WRIST SPRAIN (MANAGEMENT)

WRIST SPRAIN

MANAGEMENT

}  A firm pressure bandage or strapping is given , cuff and collar  sling is also advisable in major sprains. It help in reducing the swelling by keeping the wrist in elevation.

}  Cold compress or ice massage.

}  Relaxed passive movement ( carried up to the limit of pain to prevent stiffness)

}  Active movements to the fingers reduce swelling and improve circulation

}  Full range of movements to the shoulder and elbow should be advised at hourly interval by removing the sling.

}  The plaster slab may be discontinued as soon as the pain and swelling  permit, but creap bandage may be used.

}  Active movements with creap bandage are encourage as it provides resistance to movements. Full range of movement and adequate strength should be regained by 2 weeks after mobilization.

Passive stretching, deep transverse friction massage and ultrasonography may be necessary if some limitation of movements or pain persists

}  A combination of thermal ultrasound and joint mobilizations is effective in restoring AROM to wrists lacking ROM after injury or surgery.

         ( Ultrasound at an intensity of 1.4 W/cm2 and frequency of 3 MHz raises tissue temperature approximately 56C to 66C (41.06F to 42.86F) in 6 minutes.)

STRETCHING EXERCISE:--

}  A. Flexion: Gently try to bend your wrist forward. Hold for 5 seconds. Repeat 10 times. Do 3 sets.

}  B. Extension: Gently bend your wrist backward. Hold this position for 5 seconds. Repeat 10 times. Do 3 sets.

}  C. Side to side: Gently move your wrist from side to side, holding 5 seconds at each end. Repeat 10 times. Do 3 sets.

}  when stretching is nearly painless.

    1.Grip strengthening:-

    Squeeze a rubber ball and hold for 5 seconds. Repeat 10 times.

          2. Wrist flexion exercise: -

        Holding a can or hammer handle with your palm up, bend your wrist      upward. Slowly lower the weight and return to the starting position. Repeat 10 times. Do 3 sets of 10. Gradually increase the weight of the can or weight that you are holding.

          3. Wrist extension exercise:-

        Holding a can or hammer handle with your palm facing down, slowly bend your wrist upward. Slowly lower the weight down to the starting position. Repeat 10 times. Do 3 sets of 10. Gradually increase the weight of the object you are holding.