized graft, in which the bone has its own blood vessels, can be used to overcome this complication. Avascular necrosis: This is a complication in which cells of the scaphoid bone die due to lack of blood supply, causing bone collapse and arthritis. This usually happens in case of displaced fractures, as the displaced bone fails to get proper nutrients. Treatment with a vascularized graft will be suggested by your doctor to treat this complication. Post-traumatic arthritis: Persistent non-union and avascular necrosis of the scaphoid can cause arthritis of the wrist. This can be treated with splits, anti-inflammatory medications, steroid injections or surgery. Conclusion Scaphoid fractures can prove to be a permanent disability if not treated appropriately and with full care. The patient must take proper care to wear the cast until complete recovery of the fracture has occurred. It is also very important to maintain complete motion of the fingers and avoid lifting or pushing heavy weights during the recovery period. Exercise programs and physical therapy prescribed by the doctor should be strictly followed until the same motion and strength in the wrist is restored.  . Printer Friendly Version What is a finger sprain? A sprain is an injury to a joint that causes a stretch or tear in a ligament. A ligament is a strong band of tissue connecting one bone to another. How does it occur? A sprain usually occurs when there is an accident such as a ball striking the tip of your finger or you fall forcefully onto your finger. What are the symptoms? There will be pain, swelling, and tenderness in your finger. How is it diagnosed? Your doctor will examine your finger and may order an x-ray to be sure you have not broken any bones in your finger. How is it treated? Treatment may include: Applying ice packs to your finger for 20--30 minutes every 3--4 hours for 2--3 days or until the pain goes away keeping your hand elevated when sitting or lying Taking an anti-inflammatory (Ibuprofen)Doing exercises to strengthen your finger during the healing process. When can I return to my sport or activity? The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your activity will be determined by how soon your finger recovers, not by how many days or weeks it has been since your injury occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. Your doctor will recommend that your sprained finger be splinted or "buddy taped" (taped to the finger next to it) for 1 to 4 weeks after your injury. In many cases, you will be able to return to your activities as long as you are wearing your splint or have your finger taped. Your finger may remain swollen with decreased range of motion and strength for many weeks. It is important to continue your rehabilitation exercises during this time and even after you return to your sport. How can I prevent a finger sprain? Finger sprains are usually the result of injuries that are not preventable. Finger Dislocation A finger dislocation is a displacement of the bones of the finger from their normal position. How does it occur? A dislocation usually occurs when there is an accident such as a ball striking the tips of the finger or a person falling forcefully onto a finger or getting a finger hooked into a piece of equipment like a football mask or a basketball net. What are the symptoms? In a dislocation there is immediate pain and swelling. The finger looks swollen and crooked. You will usually be unable to bend or straighten the dislocated joint. How is it diagnosed? Your doctor will examine your finger. An x-ray will be taken to confirm the dislocation and to determine if there is also a break in your finger. How is it treated? Your doctor will realign the dislocated bones. Your finger will be placed in a protective splint for several weeks. Your finger will most likely be swollen after the dislocation. You should apply ice packs to your finger for 20 to 30 minutes every 3 to 4 hours for 2 or 3 days or until the pain goes away. Your hand should be elevated on a pillow while you are lying down or on the back of a chair or couch while you are sitting. Your doctor may prescribe an anti-inflammatory medication. You will be given exercises to strengthen your finger during the healing process. When can I return to my sport or activity? The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your activity will be determined by how soon your finger recovers, not by how many days or weeks it has been since your injury occurred. Your doctor will recommend that your dislocated finger be splinted or "buddy taped" (taped to the finger next to it) for 3 to 6 weeks after your injury. In many cases, you will be able to return to your sport or activity as long as you are wearing your splint or have your finger taped. Your finger may remain swollen with decreased range of motion and strength for many weeks. It is important to continue your rehabilitation exercises during this time and even after you return to your sport or activity. How can I prevent finger dislocation? Finger dislocations are usually the result of accidents that are not preventable. However, whenever possible you should try to avoid getting your finger stuck in objects such as helmets, nets, or athletic jerseys. Mallet Finger (Baseball Finger)What is mallet finger? Mallet finger, also known as baseball finger, is an injury to the fingertip caused by a blow to the end of the finger. In mallet finger, the tendon that straightens the tip of the finger is injured and you may lose the ability to straighten your finger. How does it occur? There is usually a jamming injury to the tip of the finger. What are the symptoms? You may have pain and swelling at the tip of the finger. You may be unable to straighten the tip of your finger. If the injury is old or if you do not seek medical care soon enough, you may permanently lose the ability to straighten your finger. How is it diagnosed? Your doctor will examine your finger and review your symptoms. An x-ray may be taken to see if there is also a fracture. Commonly, the tendon will pull off a piece of the bone to which it is attached at the end of your finger. How is it treated? Your finger will be straightened and placed in a splint for about 6 weeks to allow the tendon to reattach to the finger bone or, if a piece of bone has been pulled off, to allow the bone to heal. It is important to keep this splint on to permit healing. Because your finger probably will be swollen, you should apply ice packs to your finger for 20 to 30 minutes every 3 to 4 hours for the first 2 or 3 days or until the pain goes away. Your hand should be elevated on a pillow when you are lying down or placed on the back of a chair or couch when you are sitting. When can I return to my sport or activity? The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your sport or activity will be determined by how soon your finger recovers, not by how many days or weeks it has been since your injury occurred. It is important that you wear a splint for your mallet finger for at least 6 weeks after your injury. If you wear your splint as your doctor has recommended you may return to your activities immediately. NOT wearing your splint can lead to permanent injury or deformity of your finger. How can I prevent mallet finger? Mallet finger is caused by a direct blow to the end of the finger during an accident that is usually not preventable. Trigger Finger What is trigger finger? Trigger finger is a condition in which it is difficult to straighten a finger (or fingers) once bent. The medical term for trigger finger is stenosing tenosynovitis. How does it occur? Trigger finger results from inflammation or swelling of the fibrous sheath that encloses the tendons. A tendon is a band of strong fibrous tissue that connects a muscle to a bone. The straightening mechanism hesitates for a few moments before the tendon suddenly overcomes the resistance. The finger then straightens with a sudden jerk or triggering motion. What are the symptoms of trigger finger? Symptoms include: A snapping sensation (triggering) in the affected finger or fingers Inability to extend the finger smoothly or at all (it may lock in place while bent)Tenderness to the touch over the tendon, usually at the base of the finger or palm Soreness in the affected finger or fingers. How is trigger finger diagnosed? Your doctor will review your symptoms and examine you. How is trigger finger treated? Sometimes it is helped by ice and anti-inflammatory medication (Ibuprofen). If this does not work, your doctor may give you an injection of cortisone and a local anesthetic (to keep you from feeling pain with the injection) to reduce the inflammation of the tendon sheath. When can I return to my sport or activity? You may return to your sport or activity when your finger no longer catches or locks. How long do the effects of trigger finger last? The severity of trigger finger varies from person to person. Although response to treatment varies, results are usually good. It is best to discuss progress with your doctor on a regular basis. Surgery for this condition is usually very successful. How can I take care of myself? It is important to follow your doctor's instructions. In addition, rest and limit the activity of the affected finger or fingers and of the hand and wrist. What can I do to help prevent trigger finger? Since the cause of trigger finger is unknown, there is no reliable way to prevent this condition from developing. Finger Injury Rehabilitation Exercises You may do all of these exercises right away (see diagram below). Passive range of motion: Gently assist the injured joint by helping to bend it with your other hand. Gently try to straighten out the injured joint with your other hand. Repeat slowly, holding for 5 seconds at the end of each motion. Do this 10 times. Do these exercises 3 to 5 times per day. Finger lift: With your palm flat on a table and your fingers straight, lift each finger up individually and hold 5 seconds. Then put it down and lift the one next to it until you have done all 5 fingers individually. Hold each one 5 seconds and repeat 10 times. Fist making: Make your hand into a fist. If the injured finger will not bend into the fist, assist it with your uninjured hand and try to help it bend into the fist. Hold this position for 5 to 10 seconds. Repeat 10 times. Object pick-up: Practice picking up small objects such as coins, marbles, pins, or buttons with the injured finger and the thumb. Written by Tammy White, M. S., P. T., for Clinical Reference Systems Information Developed by Clinical Reference Systems Printer Friendly Version  Wrist Sprain Wrist Sprain What Is It? Published: May, 2014A sprain in the wrist is an injury to its ligaments, the tough bands of fibrous tissue that connect bones to one another inside a joint. Although most people speak of the wrist as a single joint between the forearm and hand, the wrist actually contains many joints that link 15 separate bones. The ligaments that connect these bones can be torn by any extreme twist, bend or impact that suddenly forces the wrist into a position beyond its normal range of motion. There are three levels of sprain: Mild (Grade I) — The wrist's ligaments are stretched or have microscopic tears. Moderate (Grade II) — The damage is more severe, and some wrist ligaments may be partially torn. Severe sprains (Grade III) — One or more wrist ligaments are entirely torn or torn away from where they normally attach to bones. Sprains of the wrist are fairly rare in everyday life and in the workplace. Under certain weather conditions, such as during ice storms or after a snowfall, a wrist sprain is commonly caused by a fall in which a person lands on outstretched arm. To continue reading this article, you must login . Subscribe to Harvard Health Online for immediate access to health news and information from Harvard Medical School. Research health conditions Check your symptoms Prepare for a doctor's visit or test Find the best treatments and procedures for you Explore options for better nutrition and exercise Learn more about the many benefits and features of joining Harvard Health Online »I'd like to receive access to Harvard Health Online for only $4.99 a month. Sign Me Up »  Sprained ankle An injury of the ankle where the bone is not damaged but the soft tissues are (mainly a ligament on the side of the ankle) is called a sprained ankle. This most commonly occurs when you "go over" on your ankle. Your ankle becomes swollen and painful, and is difficult to walk on. Bruising also appears, often at the swollen part, but later on around the edge of the foot and on to the toes, as blood from the torn tissues finds its way past layers of muscle and tendons. Symptoms Your ankle is likely to be swollen from almost immediately after you sprain it. The swelling is greatest on the outer side of the ankle if you injure it by going over on the outside edge of your foot (an inversion injury), and greatest on the inner side of the ankle if you go over on the inside edge of your foot (an eversion injury). Obvious bruising may come up immediately, but often takes hours or even a few days to appear. Your ankle is likely to be very painful, making it difficult to stand on or move your foot in the normal way. It may seem hotter and redder than usual, as well as swollen. This is known as inflammation. Causes Usually the cause is going over on your ankle (sometimes called "turning" the ankle). Sometimes the cause is a strain put on the ankle by an impact, for example a football or rugby tackle or a road traffic accident. Diagnosis It is usually quite obvious to you that you have injured your ankle. It will be quite painful, but it is a good sign if you can put some of your weight on it. For an ankle sprain, the treatment is as laid out below, and you can do the majority of this for yourself, especially as the early use of these approaches minimises pain and swelling. However, if you have a bad sprain, or suspect that you might have a more serious injury (such as a broken bone) you should seek advice from your doctor or the local accident and emergency department . X-Rays (radiographs) are of value in confirming the presence, position or severity of a broken bone (fracture), but they also involve exposing you to radiation, have a cost, and are time consuming. They are therefore best avoided in a simple sprain. Your doctor might ask for an X-Ray if their findings suggest a fracture is likely, but may well decide not to do this, and using simple rules (for example The Ottawa Ankle Rules) unnecessary X-rays can be avoided. Treatment If you have a sprained ankle, you can often deal with it yourself, but if in any doubt about whether it may be anything else, or about the severity of the symptoms, you should seek professional help. The standard treatment for sprains is often abbreviated as "RICE", that is: R est I ce (cold compresses). Try using a bag of frozen peas, or crushed ice in a plastic bag, wrapped in a damp cloth (this helps to avoid ice burns). Do not apply for more than a few minutes at a time. C ompression. For example using a crepe bandage or tubular bandage. E levation. Have your leg up on the sofa or a stool, but make sure you do not have a hard edge pressing on your calf muscle (to help to reduce the risk of a Deep Vein Thrombosis / DVT ). Undoubtedly a sprained ankle can be very swollen and painful, and often takes three months to settle. Even then, the ankle is a joint which tends to remain weaker after a bad sprain. It may also remain swollen compared to the other ankle. Your ankle will become pain-free quicker if you rest it, but total inactivity leads to stiffness and thinning of the bones. Certainly the RICE approach helps for the first day or so, and for most people the best thing is to try to continue non-strenuous activities and avoid things likely to put an undue strain on the ankle. Generally the pain and swelling is worst over the first few days, and if it gets much worse after this you should seek further advice. You may find you are getting a bit better and then put a bit of extra strain on it and worsen your symptoms a little. However, slowly things will get better. Pain relief and some reduction in inflammation can be provided by taking a non-steroidal anti-inflammatory drug , such as ibuprofen, if you are not allergic to, or likely to be upset, by this. (If in doubt ask your pharmacist or doctor. )Straight pain relief (analgesia) can be provided by taking paracetamol. Some people find an embrocation or liniment applied to the skin helps, but this should not be used on sensitive or broken skin. Physiotherapy treatments can often help with recovery. Occasionally, your doctor might suggest a steroid injection. This acts rather like an anti-inflammatory drug, and reduces swelling, pain and inflammation, but the body's natural healing mechanisms are still needed to mend the tissues, and this will usually take quite a few weeks. If you develop a very weak ankle after an ankle sprain, with a tendency to sprain it frequently, your doctor may suggest that you see an orthopaedic specialist. Prevention Keep generally fit. Use sensible footwear for walking on rough terrain. Use appropriate shoes for sporting activities. If you have had a previous ankle sprain you should consider wearing a support for high risk sports such as soccer and basketball ( Interventions for preventing ankle ligament injuries ). Further information The Ottawa Ankle Rules Systematic review after 10 years of the Ottawa Ankle Rules Brief feedback Has this information been useful?  Wrist Injuries and Disorders Wrist Injuries and Disorders On this page Basics Summary Start Here Diagnosis and Tests Prevention and Risk Factors Treatments and Therapies Learn More Living With Related Issues Specifics See, Play and Learn No links available Research Clinical Trials Journal Articles Resources Reference Desk Find an Expert For You Children Patient Handouts Summary Your wrist is made up of eight small bones known as carpals. They support a tube that runs through your wrist. That tube, called the carpal tunnel, has tendons and a nerve inside. It is covered by a ligament, which holds it in place. Wrist pain is common. Repetitive motion can damage your wrist. Everyday activities like typing, racquet sports or sewing can cause pain, or even carpal tunnel syndrome. Wrist pain with bruising and swelling can be a sign of injury. The signs of a possible fracture include misshapen joints and inability to move your wrist. Some wrist fractures are a result of osteoporosis. Other common causes of pain are Sprains and strains Tendinitis Arthritis Gout and pseudogout Start Here Hand/Wrist/Arm Problems (American Academy of Family Physicians)Also in Spanish Diagnosis and Tests Arthrography (American College of Radiology, Radiological Society of North America)Also in Spanish Bone X-Ray (Radiography) (American College of Radiology, Radiological Society of North America)Also in Spanish Hand/Wrist/Arm Problems (American Academy of Family Physicians)Also in Spanish Wrist Pain (Mayo Foundation for Medical Education and Research)Prevention and Risk Factors Computer Workstations: Wrist/Palm Supports (Occupational Safety and Health Administration)Treatments and Therapies Hand Surgery: Anesthesia (American Society for Surgery of the Hand)Magnets for Pain Relief (National Center for Complementary and Integrative Health)Wrist Arthroscopy (American Society for Surgery of the Hand)Living With Hand Therapy (American Society for Surgery of the Hand, American Society of Hand Therapists)Related Issues Computer Workstation: Pointer/Mouse (Occupational Safety and Health Administration)Computer Workstations: Keyboards (Occupational Safety and Health Administration)Specifics Arthritis of the Wrist (American Academy of Orthopaedic Surgeons)De Quervain's Tendinosis (American Academy of Orthopaedic Surgeons)De Quervain's Tenosynovitis (Mayo Foundation for Medical Education and Research)Distal Radius Fracture (Broken Wrist) (American Academy of Orthopaedic Surgeons)Also in Spanish Ganglion Cyst of the Wrist and Hand (American Academy of Orthopaedic Surgeons)Golf Injuries to the Hand, Wrist, or Elbow (American Society for Surgery of the Hand)Kienböck's Disease (American Society for Surgery of the Hand)Scaphoid Fracture of the Wrist (American Academy of Orthopaedic Surgeons)Wrist Fractures (American Society for Surgery of the Hand)Also in Spanish Wrist Sprains (American Society for Surgery of the Hand)Also in Spanish Clinical Trials Clinical Trials.gov: Ganglion Cysts (National Institutes of Health)Clinical Trials.gov: Wrist Injuries (National Institutes of Health)Journal Articles References and abstracts from MEDLINE/Pub Med (National Library of Medicine)Article: Evidence-Based Review of Distal Radius Fractures. Article: Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review... Article: Longitudinal recovery following distal radial fractures managed with volar plate... Wrist Injuries and Disorders -- see more articles Reference Desk Hand Anatomy (American Society for Surgery of the Hand)Find an Expert American Society for Surgery of the Hand Find a Hand Surgeon (American Society for Surgery of the Hand)National Institute for Occupational Safety and Health Also in Spanish National Institute of Arthritis and Musculoskeletal and Skin Diseases Also in Spanish Children Computer-Related Repetitive Stress Injuries (Nemours Foundation)Also in Spanish X-Ray Exam: Wrist (Nemours Foundation)Patient Handouts Colles wrist fracture - aftercare (Medical Encyclopedia)Also in Spanish De Quervain tendinitis (Medical Encyclopedia)Also in Spanish Wrist arthroscopy (Medical Encyclopedia)Also in Spanish Wrist pain (Medical Encyclopedia)Also in Spanish Wrist sprain - aftercare (Medical Encyclopedia)Also in Spanish Topic Image Medline Plus Email Updates Get Wrist Injuries and Disorders updates by email What's this? GOMEDICAL ENCYCLOPEDIAArm MRI scan Colles wrist fracture - aftercare De Quervain tendinitis Wrist arthroscopy Wrist pain Wrist sprain - aftercare Related Health Topics Arm Injuries and Disorders Carpal Tunnel Syndrome Elbow Injuries and Disorders Hand Injuries and Disorders Shoulder Injuries and Disorders National Institutes of Health The primary NIH organization for research on Wrist Injuries and Disorders is the National Institute of Arthritis and Musculoskeletal and Skin Diseases Other Languages Find health information in languages other than English on Wrist Injuries and Disorders Disclaimers Medline Plus links to health information from the National Institutes of Health and other federal government agencies. Medline Plus also links to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines .  Sprains and Strains Sprains and Strains Center Least Effective Exercises Slideshow Dehydration Tips Slideshow Pictures First Aid Sprains & Strains Slideshow Pictures Patient Comments: Sprained Ankle - Treatments Patient Comments: Sprains and Strains - Causes Find a local Orthopedic Surgeon in your town Sprains and strains facts What is the difference between a sprain and a strain? What causes a sprain or strain? Where do sprains and strains usually occur? What are sprain symptoms and signs? How are sprains and strains diagnosed? What is the treatment for sprains and strains? What is the recovery time for sprains and strains? Is it possible to prevent sprains and strains? What is the prognosis of sprains and strains? Where can people find more information about sprains and strains? Sprains and strains facts A sprain is abnormal stretching or tearing of a ligament that supports a joint. A strain is abnormal stretching or tearing of a muscle or tendon. Sprains and strains may be caused by repetitive activities or by a single injury. The diagnosis of a sprain or strain usually can be made after the health-care professional takes a history of the injury and performs a physical examination. Depending upon the situation, X-rays, a CT scan, or an MRI may be needed to help make or confirm the diagnosis. RICE (rest, ice, compression, and elevation) are the keys to initial treatment. Most sprains and strains resolve with time, but occasionally other treatments, including physical therapy and surgery, may be required. Anti-inflammatory medications may be helpful in decreasing the pain and inflammation of the injury. What is the difference between a sprain and a strain? A sprain is an injury to a ligament, while a strain is an injury to muscle or tendon tissue. How muscles work The purpose of muscles is to allow the body to move. A muscle attaches to bone on each side of a joint, either directly or by way of a tendon. When the muscle contracts, the joint moves through its range of motion. The muscle that you can feel moving underneath your skin is really made up of many smaller bundles of muscle fibers called fascicles. These, in turn, are made up of individual muscle fibers that are crosslinked to allow them to slide back and forth within the fascicle. Sliding together causes the muscle fibers to shorten and the muscle to contract and move the joint. When the muscle relaxes, the muscle fibers return to their resting position and as the fibers elongate, the joint may return to its previous position. The transition of muscle to tendon happens gradually as muscle fibers give way to tendon fibers before the bony attachment occurs. The anatomy of each tendon is different and depending upon their location in the body, the tendon portion may be very short or very long. A strain is damage caused by an overstretched muscle or tendon, causing their fibers to be pulled apart, losing the ability to adequately contract. The severity of injury depends upon the amount of tissue that is damaged. The muscle fiber may be just stretched, partially torn, or completely torn apart. The most common cause of a muscle or tendon strain is overuse, which weakens the tissue fibers. Muscles and joints may also be forced to perform movements for which they are not prepared or designed, stretching and potentially damaging the surrounding muscle or tendon. An injury can occur from a single stressful incident, or it may gradually arise after many repetitions of a motion. The damage can occur in three areas: the muscle itself, the muscle tendon intersection where the muscle fibers transition to tendon fibers, or the tendon itself. Strains are described by the severity of damage in three grades: Grade 1 strain usually causes stretching of a few of the muscle fibers. Grade 2 strain has more significant damage, and some muscle fibers are damaged or torn. Grade 3 strain is a complete rupture of the muscle. How joints work Joints are stabilized by thick bands of tissue called ligaments that allow the joint to move only in specific directions. Some joints move in multiple planes. Therefore, they need more than one group of ligaments to hold the joint in proper alignment. The ligaments are anchored to bone on each side of the joint. If a ligament is stretched or torn, the injury is called a sprain. The grading system for sprain injury is similar to that of strains. Grade 1 sprains occur when fibers of the ligament are stretched but not torn. Grade 2 sprains are injuries where the ligament is partially torn. Grade 3 sprains occur when the ligament is completely torn or ruptured. Quick Guide Pain-Relief Tips for Bumps, Bruises, Sprains, and Strains in Pictures  Causes of Sprain Causes of Sprain Intro Symptoms Types Causes Tests Treatment Prevention Misdiagnosis Deaths Must Reads in Health Protecting Your Skin During Winter Watch: My Personal Psoriasis Journey Are You Getting The Best Cancer Care? Keeping An Active Lifestyle With COPDLiver Disease? Find a Doc Who Treats PBCAre You Allergic To Your Clothes? Why Psoriasis Treatments Can Fail Contents Sprain: Introduction Causes Discussion Triggers Related cause information Sprain: Related Medical Conditions To research the causes of Sprain, consider researching the causes of these these diseases that may be similar, or associated with Sprain: Ankle strain Inversion ankle injury Eversion ankle injury Ankle pain Lateral ankle complex Talofibular ligament Calcaneofibular ligament Posterior talofibular ligament Sprain: Causes and Types Causes of Types of Sprain: Review the cause informationfor the various types of Sprain: Ankle sprain - most common type of sprain. Knee sprain - also common Wrist sprainmore types...»Causes of Broader Categories of Sprain: Review the causal information about the various more general categories of medical conditions: Rheumatic conditions Physical conditions Ankle conditions Accident or injury conditions Pain conditionsmore types...»What causes Sprain? Causes: Sprain: A sprain can result from a fall, a sudden twist, or a blow to the body that forces a joint out of its normal position. This results in an overstretch or tear of the ligament supporting that joint. Typically, sprains occur when people fall and land on an outstretched arm, slide into base, land on the side of their foot, or twist a knee with the foot planted firmly on the ground. (Source: excerpt from Questions and Answers Sprains and Strains: NIAMS)What triggers Sprain? The following conditions are listed as possible triggers for Sprain: Falls Twisting suddenly Blow Joint dislocation ( see Joint symptoms )Baseball slide Rolling an ankle Twisting a knee» Next page: Symptoms of Sprain Medical Tools & Articles: Tools & Services: Bookmark this page Symptom Search Symptom Checker Medical Dictionary Medical Articles: Disease & Treatments Search Misdiagnosis Center Full list of interesting articles Forums & Message Boards Ask or answer a question at the Boards: I cannot get a diagnosis. Please help. Tell us your medical story. Share your misdiagnosis story. What is the best treatment for my condition? See all the Boards.  Torn Ligament in Wrist: Symptoms, Treatment, Surgery Torn Ligament in Wrist: Symptoms, Treatment, Surgery Reviewed By: Pramod Kerkar, MD, FFARCSIWrist injury is a common occurrence and torn ligament in wrist can be experienced by many people. Those involved with repetitive hand functions, which demand various movements of the wrist and sportspersons are at greater risk of having a torn ligament in wrist. It is important to understand the symptoms of a torn ligament in wrist and ways to treat it, to avoid further complications and joint problems. Torn Ligament in Wrist Wrist has eight small carpal bones that together make the wrist joint, making it more complicated. Occurrence of torn ligament in wrist involves the cobweb of many bones held together with the help of ligaments. In case, any of the ligaments gets injured, the movement of the wrist also changes as a unit. Due to this troublesome movement, a torn ligament in wrist can cause problems, and pain with wrist movement is the commonest symptom of it. Due to the faulty maneuvers of hands and daily wear and tear, there can be a trouble in the ligament of wrist. Torn ligament can also be a result of an injury and the symptoms of it may remain dormant for years. Wrist injury can be quite serious if left untreated for a long time and it is not only the ligament, but there are tendon, nerves and bones as well which are joined together to provide for a smooth movement. There are generally two types of injuries which can result in a torn ligament in wrist, which includes: Strains Sprains. When the ligaments (which are basically the elastic tissues that help in holding together the bones) get injured then it is termed as sprain. Also, sprains are quite painful and may get severe when left untreated so medical help becomes quite necessary. Strain involves the damage in tendon and when muscles get overstretched to the point, it becomes unbearable for it to withstand the pressure caused. This too can be painful and needs to be treated in time to avoid further problems. Knowing the symptoms of torn ligament in wrist and ways to treat it can help to manage the condition. Symptoms of Torn Ligament in Wrist The main causes of torn ligament in wrist include the accidents or lifting of some heavy weight or applying pressure on something more than your capacity or being involved excessively in sports. Recognizing the symptoms of torn ligament in wrist is necessary for early diagnosis and treatment. Pain and Swelling - Some of the commonest symptoms of torn ligament of wrist or an injured wrist include pain and swelling. Wrist pain and swelling due to torn ligament in wrist may eventually worsen, if appropriate ways to treat it are not applied. Ecchymosis - Ecchymosis is another problem which signifies some damage like a torn ligament in wrist. In this, the common symptoms include discoloration and bruising, which can last up to several weeks. Difficulty in Wrist Movement – Another common symptom of torn ligament in wrist is lack of flexibility in wrist movement, which makes performing daily tasks difficult. Other symptoms of torn ligament in wrist can include clicking sound when moving the wrist in a particular direction, difficulty in holding or grasping objects and a discomfort when using the wrist joint. You may also feel that the wrist bones are not moving properly and are not in alignment which indicates the severity of the injury or the torn ligament. Torn Ligament in Wrist and Osteoarthritis When torn ligament in wrist remains untreated for long, it increases the risk of other troubles like wrist osteoarthritis. This usually is a serious stage of the torn ligament in the wrist and calls for an immediate medical help and diagnosis. It is characterized by symptoms of severe wrist pain, trouble in making wrist movement due to loss of cartilage resulting from torn ligament in wrist. Gradually, if wrist movements are discontinued due to pain, it can result in stiffness of bones, which further worsens the condition and causes more pain. Eventually it affects the wrist functions, makes holding of objects difficult and result in persistent swelling, stiffness and pain. These symptoms of a torn ligament in wrist are the important signs, which should be treated at once. Treatment of Torn Ligament in Wrist Treatment of torn ligament in wrist depends on the severity of the injury and the duration for which it has lasted. Treating the torn ligament in wrist is essential because it may lead to trouble later on which can be hard to diagnose. The commonest ways to treat torn ligament in wrist include Surgical Non-surgical Based on the history, complaints and clinical examination, it is possible to identify the possibility of a torn ligament in wrist. Wrist injuries can be acute in nature, while some injuries may go unnoticed and result in chronic wrist injuries. In case of acute wrist injury, the problem may be diagnosed within few weeks but in case of the chronic injury, the problem may be months-old. In such cases, the severity of the injury and the complaints will help to decide the most appropriate ways of treatment. Non-surgical treatment for torn ligament in wrist usually include application of ice packs to reduce swelling and immobilization of the wrist joint. A cast or splint may be advised to restrict wrist movements, control pain and promote healing. In mild sprains or wrist injury, it may take few weeks to heal from torn ligament in wrist. Surgical Ways to Treat Torn Ligament in Wrist If you are being recommended the surgical treatment then it calls for the multiple surgical procedures which are being conjoined together to treat the torn ligament or wrist injury. Surgical procedure for treatment of torn ligament in wrist is usually recommended when the wrist injury is a long standing one. In such cases, wrist pain and other symptoms of torn ligament in wrist are ignored or remain unnoticed, resulting in further complications affecting the wrist joint. Surgical ways to treat torn ligament in wrist help to treat conditions in which all ligaments of wrist are torn or when the bones and other structures of the wrist joint are damaged. The surgical ways to treat torn ligament in wrist include reconstructing the ligament and fusion, which help in a quick healing. The choice of treatment and the specific ways to treat torn ligament in wrist depend on the type and severity of the wrist injury or the presence of osteoarthritis and bone deformation. Hence, it is important to attend to the symptoms of torn ligament in wrist and provide treatment at the earliest. Also Read: Wrist Sprain Treatment for Wrist Joint Pain  sprain sprain Also found in: Thesaurus, Medical, Acronyms, Idioms, Encyclopedia, Wikipedia. Related to sprain: Ankle sprainsprain (sprān)n.1. A painful wrenching or laceration of the ligaments of a joint.2. The condition resulting from a sprain.tr.v. sprained, sprain·ing, sprains To cause a sprain to (a joint or ligament). [ Origin unknown . ]American Heritage® Dictionary of the English Language, Fifth Edition. Copyright © 2016 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.sprain ( spreɪn) vb (Medicine) ( tr) to injure (a joint) by a sudden twisting or wrenching of its ligamentsn (Pathology) the resulting injury to such a joint, characterized by swelling and temporarydisability [C17: of uncertain origin]Collins English Dictionary – Complete and Unabridged, 12th Edition 2014 © Harper Collins Publishers 1991, 1994, 1998, 2000, 2003, 2006, 2007, 2009, 2011, 2014sprain (spreɪn)v.t.1. to overstrain or wrench (the ligaments around a joint) so as to injure without fracture or dislocation.n.2. a wrenching injury to ligaments around a joint.3. the condition of being sprained. [1595–1605; orig. uncertain]Random House Kernerman Webster's College Dictionary, © 2010 K Dictionaries Ltd. Copyright 2005, 1997, 1991 by Random House, Inc. All rights reserved.sprain Past participle: sprained Gerund: spraining Imperativesprainsprain Collins English Verb Tables © Harper Collins Publishers 2011sprain An injury in which the ligaments reinforcing a joint are stretched or torn. Dictionary of Unfamiliar Words by Diagram Group Copyright © 2008 by Diagram Visual Information Limited Thesaurus Antonyms Related Words Synonyms Legend: Switch to new thesaurus Noun 1. sprain - a painful injury to a joint caused by a sudden wrenching of itsligamentswrench, pull, twist - a sharp strain on muscles or ligaments; "the wrench to hisknee occurred as he fell"; "he was sidelined with a hamstring pull"Verb 1. sprain - twist suddenly so as to sprain; "wrench one's ankle"; "Thewrestler twisted his shoulder"; "the hikers sprained their ankles when they fell"; "I turned my ankle and couldn't walk for several days"wrick, rick, wrench, twist, turninjure, wound - cause injuries or bodily harm to Based on Word Net 3.0, Farlex clipart collection. © 2003-2012 Princeton University, Farlex Inc.sprainverb twist, turn, wrench, dislocate, pull, rick He fell and sprained his ankle. Collins Thesaurus of the English Language – Complete and Unabridged 2nd Edition. 2002 © Harper Collins Publishers 1995, 2002sprainverb To injure a (bodily part) by twisting:turn, wrench. The American Heritage® Roget's Thesaurus. Copyright © 2013, 2014 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved. Translations Select a language:esguince hacerse un esguince torcedura torcer torcersesprain [spreɪn]A. N → torcedura f B. VT → torcerto sprain one's wrist/ankle → torcerse la muñeca /el tobillo Collins Spanish Dictionary - Complete and Unabridged 8th Edition 2005 © William Collins Sons & Co. Ltd. 1971, 1988 © Harper Collins Publishers 1992, 1993, 1996, 1997, 2000, 2003, 2005sprain ( sprein) verbto twist (a joint, especially the ankle or wrist) in such a way as to tear or stretch the ligaments. She sprained her ankle yesterday.nouna twisting of a joint in this way. Kernerman English Multilingual Dictionary © 2006-2013 K Dictionaries Ltd.sprain→ esguince, hacerse un esguince, torcerse Multilingual Translator © Harper Collins Publishers 2009sprainn. torcedura, esguince, torsión de una articulación con distensión y laceración parcial de los ligamentos;v. torcer; torcerse; to ___ one's ankle → ___ el tobillo. English-Spanish Medical Dictionary © Farlex 2012sprainn esguince m ( form ), torcedura; vt torcerse; Did you sprain your ankle? ..¿Se torció el tobillo? English-Spanish/Spanish-English Medical Dictionary Copyright © 2006 by The Mc Graw-Hill Companies, Inc. All rights reserved. Want to thank TFD for its existence? Tell a friend about us, add a link to this page, or visit the webmaster's page for free fun content . Link to this page: Facebook Twitter  Symptoms of a broken arm or wrist A broken (fractured) arm or wrist needs to be treated as soon as possible. It typically takes a month or two to heal. Symptoms of a broken arm or wrist Signs of a broken arm or wrist include:severe pain and tendernessbruising and swellingdifficulty moving the hand or armthe wrist or arm being an odd shapea snap or grinding noise at the time of injurybleeding (if the bone has damaged the skin) – sometimes the bone may poke through the skintingling and numbness Because of the shock and pain of breaking your arm, you may also feel faint, dizzy or sick. It can be hard to tell the difference between a minor break and a sprain. It's best to assume it's a fracture until it has been checked by a doctor or nurse. What to do if your arm or wrist is broken If you think you or someone else has a broken arm or wrist:go to your nearest accident and emergency (A&E) department or call 999 for an ambulance if it's a bad break – minor fractures can often be treated at a local minor injuries unitavoid moving the affected arm as much as possible – it may help to support it in a sling that goes under the arm and around the neck; find out how to make an arm slingstop any bleeding by applying pressure to the wound with a clean pad or dressing if possibleapply an ice pack (such as a bag of frozen peas wrapped in a tea towel) to the injured area if one is easily availabledon't eat or drink anything in case you need surgery to fix the bone when you get to hospital If your child has injured their arm or wrist, try to get someone else to drive so you can support and comfort them. Treatment for a broken arm or wrist When you arrive at the hospital, you'll be given painkillers and a support (splint) may be fixed to your arm to secure it in position. An X-ray will be carried out to check whether your arm or wrist is broken and how severe the break is. For a minor fracture:a plaster cast or removable splint will usually be applied – sometimes this may be done a few days later, to allow any swelling to go down first (a splint can be left on until a cast is fitted)you may be given a sling to support your armyou'll be given painkillers to take home and told how to look after your castyou'll probably be asked to attend follow-up appointments to check how your arm or wrist is healing For more serious fractures:a doctor may try to realign the broken bones with their hands – this will usually be done while you're awake, but your arm will be numbed and you may be given medicine to relax yousurgery may be carried out to realign the bones – this will often involve putting wires, plates, screws or rods inside your arm, but sometimes a temporary external frame may be useda plaster cast will usually be applied to your arm before you go homeyou'll be asked to attend follow-up appointments to check how your arm or wrist is healing Recovering from a broken arm or wrist Your cast will need to stay on until the broken bone has healed. This usually takes a month or two, but can take longer if the break was severe. While your arm is in a cast:avoid putting weight or strain on the arm – don't stop moving it completely, but avoid activities such as carrying anything heavy, driving and sportskeep the cast dry and keep your arm raised (for example, on pillows) whenever possible – read more about how to care for a plaster castdo some gentle exercises and stretches to reduce stiffness – your doctor or a physiotherapist will advise you about this; see an NHS leaflet on getting your hand moving after a wrist fracture (PDF, 170kb) for examples of exercises to tryget medical advice if you notice changes in your skin colour, unusual sensations in your arm or wrist, signs of infection (redness, swelling or smelly discharge), severe or continuous pain, or problems with your cast (it's too loose, too tight or cracked)Speak to your doctor about when you can return to work and normal activities. They will probably suggest gradually increasing how much you use your arm and hand over a few weeks or months. Your arm or wrist may be stiff and weak after the cast is removed. A physiotherapist can help with these problems, although sometimes they can last several months or more.  How to Identify and Treat a Sprained Wrist Home » Blog » How to Identify and Treat a Sprained Wrist How to Identify and Treat a Sprained Wrist Tags: Basic Facts, Health, Sprain | Posted on: 22 July, 2014It’s a natural instinct to break a fall with an outstretched hand, which is why wrist sprains are one of the most common sports injuries. When you break a fall with your hand and wrist, the weight of your body forces the wrist back toward your forearm, stretching the ligaments that connect the wrist and hand. A wrist sprain can range in severity from a tiny tear to a total break of the ligament. Wrist sprains are often divided into three different categories: grade I, grade II and grade III. Grade I sprains are mild, and occur anytime the ligament is stretched, but not torn. Grade II sprains are considered moderate, and occur when the ligament is partially torn. Finally, grade III sprains are severe and indicate a total tear of the ligament. Medical or surgical care is typically required in the case of a grade III sprain. So how can you identify a sprained wrist? Many of the common symptoms of a sprained wrist include bruising, swelling, ongoing pain any time you move your wrist, and warmth and/or a popping feeling inside the wrist. If you show symptoms of a sprained wrist, it’s imperative that a doctor evaluate your wrist injury to ensure you don’t suffer long-term stiffness or pain. When discussing your wrist sprain with your doctor, be sure to mention any previous wrist injuries you have sustained. It’s also important to inform your doctor of the specifics of your injury, such as when the injury happened, how the injury occurred and what symptoms you experience. If you notice numbness in your hand, you should let your doctor know immediately. Your doctor may want to X-ray the wrist or, in some cases, perform an MRI or CT scan. While wrist sprains may be painful, they are often easy to treat. Most of the time, a sprained wrist will heal on its own. There are a few ways to alleviate the pain of a wrist sprain and speed the healing process. Rest your wrist for a couple of days, icing it for 20-30 minutes every few hours. Keep the wrist elevated, take over-the-counter pain relievers according to the correct dosage and utilize wrist-strengthening exercises. Severe wrist sprains often require surgery to repair the snapped ligament.  How to Deal with Wrist Pain Workout Tips How to Deal with Wrist Pain Diagnose and and treat this common lifting injury.by Michael Camp, D. P. T., C. S. C. S. Previous story Test Your Power and Strength With 'Nancy' Next story Avoid Squatting Missteps with Proper Foot Position Share Tweet Print +/-Comments What You Did Performing barbell curls with a straight bar began to hurt. What You Feel Sharp pain along the pinkie side of your hand and wrist. it hurts when you move your wrist, and there may also be swelling and a feeling of heat, tingling, or numbness. The Diagnosis Wrist strain or sprain. a strain is a tear in the muscle fibers from repetitive move- ments or bad form. a sprain is an injury to the ligaments, often the result of a sudden force, like falling. Prevention Avoid straight bars for biceps curls and triceps extensions. if possible, incorporate kettlebell exercises such as swings and cleans to strengthen the wrist and grip.1 2 next Comments  Wrist Sprains â How serious are wrist sprains? Wrist Sprains – How serious are wrist sprains? Dr. Adnan Cutuk | St. Louis University Hospital Mar 17, 2011 ( …)Dr. Adnan Cutuk is a board certified orthopaedic surgeon fellowship trained in sports medicine. He uses the latest arthroscopic techniques for shoulder ligament, knee ligament, and soft tissue repair to closely recreate an athletes’ natural pre-injury anatomy and function, otherwise known as anatomic ligament reconstruction. Dr. Cutuk treats the full range of sports related injuries with a great interest in shoulder arthroscopy, knee ligament reconstruction, and minimally invasive shoulder replacement surgery. He is passionate about helping injured athletes achieve their full potential through a complete and thorough recovery. Like an ankle sprain (see last week's article), a wrist sprain is a very common orthopaedic injury. Anyone can sustain a wrist sprain; however, athletes and outdoor enthusiasts are more commonly affected. The wrist has several ligaments connecting the hand to the forearm. A sprain occurs when one of these ligaments becomes stretched or torn, which can be caused by a fall onto an outstretched hand or being hit on the wrist. If the tissues in the wrist are inflexible or weak, the risk and severity of the injury are even greater. Symptoms A sprained wrist will typically cause pain, tenderness, and swelling. It may be red and even warm to the touch. Bruising, skin discoloration, decreased range of motion, decreased function, a feeling of popping and dull ache in the wrist are common. Types of Wrist Sprains Wrist sprains range from mild to severe, depending on the degree of injury to the ligaments. They are evaluated and treated based on the following scale:• Grade One: A mild sprain categorized by overstretched ligaments.• Grade Two: A moderate sprain categorized by partially torn ligaments and some loss of function.• Grade Three: A severe, significant sprain categorized by a complete ligament tear, which requires medical and/or surgical treatment. This type of sprain may cause an avulsion fractures of the adjacebt bones. Most sprain cases - especially grade two and three - should be seen by an orthopaedic specialist to determine the type of sprain and proper treatment. In some cases, an occult fracture of the scaphoid bone may be mistaken for a mild or moderate sprain. This type of injury to the wrist bone may not heal without proper treatment, causing long-term pain and possibly requiring surgery. Treatment Grade one sprains can often be treated at home with the R-I-C-E method for the first 48 hours - in addition to using over-the-counter pain relievers - to help control the pain and swelling:• Rest the joint for at least 48 hours or until the pain and swelling have subsided.• Ice the injury for 15 to 20-minute intervals several times a day to control swelling.• Compress the swelling with an elastic compression bandage starting from the base of the fingers to the elbow.• Elevate the injury by keeping the joint above the level of the heart. Grade two sprains may need to be immobilized with a wrist brace, splint or cast for a few weeks. This immobilization may cause some stiffness in the wrist; therefore, stretching exercises may be used to help regain full mobility and function. Grade three sprains may require surgery to repair the completely torn ligament, reconnecting the ligament to the bone. Surgery is followed by a period of rehabilitation and exercises to strengthen the wrist and restore motion and function. Generally, the ligament can be expected to heal in six to eight weeks. Depending on the severity of the sprain, rehabilitation with full recovery of motion and strength can take several months. Preventing Wrist Sprains It's difficult to prevent wrist sprains, but there are some measures to consider. For instance, when doing daily activities, be careful walking in wet, icy or slippery conditions to avoid a major fall. When playing sports such as skating, skateboarding, and skiing, wear wrist guard splints or protective tape to support the wrist in case of a fall. Get the STL High School Sports newsletter!athletes of the week • statistical leaders • the latest headlines • prep sports talk • scoreboard • news organized by school Sign Up!I understand that registration constitutes agreement to the Terms of Use and Privacy Policy. Tags Injuries Medicine Human Anatomy Health_medical_pharma Sprain Injury Ligament Pain Anatomy Scaphoid Bone Bruise High Ankle Sprain Scapholunate Ligament Surgery Ankle Wrist Trauma Medicine Stretching Swelling Medical Very Common Orthopaedic Injury Dull Ache Surgical Treatment Orthopaedic Specialist Health Guard View ( …) comments Most Popular Cardinals pave way for Motte to join Memphis, unless another team snags him No time like overtime as Blues win again Wong finally feels a sense of belonging Ben Fred: Hicks gets second chance to make lasting impression with Cardinals Mizzou basketball recruiting effort centers on guards, including Ramey Follow us Manage your subscriber services See ads from today's newspaperpromotion Looking for your next home?promotion Come hear live talks with the nation's greatest professors Most popular Curry tabbed as Trinity's next football coach; Howell's Snyder resigns for Westminster AD job Goldstein's lone goal lifts Incarnate Word over Edwardsville Water polo preview: Trio of area teams jockey for position behind powerhouse SLUHGirls soccer season preview: Wilder ready to take more active role for Duchesne O'Fallon surges past Columbia to remain unbeaten© 2017 Lee Enterprises | Terms | Privacy  What happens when you sprain your ankle? Health General Health Care Injuries What happens when you sprain your ankle?is it really painful? do you have to wear anything on it? for how long? how long does it take to heal?1 following Answers Relevance Rating Newest Oldest Best Answer: "A sprain occurs when your ankle is forced to move out of its normal position, which forces one or more of the ligaments that surround and stabilize the bones out of its usual range of motion, causing the ligament to stretch or tear. " Just imagination the definition makes me feel the pain already. According to people who sprained their ankle - it's really and needs medical attention. "Signs and symptoms of a sprained ankle depend on its severity. A sprained ankle usually is painful and swells quickly after the injury. Generally, the greater the pain and swelling, the more severe the sprain." For how long, depends on what degree/grade is the sprained ankle. Mild sprain (grade 1). A ligament in your ankle stretches beyond its normal range of motion and may suffer microscopic tears, causing mild swelling and tenderness. You can put weight on your ankle and move it with some pain. Moderate sprain (grade 2). A ligament tears, but not completely. The ankle is tender, painful, bruised and difficult to move. Putting weight on your ankle or trying to move it is painful. Severe sprain (grade 3). A ligament tears completely, resulting in severe pain, swelling, tenderness and bruising. You find it painful and difficult to move your ankle or put any weight on it. Treatment for a sprained ankle depends on the severity of your injury: Mild sprain (grade 1). Self-care measures, such as putting ice on your ankle and taking an over-the-counter pain reliever such as ibuprofen (Advil, Motrin, others) or acetaminophen (Tylenol, others), may be all you need. Moderate sprain (grade 2). In addition to the self-care measures for a mild sprain, your doctor may suggest you wear an ankle brace while the sprain heals. You may also need to use crutches for a few days. Severe sprain (grade 3). For a severe sprain and if your ankle joint is unstable, your doctor may refer you to a joint specialist for evaluation. You may need a cast or walking boot to immobilize your joint so that it can heal properly. In rare cases of severe ligament tears, or if you are an elite athlete, you may need surgery to repair the damage. To successfully treat an ankle sprain, your doctor may suggest you do exercises to restore your ankle's range of motion, strength, flexibility and balance. Usually, these exercises are recommended only after the swelling has gone down, and you've rested your ankle for several days. If you sprained your ankle while exercising or participating in a sport, talk to your doctor about when you can begin your activity again. If your sport requires sharp, sudden turns — as in tennis, basketball or football — you may have to sit out for several weeks or months, depending on the severity of your sprain, to ensure that your ankle heals properly. When you do return to your activity, you may have to wear an ankle brace or wrap your ankle for support and protect it from re-injury. But, it's best to use bracing or wrapping as a short-term measure only. You can best protect your ankle in the long term by working to condition and strengthen the muscles around your joint. The best brace you can give yourself is your own "muscle brace." Talk to your doctor about conditioning and strengthening exercises. Healing depends on the severity of the sprained ankle and cooperation and self care of the patient. Read more on this site if you want more infos: http://www.mayoclinic.com/health/spraine...crownprincess · 10 years ago1 0 Comment Asker's rating It all depends on the severity of a sprain as to how much it hurts, if you need a tubi-grip and how long it take to heal. I have weak ankles so when ever i have sprained my ankle they have always been badley sprained and i have needed a tubi-grip, it normally takes a week or 2 before you really start being able to walk on it properly again if you have a bad sprain. For a sprain you are normally given a tubi-grip to wear over the affected area its like a tightish bandage to limit movement but not totally stop movement, the doctor would tell you to keep you foot elevated to help healing time and if the pain is really bad to put a cold compress on it, Also you would be told to take the tubi-grip off at night then put it back on in the morning. hope this helps xxxxxpeplyxx · 10 years ago2 0 Comment A sprained ankle is damage to the soft tissue around the ankle joint. Tendons and ligaments get stretched or torn loosening the joint. As you can imagine, stretching or tearing your tissues can be quite painful. Sprains are rated by severity - 1st degree 2nd degree 3rd degree - with 1st degree being the least severe. By 3rd degree you have total tearing of a ligament and the joint is really compromised. You would have to wear a caste. Treatment, healing time, and pain all depend on the severity of the sprain. Tom T · 10 years ago2 0 Comment It takes longer to heal. Depending on the level of sprain, continuing to stay on it can cause further damage. There are three levels of sprains. Level 1 is mild and 3 is serious. Evelyn · 2 years ago0 0 Commentyes it was painfull i dident cry but it hurt it took about 2 days or so to heal and i dident have to wear anything on it :)Cheese · 10 years ago0 0 Commentit swells up and gets really painfull. STEVEN P · 10 years ago0 1 Comment Maybe you would like to learn more about one of these? Curious about Victoza? Need migraine treatment? Online education an option? Psoriatic arthritis symptoms?  How Long Does It Take To Heal A Wrist Sprain How Long Does It Take To Heal A Wrist Sprain In Mild or Grade I Wrist Sprains show an improvement within 2-3 days. Moderate sprains can take more than a week to get healed. Severe sprains take number of weeks to even months to get cured completely. Wrist sprains occur due to any injury to the ligaments present in the wrist. Wrist injuries are very common depending on our usage and function or wrists. When we begin to fall, we put our hands out to break our fall. This is a very natural instinct, which results in sudden twisting of the wrist forcibly. This condition leads to wrist sprain. Our ligaments are elastic in nature but when they are stretched beyond their normal limits, they cause cause discomfort and pain. Ligaments control movement around a joint. Ligaments help in keeping our hands intact and only allowing controlled motion. Irrespective, if you’re searching for a slot that’s fun and offers great rewards to players which take the opportunity to discover it correctly, then Book of ra is a good one. As a consequence the slot appears fresh and fun. Slots of Emoji is only one of our classic one line slot machine games which can be found on the app shop book of ra deluxe online. This slot is comparable to Aztec Treasure. The slot that doesn’t require download has this free spins feature designed in an exceptional method. If you’re all about playing a genuinely easy and fulfilling slot, this game is not going to disappoint. There are several free slots out there for this game of chances and thrill!Essentially, you will always get the most out of the game. Then once you’re playing the doubling game, then the bet needs to be put on the red card. It ordinarily takes seven quick actions to have the ability to play the game and begin winning. It typically takes seven quick measures to have the ability to play the game and get started winning. When it regards slot games, Book of Ra makes it to the absolute most popular collection of internet casino games. Wrist sprains are categorized into three types basing on their severity of injury. They are: Mild or Grade I Sprain: This condition arise when the ligament is just stretched without any significant tearing of the ligament. Moderate or Grade II Sprain: A little more severe damage leading to partial tearing of the ligament cause this sprain. Severe or Grade III Sprain: When ligaments are completely torn and detached from their previously connected bones, this type of sprain occurs. People who slip during ice walks, people associated with sports are very prone to wrist sprains. Common sports which cause wrist sprain are: Rollerblading, Skiing, Volleyball, Baseball, Basketball, Ice Hockey, Boxing, Roller Hockey, Weightlifting, Snowboarding, Judo, Wrestling or Football. Most Common Symptoms Of A Wrist Pain Are : Feeling discomfort or pain in wrists while making small movements. Swelling around the joint of the wrist. Discoloration of bruises on the skin near the wrist. Tingling or burning sensation around the wrist. Diagnosis is done basing on the knowledge of how the injury occurred. Then physical examinations are done to confirm. X-ray is done to ensure if bones are fractured. An MRI or a Computer Tomography Scan may also helpful in few cases where unexpected symptoms arise. Tags: Most Viewed← Greetings! Boxer's Fracture →  Sprained Finger Sprained Fingerby Physio Advisor Staff Injuries > Wrist & Hand > Sprained Finger (Also known as Finger Sprain)What is a sprained finger? A sprained finger is a relatively common condition characterized by damage or tearing of the connective tissue (such as ligaments, cartilage and joint capsule) of one or more finger joints. Each of the 4 fingers (excluding the thumb) comprises of 3 small bones known as phalanges. These small bones join to each other at the IP joints (Interphalangeal Joints) and to the bones of the palm (metacarpals) at the MCP joints (metacarpophalangeal joints) forming 3 joints for each finger (figure 1). Each of these joints comprises of strong connective tissue wrapping around the bony ends and cartilage which lies between the joint surfaces, cushioning the impact of one bone on another during activity. Figure 1 – Anatomy for a Sprained Finger During certain movements of the fingers, stretching or compression forces are placed on the finger joints. If these forces are excessive due to too much repetition or high force, injury to the joints may occur. This may involve damage to the cartilage or tearing to the connective tissue surrounding the joint. When this occurs, the condition is known as a sprained finger and may affect one or more IP or MCP joints. Causes of a sprained finger Sprained fingers are extremely common in ball sports such as basketball or netball and frequently occur due to a specific incident such as a hyperextension force (backward bending of the finger) or a sideways force. A sprained finger may also occur in contact sports due to a collision with another player or when tackling, or in martial arts or boxing (e.g. following a forceful or awkward punch). Occasionally, a sprained finger will occur due to repetitive strain associated with overuse. This may be the case in patients who perform repetitive activities involving end of range movements of the fingers. Signs and symptoms of a sprained finger Patients with a sprained finger often experience a sudden onset of finger pain during the causative activity. However, patients may also experience pain and stiffness after the provocative activity, particularly the next morning. Symptoms may be felt on the front, back or sides of the affected finger joint. There may be an audible snap or pop sound at the time of injury. Swelling or bruising will often develop around the affected joint. Symptoms are generally exacerbated with activities that involve use of the hand and fingers such as catching balls, opening jars or doors, writing, typing, picking up heavy objects, general gripping activity, cooking, household activities or placing weight through the affected hand and fingers. It is also common for patients to experience pain on firmly touching the affected region, and, in some cases, a feeling of weakness in the hand and fingers may also be present. In severe cases, the finger may be completely dislocated. All dislocations need to be managed by a medical professional and should be X-rayed before and after being put back into place to confirm relocation and to exclude fracture. Diagnosis of a sprained finger A thorough subjective and objective examination from a physiotherapist is usually sufficient to diagnose a sprained finger and to determine the likely structures affected. Investigations such as an X-ray, MRI or CT scan may be required to confirm diagnosis and rule out other injuries (particularly fractures). Generally all traumatic finger injuries should be X-rayed. Treatment for a sprained finger Most patients with a sprained finger make a good recovery with appropriate physiotherapy. One of the key components of treatment is that the patient rests sufficiently from ANY activity that increases their pain until they are symptom free. Protective taping or a protective brace is often required for a period of time to stabilize the joint and protect it from further damage. Rest from aggravating activities ensures the body can begin the healing process in the absence of further tissue damage. Once the patient can perform these activities pain free, a gradual return to these activities is indicated provided there is no increase in symptoms. Treatment of a finger sprain in the first 48 – 72 hours is vital to reduce bleeding, swelling and inflammation. This should involve following the R. I. C. E regime which comprises of rest from aggravating activities, regular icing, the use of a compression bandage and elevation of the affected limb. Anti-inflammatory medication may also be useful in this initial phase of injury and can hasten the healing process by reducing the pain and swelling associated with inflammation. It is also important for patients with this condition to perform movement and strength exercises early in the rehabilitation process to prevent stiffness and weakness from developing and to ensure the finger is functioning correctly. These exercises should generally be implemented as soon as pain allows and should be guided by the treating physiotherapist. A gradual return to activity should occur once the patient is pain-free, provided symptoms do not increase. Prognosis of a sprained finger In cases of a minor to moderate finger sprain, return to sport or normal activity can usually occur in 2 – 6 weeks with appropriate management and treatment. Patients with a more severe injury will usually require a longer period of rehabilitation to gain optimum function. Physiotherapy for a sprained finger Physiotherapy for a sprained finger can hasten the healing process, ensure an optimal outcome and reduce the likelihood of recurrence. Treatment may comprise:soft tissue massageelectrotherapy (e.g. ultrasound)anti-inflammatory advicejoint mobilizationfinger tapingfinger bracingice or heat treatmentexercises to improve flexibility and strengtheducationactivity modification advicea gradual return to activity program Other intervention for a sprained finger Despite appropriate physiotherapy management, a small percentage of patients with a sprained finger do not improve adequately and require other intervention. Some patients with severe injuries may also require other intervention to ensure an optimal outcome (such as immobilization, splinting or surgery). When this occurs the treating physiotherapist or doctor can advise on the best course of management. This may involve further investigation such as an X-ray, CT scan or MRI, or a review by a specialist who can advise on any procedures that may be appropriate to improve the condition. Occasionally, surgery may be required. Exercises for a sprained finger The following exercises are commonly prescribed to patients with a finger sprain. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Generally, they should be performed 3 times daily and only provided they do not cause or increase symptoms. Hand Open and Close Curl your fingers and thumb making a tight fist then straighten your fingers as far as possible pain-free (figure 2). Repeat 10 times provided there is no increase in symptoms. Figure 2 – Hand Open and Close (right hand)Finger Adduction to Abduction Begin this exercise with your fingers together as demonstrated (figure 3). Spread your fingers apart as far as possible pain-free then return to the starting position. Repeat 10 times provided there is no increase in symptoms. Figure 3 – Finger Adduction to Abduction (right hand)Tennis Ball Squeeze Begin this exercise holding a tennis ball (figure 4). Squeeze the tennis ball as hard as possible and comfortable without pain. Hold for 5 seconds and repeat 10 times provided there is no increase in symptoms. Figure 4 – Tennis Ball Squeeze (right hand)Physiotherapy products for a sprained finger Some of the most commonly recommended products by physiotherapists to hasten healing and speed recovery in patients with this condition include: Finger Braces Sports Tape (for protective taping)Ice Packs and Heat Packs To purchase physiotherapy products for a sprained finger click on one of the above links or visit the Physio Advisor Shop. Find a Physio for a sprained finger Find a physiotherapist in your local area who can treat this condition. More Information View more Hand & Finger Flexibility Exercises. View more Hand Strengthening Exercises. View Finger Taping Techniques. View Hand & Wrist Pain Diagnosis Become a Member Become a Physio Advisor Member and gain full access to our complete database of comprehensive physiotherapy advice. Our experienced physiotherapists are updating Physio Advisor’s injury articles to include the most important information to ensure users have the tools to take control of their injury and hasten their recovery. For more information see Become a Member. Link to this Page If you would like to link to this article on your website, simply copy the code below and add it to your page:<a href=”http://www.physioadvisor.com.au/injuries/wrist-hand/sprained-finger/”> Sprained Finger – Physio Advisor.com</a><br/>A sprained finger is a relatively common condition characterized by damage or tearing of the connective tissue (such as ligaments, cartilage and joint capsule) of one or more finger joints. Assessment and treatment by a physiotherapist is vital for an optimal outcome. Return to the top of Sprained Finger.  . Knee Sprain GENERAL INFORMATION: What is a knee sprain? A knee sprain occurs when one or more ligaments in your knee are suddenly stretched or torn. Ligaments are tissues that hold bones together. Ligaments support the knee and keep the joint and bones lined up. They help you to be able to walk, twist and turn. There are 4 ligaments that help support the knee. Ask your caregiver which of these ligaments was sprained in your knee. Ligaments are often sprained because of an exercise or sports-related injury. Treatment and recovery time depend on the type and cause of the knee sprain. What causes a knee sprain? Movements that cause stress on the knee: Sprains may be caused by movements that are not normal for the knee. These movements include doing sports that cause you to plant your foot and quickly turn at the knee. They include running and stopping or changing direction suddenly, and jumping and landing. They include any activities that cause quick or sudden twisting at the knees. Activities that cause your knee to extend more than normal can cause a sprain. Sprains commonly occur in sports such as football, basketball, hockey, and skiing. Direct hits to the knee: Sprains may be caused by knocks or hits to the front, sides, or back of the knees. Sprains may be caused by tripping and falling onto your knees while they are bent. You can get a sprain from being forcefully knocked to the ground, such as during a football tackle. What are the signs and symptoms of a knee sprain? Stiffness or decreased movement Pain or tenderness Painful pop that you can hear or feel Swelling or bruising Knee that buckles or gives out when you try to walk How is a knee sprain diagnosed? A caregiver will examine your knee and ask you questions about your activities. You may need x-rays or magnetic resonance imaging (MRI). These tests will show a picture of the bones and tissues inside your knee. Caregivers can do these tests to learn if you have a broken bone or soft tissue damage. How is a knee sprain treated? Treatment includes controlling your pain and swelling first, then beginning rehabilitation. Rehabilitation includes physical therapy exercises. These may be done over a number of weeks or months to help you return to your regular sports and activities. Your treatment plan may include one or more of the following: Rest: The most important part of treating a knee injury is resting your knee. You may be told to keep weight off your knee. This means that you should not walk on your injured leg. Rest helps decrease swelling and allows the injury to heal. When the pain decreases, begin normal, slow movements. Ice: Ice causes blood vessels to constrict (get small) which helps decrease swelling, pain, and redness. Put crushed ice in a plastic bag or use a bag of frozen corn or peas. Cover it with a towel. Put this on your knee for 15 to 20 minutes, 3 to 4 times each day. Do this for 2 to 3 days or until the pain goes away. Do not sleep on the ice pack because you can get frostbite. Compress: You may need to wear an elastic bandage. This helps keep your injured knee from moving too much while it heals. You can loosen or tighten the elastic bandage to make it comfortable. It should be tight enough for you to feel support. It should not be so tight that it causes your toes to be numb or tingly. If you are wearing an elastic bandage, take it off and rewrap it once a day. Elevate: Lie down and raise your knee to a level above your heart to help decrease the swelling. NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask if NSAIDs are safe for you. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's doctor. Brace: You may need to wear a brace to keep your injured knee from moving too much while it heals. Use your brace as directed by your caregiver. You may remove your brace each day to bathe. Put your brace back on as soon as possible after bathing. Move your toes and foot several times an hour to prevent joint stiffness while wearing a brace. Crutches: You may be given crutches to use until you can stand on your injured leg without pain. Heat: After 2 or 3 days, you may try using heat to decrease knee pain and stiffness. Use a hot water bottle, heating pad, whirlpool, or warm, moist compress. To make a compress, dip a clean washcloth in warm water. Wring out the extra water and put it on your knee for 15 to 20 minutes, 3 to 4 times each day. Rehabilitation exercises: Your caregiver may want you to go to physical therapy. A physical therapist can do treatments and exercises to help your knees heal and move better. Your caregiver or a physical therapist may teach you exercises to do at home. You may be told to start doing these exercises once your pain and swelling have decreased. Exercises are important for preventing stiffness, decreasing swelling, and helping your normal knee movement to return. You may be told to do these exercises 2 or 3 times each day. As your knee continues to heal, you will learn new exercises to help strengthen and stretch your knee. You may use equipment including weights, exercise bikes, and treadmills to help make the muscles around your knee stronger. The muscles around your knee are the calf, thigh, and ankle muscles. Making these muscles strong can help support your knee and protect your knee from more injury. Following your rehabilitation plan as directed by your caregivers will help you return to your usual activities sooner. Drainage of extra fluid from your knee: Caregivers may use a needle to drain fluid from your knee. Removing the extra fluid may help your knee heal faster. The fluid may be sent to a lab and checked for infection. Surgery: If a knee ligament is torn, you may need surgery. During surgery, caregivers can replace a torn ligament. How can I take care of my knees and help prevent another knee sprain? Knee sprains often cannot be prevented, but doing the following may help protect your knee from injury: Always ask your caregiver before you start exercising. Do not start exercising until your caregiver says it is okay. If you start exercising too soon after your knee sprain, you may damage your knee more. This can lead to long-term knee problems. Slowly start your exercise or sports training program as directed by your caregiver. Slowly increase time, distance, and training. Sudden increases in training may cause you to injure your knee again. Ask your caregiver if you should wear a brace to support and protect your knee during training. Warm up and stretch before exercising. Warm up by walking or using an exercise bike before starting your regular exercise. Do gentle stretches after warming up. This helps to loosen your muscles and decrease stress on your knee. Cool down and stretch after exercising. Keep your leg muscles strong. Having strong calf, thigh and ankle muscles can help support your knee. Your caregiver can help you plan an exercise program to build your leg muscles and keep them strong. Wear shoes that fit correctly and support your feet. Replace your running or exercise shoes before the padding or shock absorption is worn out. Ask your caregiver which exercise shoes are best for you. Ask if you should wear special shoe inserts. Shoe inserts can help support your heels and arches or keep your foot lined up correctly in your shoes. Exercise on flat surfaces. Wear protective equipment. If you are playing a sport, wear the right type of protective gear. For example, wear pads and a helmet for football or hockey. Keep yourself in good physical shape to decrease the chance of injury while playing your sport. Stay at a normal weight. Ask your caregiver what weight is right for you. Ask for information about eating a healthy diet to help stay at the best weight for you. CARE AGREEMENT: You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in Care Notes® are the copyrighted property of A. D. A. M., Inc. or Truven Health Analytics.  How to Wrap a Wrist Expert Reviewed How to Wrap a Wrist Five Parts: Wrapping an Injured Wrist Treating Your Injured Wrist Wrapping Your Wrist for Sports Seeking Medical Attention Preventing a Wrist Injury Community Q&AYour wrist is vulnerable to conditions that cause pain. Your wrist pain may be from an injury, such as a sudden strain or sprain, from a medical condition, such as arthritis or carpal tunnel syndrome, or from repetitive overuse, such as participating in sports like bowling or tennis. Tendonitis or a fracture can also cause wrist pain. Wrapping an injured wrist, combined with other basic care measures, can relieve the pain and aid in healing your injury. More serious injuries may require a splint, brace, or even a cast if a bone is broken. Wrist wrapping, or taping, is also commonly done to prevent injury to the wrist in some types of sports.  Drop Wrist Deformity Drop wrist deformity, also known as Saturday Night Palsy is a disorder where a person cannot extend the wrist and it hangs limply. This is known as wrist drop. When muscles in the forearm contract the wrist can be extended. However, when the tendons, muscles, and nerves reaching these muscles are not working properly, a condition called Drop wrist deformity may occur. This condition is also called Radial Nerve Palsy as damage to the radial nerve due to a broken humerus bone can result in this immobility of the wrist. Causes of drop wrist deformity Stab wounds to the chest, a broken arm and lead poisoning are some of the causes for this disorder. External pressure applied to the radial nerve or repeated usage of this nerve due to the use of crutches or leaning on the elbows can also cause this condition. The term Saturday night palsy is used colloquially to refer to radial nerve damage that can take place if a drunk person falls asleep with the back of his arms compressed by an object similar to a bar edge. Sports activities can also cause damage. Sitting with an arm wrapped around your neighbor's chair for too long or sleeping with your head rested on another person's arm may cause radial nerve damage. Applying pressure on the nerve for too long or wearing a wrist watch that is too tight may also cause nerve damage. However, any damage to the nerve is generally preceded by intense pain that can only be ignored if a person is highly intoxicated, hence the term is applied. Diabetes Mellitus may also cause this disorder. Diagnosis of Radial Nerve Palsy Nerve conduction velocity studies help to confirm that the radial nerve is the source of the problem. Plain films help identify fractures or bone spurs that could have led to radial nerve injury. Magnetic Resonance Imaging may also be used to identity more subtle causes. More importantly, people have to be vigilant and watch out for signs of damage as most of the time it occurs when a person is unaware of what is happening at the time. Nerve biopsy and electromyography tests may also be conducted. Symptoms of wrist drop Being unable to move the wrist upwards with the hand is facing palm down, numbness in the wrist area and back of the hand and inability to straighten the fingers are common symptoms. The muscles the radial nerve controls and the skin sensitivity that exists as a result of it, both do not function when Saturday night palsy occurs. It causes weakness and numbness. The thumb and forearm may be affected. Decreased sensation, tingling or burning sensation are some of the symptoms. Acute toe pain in both the feet, blanching of the fingers, breast weakness, bowel incontinence and pain in the extremities are some of the symptoms. Saturday night palsy treatment You should immediately consult your doctor if you suspect Saturday night palsy. The doctor will usually first make a note of your previous or current injuries or swellings and activities. Conservative therapy of physical therapy includes minimizing muscle loss and splinting of the wrist is the first measure that is usually taken to support the wrist. The goal of any treatment is to maximize the range of movement of the arm and fingers. By keeping the wrist straight, one can accomplish small things like writing a sentence or two or pick up a tiny object. Occupational or physical therapy may be provided additionally. Bone spurs may be surgically removed with any other sources of anatomical defects. The prognosis is somewhat optimistic for the disorder in that the nerve can regenerate itself, but complete regeneration may or may not occur, and this may take several months or years. It is a myth that squeezing rubber balls to exercise the arms helps, as it exercises muscles different than the ones affected. Exercises that focus on lifting the wrist and extending the fingers ought to be practiced. However, these too may not be effective as the nerves that activate these muscles do not function. Passive range of motion exercises may be implemented by using the uninjured arm and stretching out the weak muscles. Proper nutrition is necessary to help the damaged nerve to regenerate and vitamin supplements may help the process. Abstinence from drinking may help prevent further injury. The chances for recovery depend on the location and severity of the trauma. Sometimes, a person may recover in just a matter of hours. In most cases, treatment is not required and the persons will recover on their own. Medications include analgesics to reduce the intense pain. Phenytoin, carbamazepine, or tricyclic antidepressant may also be recommended to reduce the pain. Steroids may be used in some cases to reduce the swelling that presses on the nerve. Braces or other tools may be needed if the case is rather severe. The person may have to undergo job counseling and make appropriate work and lifestyle changes to cope with the limited functionality of the wrist. In a few cases severe complications such as deformity to the hand, partial or complete loss of sensation or movement in the forearm and wrist or recurrent injury may occur. People who are dependent on their wrists for a living such as stringed instrument players may lose not only their livelihood and may become depressed. Adequate counseling facilities must be at hand for them. Top of the Page: Drop Wrist Deformity  Physical Therapist's Guide to  Wrist Tendinitis Move Forward Guide Physical Therapist's Guide to Wrist Tendinitis Jump to: What is Wrist Tendinitis? How Does it Feel? How Is It Diagnosed? How Can a Physical Therapist Help? Can this Injury or Condition be Prevented? Real Life Experiences What Kind of Physical Therapist Do I Need? Further Reading Wrist tendinitis is a condition that most commonly occurs in individuals who perform repetitive activities using the hand and arm. These include computer users, factory workers, and athletes who throw and catch balls and play racquet sports. In the United States, the incidence of tendinitis as an occupational injury in people who work full time is 1.1 per 100,000. Overuse tendinitis is responsible for 25% to 50% of all sports injuries in the United States. Older individuals are often more at risk for wrist tendinitis due to a loss of elasticity in the wrist tendons. Physical therapists help people with wrist tendinitis reduce their pain, increase their wrist flexibility and strength, and return to their previous functional activities and sports. What is Wrist Tendinitis? Wrist tendinitis is a condition where 1 or more tendons in the wrist become inflamed and irritated. There are several tendons in the wrist that connect the muscles of the forearm and hand to the bones of the wrist and hand. These tendons are the small rope-like structures that you can see connecting to the fingers on the back of your hand. There are a number of conditions that can affect the tendons in this area. Wrist tendinitis applies to the early stages of tendon inflammation and irritation. Tendinopathy is the name given to the condition when it persists over time, is not treated, and becomes chronic. Tenosynovitis is the term given to an irritation that develops when the synovial sheath (through which some of these tendons glide) thickens and restricts the tendon. De Quervain's Tendinitis applies to tendinitis that develops on the thumb side of the wrist. Back to Top How Does it Feel? Several tendons in the wrist can become irritated with wrist tendinitis. Pain symptoms associated with the condition include: Pain where the arm meets the hand, which can radiate up into the elbow. Pain on the thumb side of the wrist (radial) or the little-finger side of the wrist (ulnar). Pain that only occurs when the wrist is under strain, which can become constant pain when left untreated. Pain when putting pressure on the hand, such as using the arms to push yourself up out of a chair to stand. Besides pain, other symptoms include: Stiffness of the wrist, and a decreased ability to bend and extend the wrist. Inflammation or swelling in the wrist area. Tenderness to touch in the wrist and/or forearm muscles. Back to Top How Is It Diagnosed? Your physical therapist will conduct a thorough evaluation of your entire arm to include the shoulder, elbow, wrist, and hand. The therapist will ask you to describe the types of activities you normally perform using your arm at home, at work, and for recreation, and which of these activities causes pain or stiffness in the area. You will be asked how long the pain has been occurring and how it is affecting your regular activities of daily living. Your physical therapist will check your range of motion and strength in your entire upper arm. Your therapist will gently touch specific areas of your wrist and forearm to determine which wrist tendons are involved, and check for any swelling in the area. Back to Top How Can a Physical Therapist Help? Physical therapy is a highly effective treatment for wrist tendinitis. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include: Pain Management. Your physical therapist will help you identify and avoid painful movements, and show you how to correct abnormal postures to reduce stress on the wrist. Your therapist may recommend resting the wrist short-term, and applying ice to the area to help alleviate pain. Your physical therapist also may apply a wrist brace to restrict wrist movement, allowing the tendons to heal. Manual Therapy. Your physical therapist may use manual techniques, such as gentle joint movements, soft-tissue massage, and wrist stretches to get your wrist moving properly. Range-of-Motion Exercises. You will learn exercises and stretches to reduce stiffness and help your wrist, hand, and forearm begin to move properly. Strengthening Exercises. Your physical therapist will determine which strengthening exercises are right for you, depending on your specific areas of weakness. The entire arm, including the shoulder, elbow, and wrist, can potentially be weakened and contribute to the movement dysfunction that causes tendinitis. Your physical therapist will design an individualized home-exercise program to meet your specific needs and goals, which you can continue long after you have completed your formal physical therapy. Patient Education. Depending on the specific activities you plan on resuming, your physical therapist will teach you ways to perform actions, while protecting your wrist and hand. For example, keeping the wrist in a neutral position to reduce excessive force while performing repetitive tasks, and taking frequent breaks are ways to decrease your chances of reinjury. Functional Training. As your symptoms improve, your physical therapist will teach you how to correctly perform functional movement patterns using proper wrist mechanics, such as typing on a computer or swinging a racquet. This training will help you return to pain-free function on the job, at home, and when playing sports. Back to Top Can this Injury or Condition be Prevented? To prevent wrist tendinitis, physical therapists recommend that you: Avoid repetitive wrist and hand movements. Warm up the muscles around the wrist and hand before starting an activity. Perform regular stretches to maintain flexibility in the wrist and forearm before and after exercise or activity. Perform regular upper-body strengthening exercises to enable the wrist and hand to tolerate sports and other activities of daily living, with less stress to the joint. Follow joint protection techniques when using the wrist, such as balancing rest with work, and using the larger muscles of the arm for heavier tasks. Do not continue an activity that is painful or uncomfortable to the wrist and hand. Back to Top Real Life Experiences Jennifer is a 50-year-old woman who works in a busy office. She spends most of her day entering data on a computer. Her office just purchased new laptops with track pads. After a few weeks of using the new computer, Jennifer began to feel stiffness in her right wrist after her 8-hour shift. This past week, the stiffness has developed into pain. At first, the pain started when Jennifer left work, but now she is having constant pain and stiffness along the little finger side of her wrist that is making her computer work much more difficult. Jennifer also likes to exercise and stay active and healthy. She has heard that sitting all day at a desk isn’t good for her back or overall fitness level, so she has started taking yoga classes after work at a local studio. However, some of the yoga positions require her to bear weight through her hands and wrist. This week, it has become really painful to perform her yoga poses, especially the poses that require her to bear weight through her hands. She decides to see her physical therapist. Jennifer's physical therapist performs a comprehensive evaluation on her entire right wrist, hand, elbow, and shoulder. He asks several questions regarding Jennifer’s normal daily tasks and her recreational activities. He presses gently on certain tendons around Jennifer’s right wrist and finds they are tender to touch in several areas. He also determines that Jennifer has reduced flexibility and strength in the right wrist and hand. He tells her that she has developed wrist tendinitis. Jennifer's treatment begins with gentle range-of-motion exercises. Her physical therapist applies ice to the area to relieve her pain, and shows her how to repeat it at home. He applies a wrist splint and instructs Jennifer to wear it for a few weeks to allow the tendons to heal. He shows her how to take the splint off to perform gentle range-of-motion exercises at home. Jennifer's physical therapist watches how she positions her wrist during several tasks, and suggests she use a computer mouse instead of the track pad on her laptop at work. He teaches her how to maintain a neutral wrist position when performing her computer tasks, and gives her tips on how to maintain an ideal posture at her computer workstation. Jennifer demonstrates some of the yoga poses that are uncomfortable for her. Her physical therapist observes that she is bearing weight incorrectly through her wrists during these poses, putting undue pressure on her bones and tendons. Together they work on modifying her poses to avoid wrist pressure altogether, and allow healing. After a few weeks of diligent physical therapy sessions, Jennifer’s pain alleviates. She can now get through a full work day and perform yoga without any pain or limitation. She continues to perform a home-exercise program to keep her wrist strong and flexible. She follows the posture and joint-protection techniques she learned during her physical therapy sessions. Jennifer is pleased to note that her productivity at work has actually increased, as she focuses on proper posture and positioning at her workstation, and remembers to take frequent breaks from the computer. She now feels that she maintains a much healthier lifestyle—including her weekly pain-free yoga sessions, where she has proudly advanced from the beginner to the intermediate level!Back to Top What Kind of Physical Therapist Do I Need? All physical therapists are prepared through education and experience to treat wrist tendinitis. However, you may want to consider: A physical therapist who is experienced in treating people with wrist and hand diagnoses. Some physical therapists have a practice with an orthopedic or musculoskeletal focus. A physical therapist who is a board-certified clinical specialist, or who completed a residency or fellowship in orthopedics or sports physical therapy, or is a hand specialist. These therapists have advanced knowledge, experience, and skills that may apply to your condition. You can find physical therapists who have these and other credentials by using Find a PT, the online tool built by the American Physical Therapy Association to help you search for physical therapists with specific clinical expertise in your geographic area. General tips when you're looking for a physical therapist (or any other health care provider): Get recommendations from family and friends or from other health care providers. When you contact a physical therapy clinic for an appointment, ask about the physical therapist's' experience in helping people who have wrist tendinitis. During your first visit with the physical therapist, be prepared to describe your symptoms in as much detail as possible, and say what makes your symptoms worse. Back to Top Further Reading The American Physical Therapy Association (APTA) believes that consumers should have access to information that could help them make health care decisions, and also prepare them for their visit with their health care provider. The following articles provide some of the best scientific evidence for the treatment of wrist tendinitis. The articles report recent research and give an overview of the standards of practice both in the United States and internationally. The article titles are linked either to a Pub Med* abstract of the article or to free full text, so that you can read it or print out a copy to bring with you to your health care provider. Campbell D, Campbell R, O’Connor P, Hawkes R. Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and management. Br J Sports Med. 2013;47 (17):1105–1111. Free Article. National Center for Biotechnology Information. National Library of Medicine. June 6, 2013. West, and G David Baxteris Scott A, Docking S, Vicenzino B, et al. Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012 [erratum in: Br J Sports Med. 2013;47 (12):744]. Br J Sports Med. 2013;47 (9):536–544. Free Article. Kaux JF, Forthomme B, Le Goff C, Crielaard JM, Croisier JL. Current opinions on tendinopathy. J Sports Sci Med. 2011;10 (2):238-253. Free Article. Woodley BL, Newsham-West RJ, Baxter GD. Chronic tendinopathy: effectiveness of eccentric exercise. Br J Sports Med. 2007;41 (4):188–198. Free Article. Woodley BL, Newsham RJ; US Department of Labor. Incidence rates for nonfatal occupational injuries and illnesses involving days away from work per 10,000 full-time workers for selected characteristics and industry division, United States, 2002. . Published April 28, 2004. Biundo JJ Jr, Irwin RW, Umpierre E. Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes. Curr Opin Rheumatol. 2001;13 (2):146–149. Article Summary in Pub Med. *Pub Med is a free online resource developed by the National Center for Biotechnology Information (NCBI). Pub Med contains millions of citations to biomedical literature, including citations in the National Library of Medicine’s MEDLINE database. Authored by Julie A. Mulcahy, PT, MPT. Reviewed by the Move Forward PT.com editorial board. Back to Top  Colles' Wrist Fracture Search Health 3,000+ Topics Send Feedback Health > Times Health Guide > c > Colles' Wrist Fracture Colles' Wrist Fracture Overview Alternative Names Considerations Causes Symptoms First Aid DO NOTPrevention References Related Topics Broken Bone Osteoporosis - Overview X-Ray Carpal Tunnel Syndrome Illustrations Colles Fracture Colles' fracture is a break across the end of the main bone of the forearm (the radius). A Colles' fracture causes the wrist to become extended and shortened. Reference from A. D. A. M. Back to Top Alternative Names Transverse wrist fracture; Dinner-fork deformity of the wrist Back to Top Considerations Wrist fractures are common among children and the elderly. Children's bones are soft and tend to get buckle (torus) fractures. These are incomplete fractures on one side of the bone. Because bones become brittle with age, a complete fracture is more likely in adults and among the elderly. This is called a Colles' fracture. Fractures that are not severe may be placed in a splint and sling, or a lightweight, fiberglass cast. If the bone is no longer straight because of the fracture, it must be reduced (straightened). The health care provider may be able to use local anesthesia and reduce the fracture. In other cases, surgery may be needed. The break may need to be fixed with a plate and screws, pins, or other metal or plastic hardware. Older people with Colles' fractures often fail to regain full mobility of the wrist joint. Carpal tunnel syndrome may occur as an early or late complication of the injury. Chronic pain may result from injury to the ligaments or the joint surface of the wrist. Back to Top Causes This injury usually occurs when a person attempts to break a fall by throwing the hands and arms out in front of them. The hands meet the ground with the body weight behind them. The radius and ulna (the bones in the forearm) may buckle or break just above the wrist. This injury is more likely to happen during sports such as rollerblading, skateboarding, running, or any other activity in which a forward fall can occur while a person is moving at a higher speed. Bones become more brittle (from osteoporosis) in adults ages 50 - 60 and older. Older adults are more likely to fracture a bone, even while walking slowly. Back to Top Symptoms Change in the shape or angle of the forearm just above the wrist Inability to hold or lift heavy objects Wrist pain Swelling just above the wrist Back to Top First Aid Reassure the injured person. Place the hand and wrist in a splint in a normal resting position. Place a rigid splint on the underside of the wrist, hand, and forearm. Place a padded object such as a sock, wadded cloth, or rolled elastic bandage in the palm. Wrap the wrist, hand, splint, and padded object. Do not wrap too tightly, and keep the fingertips uncovered. Elevate the wrist or place it in a sling. Use an ice pack over the wrist to help reduce swelling. Bring the person to an urgent care center or emergency medical facility. Do NOT attempt to move or straighten the wrist or hand. Back to Top DO NOTThe hand or the wrist should not be moved or straightened. Back to Top Prevention Eat a well-balanced diet with adequate amounts of calcium. Exercise regularly to slow or prevent problems with the muscles, joints, and bones. Install railings or use aids such as a cane or walker to help prevent falls. Remove any obstacles that may cause a person to trip or fall (such as loose rugs). Use protective equipment during high-risk sports, such as rollerblading. Women and men over age 50 should ask their health care provider whether they need bone mineral density (BMD) testing to check for thinning of bone tissue (or osteoporosis). Back to Top References Woolfrey KGH, Woolfrey MR, Eisenhauer MA. Wrist and forearm. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice . 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 48. Mercier LR. The forearm, wrist, and hand. In: Mercier LR, ed. Practical Orthopedics . 6th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 7. More Information on This Topic Review Date: 7/28/2010 Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, Unviersity of Washington School of Medicine; and C. Benjamin Ma, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A. D. A. M., Inc. A. D. A. M., Inc. is accredited by URAC, also known as the American Accreditation Health Care Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A. D. A. M. follows rigorous standards of quality and accountability. A. D. A. M. is among the first to achieve this important distinction for online health information and services. Learn more about A. D. A. M.'s editorial policy, editorial process and privacy policy. A. D. A. M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). A. D. A. M. Copyright The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A. D. A. M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.  How to Heal a Sprained Wrist Quickly How to Heal a Sprained Wrist Quicklyby KAY IRELAND Aug. 14, 2017A sprained wrist is a common fall-related injury, since you instinctively extend your hand and often land with your weight on your wrist. If you're an athlete, a sprained wrist can put a major wrench in your plans when you're taken out of the game for a few weeks. In order to heal a sprained wrist quickly, you must follow the RICE principle for sprains -- rest, ice, compression and elevation -- to facilitate healing so you can get back in the game again. Video of the Day Error setting up player: Invalid license key Step 1Visit your doctor so she can look at the sprain and analyze its severity. Wrist sprains are usually broken into three grades: mild, moderate and severe. The healing process for a mild sprain will be drastically different from that of a severe sprain. A severe sprain may require physical therapy while minor sprains mostly require time. Step 2Rest your wrist to give it time to heal. You may find that, depending on the severity of the sprain, immobilization through a soft cast is necessary. If your sprain is the result of a sports injury, you should stop playing the sport immediately, at least for a few weeks while your wrist heals. Overworking your wrist when it's not fully healed could result in further injury and even permanent damage. Step 3Ice your wrist to help reduce swelling and pain. The American Academy of Orthopaedic Surgeons advises that you never apply ice directly to the skin. Use a gel ice pack with a cover or fill a small plastic bag with ice cubes. Frozen vegetables also make good ice packs since they form around the wrist. Ice can be applied up to 20 minutes at a time, resting in between applications. Step 4Elevate your wrist above your heart. This will help reduce some of the swelling so you have better wrist mobility. This may entail propping your wrist up with pillows when you sleep or sit in a chair. Step 5Take an over-the-counter pain medication to help manage any pain associated with your sprained wrist. You may experience some tenderness, especially when beginning to rehabilitate the wrist that can cause you to be uncomfortable. Ibuprofen or acetaminophen can help reduce swelling and ease pain throughout the healing process, notes the Hospital for Special Surgery. Step 6Begin the rehabilitation process under your doctor's supervision and authorization. Rehabilitation may begin with something as simple as squeezing a stress ball to regain mobility, says Sports MD.com. Then, pain-free, light range of motion exercises can be employed to help you rehabilitate your wrist. Things You'll Need Ice pack Compression bandage Ibuprofen Stress ball Lose Weight. Feel Great!Change your life with My Plate by LIVE STRONG . COMGOALGENDER AGEWEIGHT HEIGHTGET MY CALORIE GOALYOU MIGHT ALSO LIKEStretches for a Sprained Wrist 5 Things You Need to Know About Wrapping A Sprained Wrist Signs and Symptoms of a Broken Wrist Can You Lift Weights After Your Wrist Heals? I Sprained My Wrist From Boxing How Do I Wrap a Sprained Ankle? How to Care for a Sprained Foot How to Soak a Sprained Foot Weight Training Wrist Supports Foods to Help Heal Sprains How to Tell if You Strained Your Knee Hand Exercises for Torn & Strained Ligaments How to Make the Wrists Bigger Without Weights How to Treat a Wrist Injury From Weight Lifting How to Wrap a Sprained Hand in an ACE Bandage Signs of a Torn Ligament in the Ankle What Are Common Causes of Wrist Pain in Basketball Players? Waterproof Tape for Swimming When Can I Restart Running After an Ankle Sprain? How to Strengthen Ankles for Skating  Ankle Sprain  [en EspaÃ±ol] Personal Health & Wellness Wellness and Medical Topics Ankle Sprain Ankle Sprain [en Español]Topic Overview Media Gallery (5 pictures)Learn more about Ankle With Ligament Tear What is an ankle sprain? Most people have twisted an ankle at some point in their life. But if your ankle gets swollen and painful after you twist it, you have most likely sprained it. This means you have stretched and possibly torn the ligaments in your ankle. Even though ankle sprains are common, they are not always minor injuries. Some people with repeated or severe sprains can develop long-term joint pain and weakness. Treating a sprained ankle can help prevent ongoing ankle problems. What causes ankle sprains? Most types of ankle sprains happen when you make a rapid shifting movement with your foot planted, such as when you play soccer or get tackled in football. Often the ankle rolls outward and the foot turns inward. This causes the ligaments on the outside of the ankle to stretch and tear. Less often, the ankle rolls inward and the foot turns outward. This damages the ligaments on the inside of the ankle. An ankle sprain can range from mild to severe, depending on how badly the ligament is damaged and how many ligaments are injured. With a mild sprain, the ankle may be tender, swollen, and stiff. But it usually feels stable, and you can walk with little pain. A more serious sprain might include bruising and tenderness around the ankle, and walking is painful. In a severe ankle sprain, the ankle is unstable and may feel "wobbly." You can't walk, because the ankle gives out and may be very painful. What are the symptoms? With most sprains, you feel pain right away at the site of the tear. Often the ankle starts to swell immediately and may bruise. The ankle area is usually tender to touch, and it hurts to move it. In more severe sprains, you may hear and/or feel something tear, along with a pop or snap. You will probably have extreme pain at first and will not be able to walk or even put weight on your foot. Usually, the more pain and swelling you have, the more severe your ankle sprain is and the longer it will take to heal. How is an ankle sprain diagnosed? Your doctor will ask you how the injury occurred and if you have hurt your ankle before. He or she will check your foot and ankle, your lower leg, and even your knee to see if you are hurt anywhere else. In some cases, the doctor may order X-rays to be sure there is not a broken bone in the ankle or the foot. How is it treated? In many cases you can first use the RICE approach to treat your ankle: R est. You may need to use crutches until you can walk without pain. I ce. For at least the first 24 to 72 hours or until the swelling goes down, apply an ice pack for 10 to 20 minutes every hour or two during the day. Always keep a thin cloth between the ice and your skin, and press the ice pack firmly against all the curves of the affected area. C ompression. An elastic compression wrap, such as an ACE bandage, will help reduce swelling. You wear it for the first 24 to 36 hours. Compression wraps do not offer protection. So you also need a brace to protect your ankle if you try to put weight on it. E levation. Raise your ankle above the level of your heart for 2 to 3 hours a day if possible. This helps to reduce swelling and bruising. If you are not taking any prescription pain relievers, you may want to take an over-the-counter pain reliever such as ibuprofen or naproxen to reduce pain and swelling. Proper treatment and rehabilitation (rehab) exercises are very important for ankle sprains. If an ankle sprain does not heal right, the joint may become unstable and may develop chronic pain. This can make your ankle weak and more likely to be reinjured. Before you return to sports and other activities that put stress on your ankle, it's a good idea to wait until you can hop on your ankle with no pain. Taping your ankle or wearing a brace during exercise can help protect your ankle. Wearing hiking boots or other high-top, lace-up shoes for support may also help. But use caution. Don't force your foot into a boot if you feel a lot of pain or discomfort. If your ankle is still unstable after rehab, or if the ligament damage is severe, your doctor may recommend surgery to repair the torn ligaments. What kind of rehabilitation program should you follow? Rehab exercises can begin soon after the injury. You can try to walk or put weight on your foot. You may need to use crutches until you can walk without pain. Depending on your pain, you can also begin range-of-motion exercises while you have ice on your ankle. These exercises are easy to do—you just trace the alphabet with your toe. This helps the ankle move in all directions. Ask your doctor about other rehab. Stretching, strength training, and balance exercises may help the ankle heal totally and may prevent further injury. Top of Page Health Tools Current as of: May 23, 2016Author: Healthwise Staff Medical Review: Adam Husney, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & William H. Blahd, Jr., MD, FACEP - Emergency Medicine This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content . This information is for educational purposes only and is unrelated to health plan benefits or coverage. Services addressed may not be covered under your health plan. If you have questions about your coverage, please refer to your benefit plan document or call the number on the back of your health plan membership ID card. To learn more about Healthwise, visit Healthwise.org .© 1995-2016 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.  Scaphoid fracture From Wikipedia, the free encyclopedianavigation search Scaphoid fracture Synonyms Carpal scaphoid fracture, carpal navicular fracture [1]A X-ray showing a fracture through the waist of the scaphoid Specialty Plastic surgery, emergency medicine Symptoms Pain at the base of the thumb, swelling [2]Complications Nonunion, avascular necrosis, arthritis [2] [1]Types Proximal, medial, distal [2]Causes Fall on an outstretched hand [2]Diagnostic method Examination, X-rays, MRI, bone scan [2]Differential diagnosis Distal radius fracture, De Quervain's tenosynovitis, scapholunate dissociation, wrist sprain [2] [1]Prevention Wrist guards [1]Treatment Not displaced: Cast [2]Displaced: Surgery [2]Prognosis Healing may take up to six months [1]A scaphoid fracture is a break of the scaphoid bone in the wrist. [1] Symptoms generally includes pain at the base of the thumb which is worse with use of the hand. [2] The anatomic snuffbox is generally tender and swelling may occur. [2] Complications may include nonunion of the fracture, avascular necrosis, and arthritis. [2] [1]Scaphoid fractures are most commonly caused by a fall on an outstretched hand. [2] Diagnosis is generally based on examination and medical imaging. [2] Some fractures may not be visible on plain X-rays. [2] In such cases a person may be casted with repeat X-rays in two weeks or an MRI or bone scan may be done. [2]The fracture may be preventable by using wrist guards during certain activities. [1] In those in whom the fracture remains well aligned a cast is generally sufficient. [2] If the fracture is displaced then surgery is generally recommended. [2] Healing may take up to six months. [1] It is the most common wrist bone fracture. [3] Males are affected more often than females. [2]Contents [ hide ]1 Signs and symptoms2 Mechanism3 Diagnosis4 Treatment5 Complications6 Epidemiology7 Terminology8 References9 External links Signs and symptoms [ edit]Anatomical snuff box People with scaphoid fractures generally have snuff box tenderness. Focal tenderness is usually present in one of three places: 1) volar prominence at the distal wrist for distal pole fractures; 2) anatomic snuff box for waist or midbody fractures; 3) distal to Lister's tubercle for proximal pole fractures. [4]Mechanism [ edit]Scaphoid fractures occur in three locations: (A) Distal tubercle, (B) waist, and (C) proximal pole. Fractures of scaphoid can occur either with direct axial compression or with hyperextension of the wrist, such as a fall on the palm on an outstretched hand (FOOSH). Using the Herbert classification system, there are three main types of scaphoid fractures. 10%-20% of fractures are at the proximal pole, 60%-80% are at the waist (middle), and the remainder occur at the distal pole. [4] [5] [6]Diagnosis [ edit]Fracture of the tubercle of the scaphoid bone of the wrist Scaphoid fractures are often diagnosed by PA and lateral X-rays. However, not all fractures are apparent initially. [5] Therefore, people with tenderness over the scaphoid (those who exhibit pain to pressure in the anatomic snuff box ) are often splinted in a thumb spica for 7–10 days at which point a second set of X-rays is taken. [5] If there was a hairline fracture, healing will now be apparent. Even then a fracture may not be apparent. A CT Scan can then be used to evaluate the scaphoid with greater resolution. The use of MRI, if available, is preferred over CT and can give one an immediate diagnosis. [7] Bone scintigraphy is also an effective method for diagnosis fracture which do not appear on Xray. [8]A subtle scaphoid fracture A more obvious scaphoid fracture on a scaphoid view X ray Radiolucency around a 12 days old scaphoid fracture that was initially barely visible. [9]Treatment [ edit]Treatment of scaphoid fractures is guided by the location in the bone of the fracture (proximal, waist, distal), displacement (or instability) of the fracture, and patient tolerance for cast immobilization. Non displaced or minimally displaced waist and distal fractures have a high rate of union with closed cast management. The choice of short arm, short arm thumb spica or long arm cast is debated in the medical literature and no clear consensus or proof of the benefit of one type of casting or another has been shown; although it is generally accepted to use a short arm or short arm thumb spica for non displaced fractures. [5] Non displaced or minimally displaced fracture can also be treated with percutaneous or minimal incision surgery which if performed correctly has a high union rate, low morbidity and faster return to activity than closed cast management. [10]Fractures that are more proximal take longer to heal. It is expected the distal third will heal in 6 to 8 weeks, the middle third will take 8–12 weeks, and the proximal third will take 12–24 weeks. [5] [6] The Scaphoid receives its blood supply primarily from lateral and distal branches of the radial artery. Blood flows from the top/distal end of the bone in a retrograde fashion down to the proximal pole; if this blood flow is disrupted by a fracture, the bone may not heal. Surgery is necessary at this point to mechanically mend the bone together. Percutaneous screw fixation is recommended over a wide surgical approach as this method preserves the palmar ligament complex and local vasculature, and helps avoid postoperative complications. This surgery includes screwing the scaphoid bone back together at the most perpendicular angle possible to promote quicker and stronger healing of the bone. During this procedure, slight excavation of the edge of the trapezium bone may be necessary to reach the scaphoid as 80% of this bone is covered with articular cartilage, which makes it difficult to gain access to the scaphoid. [11]Complications [ edit]Scaphoid pseudarthrosis, before and after treatment with Herbert screw. Vascular supply of the scaphoid comes from two different vascular pedicles. 20-30% of the blood supply (a.) comes from the volar branch of the radial artery and enters the bone at the tubercle. 70-80% comes from (b.) the dorsal branch of the radial artery and travels towards the proximal pole. Avascular necrosis (AVN) is a common complication of a scaphoid fracture. Since the scaphoid blood supply comes from two different vascular branches of the radial artery, fractures can limit access to blood supply. [6]Risk of AVN depends on the location of the fracture. Fractures in the proximal 1/3 have a high incidence of AVN (~30%)Waist fractures in the middle 1/3 is the most frequent fracture site and has moderate risk of AVN. Fractures in the distal 1/3 are rarely complicated by AVN. Non union can also occur from undiagnosed or undertreated scaphoid fractures. Arterial flow to the scaphoid enters via the distal pole and travels to the proximal pole. This blood supply is tenuous, increasing the risk of nonunion, particularly with fractures at the wrist and proximal end. [4] If not treated correctly non-union of the scaphoid fracture can lead to wrist osteoarthritis. Symptoms may include aching in the wrist, decreased range of motion of the wrist, and pain during activities such as lifting or gripping. If x-ray results show arthritis due to an old break, the treatment plan will first focus on treating the arthritis through anti-inflammatory medications and wearing a splint when an individual feels pain in the wrist. If these treatments do not help the symptoms of arthritis, steroid injections to the wrist may help alleviate pain. Should these treatments not work, surgery may be required. [12]Epidemiology [ edit]Fractures of the scaphoid are common in young males. [13] They are less common in children and older adults because the distal radius is weaker contributor to the wrist and more likely to fracture in these age groups. [5] Scaphoid fractures account for 50%-80% of carpal injuries. [6]Terminology [ edit]These are also called navicular fractures (the scaphoid also being called the carpal navicular), although this can be confused with the navicular bone in the foot. References [ edit]^ a b c d e f g h i "Scaphoid Fracture of the Wrist". AAOS. March 2016. Archived from the original on 24 September 2017. Retrieved 12 October 2017.^ a b c d e f g h i j k l m n o p q r Phillips, TG; Reibach, AM; Slomiany, WP (1 September 2004). "Diagnosis and management of scaphoid fractures". American Family Physician. 70 (5): 879–84. PMID 15368727.^ Tada, K; Ikeda, K; Okamoto, S; Hachinota, A; Yamamoto, D; Tsuchiya, H (2015). "Scaphoid Fracture--Overview and Conservative Treatment". Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand. 20 (2): 204–9. doi: 10.1142/S0218810415400018. PMID 26051761.^ a b c de Weber, Kevin. "Scaphoid fractures". Up To Date.com. Archived from the original on 2013-10-29.^ a b c d e f Essentials of musculoskeletal care. Sarwark, John F. Rosemont, Ill.: American Academy of Orthopaedic Surgeons. 2010. ISBN 089203579X. OCLC 706805938.^ a b c d 1967-, Egol, Kenneth A., (2015). Handbook of fractures. Koval, Kenneth J., Zuckerman, Joseph D. (Joseph David), 1952-, Ovid Technologies, Inc. (5th ed.). Philadelphia: Wolters Kluwer Health. ISBN 1451193629. OCLC 960851324.^ "Best Bets: Magnetic resonance imaging of suspected scaphoid fractures". Archived from the original on 2010-06-16.^ Yin ZG, Zhang JB, Kan SL, Wang XG (March 2010). "Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis". Clin. Orthop. Relat. Res. 468 (3): 723–34. doi: 10.1007/s11999-009-1081-6. PMC 2816764. PMID 19756904.^ Jarraya, Mohamed; Hayashi, Daichi; Roemer, Frank W.; Crema, Michel D.; Diaz, Luis; Conlin, Jane; Marra, Monica D.; Jomaah, Nabil; Guermazi, Ali (2013). "Radiographically Occult and Subtle Fractures: A Pictorial Review". Radiology Research and Practice. 2013: 1–10. doi: 10.1155/2013/370169. ISSN 2090-1941. CC-BY 3.0^ Gutow AP (Aug 2007). "Percutaneous fixation of scaphoid fractures". J Am Acad Orthop Surg. 15 (8): 474–85. PMID 17664367.^ Kastelec, Matej. "Percutaneous Screw Fixation". AO Foundation. Archived from the original on December 8, 2015. Retrieved November 30, 2015.^ Jones, Bertrand MD (2010). "Scaphoid Fracture of the Wrist". Ortho Info. American Academy of Orthopedic Surgeons. Archived from the original on December 7, 2015. Retrieved November 30, 2015.^ Beasley's Surgery of the Hand. Thieme New York. 2003. p. 188. ISBN 9781282950023. External links [ edit]Classification V · T · DICD - 10: S62.0 ICD - 9-CM: 814 .x1External resourcese Medicine: emerg/844 radio/747 plastic/318 pmr/127AAFP: Diagnosis and Management of Scaphoid Fractures Surgical Technique of Fixation of Scaphoid Fracture Wheeless: Scaphoid fracture Scaphoid blood supply Avascular Necrosis of Navicular [ hide]v t e Fractures and cartilage injuries ( Sx2, 800–829)General Avulsion fracture Chalkstick fracture Greenstick fracture Open fracture Pathologic fracture Spiral fracture Head Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture Spinal fracture Cervical fracture Jefferson fracture Hangman's fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture Ribs Rib fracture Sternal fracture Shoulder fracture Clavicle Scapular Arm fracture Humerus fracture: Supracondylar Holstein–Lewis fracture Forearm fracture: Ulnar fracture Monteggia fracture Hume fracture Radius fracture / Distal radius Galeazzi Colles' Smith's Barton's Essex-Lopresti fracture Hand fracture Scaphoid Rolando Bennett's Boxer's Pelvic fracture Duverney fracture Pipkin fracture Leg Tibia fracture: Bumper fracture Segond fracture Gosselin fracture Toddler's fracture Pilon fracture Plafond fracture Tillaux fracture Fibular fracture: Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture Combined tibia and fibula fracture: Trimalleolar fracture Bimalleolar fracture Pott's fracture Crus fracture: Patella fracture Femoral fracture: Hip fracture Foot fracture Lisfranc Jones March Calcaneal Categories: Bone fractures Injuries of wrist and hand  What are the Different Types of Wrist Injury? Wrist injury comes in many forms. It can be as simple as receiving a small cut, bite or burn on the wrist, or as complex as repetitive motion disorders that may result in chronic wrist pain. Understanding the injuries that can occur is useful in diagnosing sudden wrist pain. Clearly, correct diagnosis may lead to treatments or suggestions that can help heal or at least compensate for a wrist injury. As mentioned, cuts, bites (animal or insect) or burns are common afflictions of the wrist. These need to be taken care of in the manner prescribed for each. A small cut or bite might need cleaning and a bandage for a few days. Burns that are open, blistered, or profuse require medical attention. Any wound that begins to get hot, exudes pus or has red streaks around is it potentially infected, and a doctor should be consulted to determine if treatment of oral or topical antibiotics is required. Ad Other common injuries of the wrist include fractures to bones at the wrist or sprains. Sprains are stretching or in severe cases, tearing of the ligaments in the wrist. Mild sprains might be swollen but could need no more than rest and ice for a few days. Some people feel better if they wear an ace bandage or a brace to keep the wrist immobilized. Any potential sprain that still involves swelling, that cannot be moved, or that involves extreme pain should be evaluated by a doctor. It’s not always possible to tell the difference between sprain and fracture without an x-ray. Fractures to the wrist might involve different bones and are often caused when people fall on an outstretched hand. A fracture is essentially a broken bone, and almost always requires casting so that healing can begin. Kids are prone to wrist fractures, and older adults may be more likely to get them too, due to weakening bone strength. They are also common among those who participate in many types of sports. A physician's care is needed for a wrist injury that may be a fracture. Another type of wrist injury that is increasingly common occurs because of repetitive motion. Carpal tunnel syndrome is one of the most famous of these, and is typically caused by compression of the median nerve at point of the wrist. It may result in wrist pain, and numbness or pain in the thumb, index and middle finger, and possibly half of the ring finger. A condition quite similar to this is Guyon’s canal syndrome, where the ulnar nerve gets compressed in Guyon’s canal. Pain may occur in the wrist and numbness, prickling or pain could occur in the little finger and ring finger. Both of these conditions have numerous treatment options, including stopping the activity involved or finding more ergonomic ways to perform it. Using braces to stabilize the wrist, and potentially performing surgery if compression is significant are other options. Repeated weight on or bumps to the wrists may cause a wrist injury called bursitis. This creates a situation where the fluid-filled pockets that surround the joints become inflamed and create pain. Modifying activities may help resolve this issue, but involving a doctor is useful for diagnosis. Joint problems, where the joints don’t maintain their stability or wear away after injury, may also affect wrist motion too, and this is often called arthritis. Wrist injury of this form is possible with the autoimmune disease rheumatoid arthritis, too. Ad You might also Like Recommended Related wise GEEK Articles What Is Finkelstein's Test? How Do I Choose the Best Wrist Bandage? How Do I Recover after Wrist Surgery? What Are Common Reasons for Wrist Surgery? What Can Cause a Swollen Wrist? What is a Wrist Fracture? What is a Colles' Fracture? Ad Discuss this Articlef Boyle Post 3Did you guys know that it's possible to get tendinitis in the wrist? I found out recently because I got diagnosed with it. I type all day for my job and when my wrist started paining severely, I thought I developed carpal tunnel syndrome. But the doctor checked and said that it's inflammation of the tendons around my wrist. He prescribed a topical cream to use, and told me to wear a hand splint until the pain goes away.burcinc Post 2@turquoise-- I'm not a doctor but that sounds like a sprain. Is there swelling in addition to the pain? Have you applied ice? Ice and rest will probably take care of the problem. Try to immobilize your wrist so that it can have the opportunity to recover. You can do that with some triangular gauze at home. If you have swelling, then you should apply an ice pack or cold pack, but put a thin towel in between the pack and your skin. If these don't help or if the symptoms get worse, you might have tore something. You need to see a doctor immediately in that situation.turquoise Post 1I was working on a hobby project this weekend and somehow managed to bend my wrist in an odd way. It has been hurting since yesterday. Is it just a strain or could it be more serious? What should I do? Post your comments Post Anonymously Loginusernamepasswordforgot password? Registerusernamepasswordconfirmemail 