There are a variety of reasons your wrist may be causing you pain. During our assessment, the focus is on WHY you have pain, rather than on the anatomical structure (i.e. disc, ligament, tendon, joint). Once we know that answer, then we can find a solution.
Wrist injuries can be more chronic in nature so if we don't know the cause then we are only treating symptoms. That will not fix your pain permanently!
If it is an acute wrist injury then the therapist will focus on the initially decreasing pain, regaining movement and then progressing you back to activity!
If it is chronic then here are a few reasons you may be in pain, but your therapist will be the one to assess your injury and create a treatment plan.
1) Postural dysfunction - Do you sit for long periods reading, knitting, painting etc.? Are you reaching for your mouse or do your wrists have to be extended or flexed to use the keyboard?
If the answer is Yes to any of these questions then it might be your posture which is creating the pain. Frequently we do not realize what position we are in at work or at home and we stay there for many hours at a time without moving!
We also need to remember to assess the neck when there is wrist pain because frequently the pain is being referred to the wrist from the neck.
2) Poor body mechanics - Are your arms out to the side or away from your body when lifting? Do you do repetitive lifting/pushing/pulling for long periods? Do you grip your golf clubs too tight? Are you trying to swing too hard with your upper body rather than using your lower body to create power?
If the answer is Yes to any of these questions then your body mechanics might be the cause of your pain!
3) Muscle weakness - frequently a lack in strength in certain muscles, especially in the shoulder, will contribute to wrist pain. The therapist will need to assess those muscles to see which ones are the problem.
4) Muscle tightness - if certain muscles are too tight then they are not able to move in the proper patterns. A muscle that is too tight or too stretched can be a problem!
Who can help you?
What might be involved in their treatment?
1. Assessment of movement and strength
2. Education - to teach you what is causing your pain and how to make it better as well as how to prevent it from returning in the future
3. Exercises - teaching you how to do the proper exercises to decrease your pain and improve your strength and/or mobility\
4. Manual therapy - your therapist may need to release muscles or mobilize joints to improve their ability to move.
5. Referral back to family doctor for imaging or to a specialist - if the therapist feels there is a need for an Xray, U/S or MRI then they will contact your family physician to discuss it. They may also suggest a specialist's referral if treatment is not progressing as it should.