
What is a Sprain or Strain?
Sprains and strains are common injuries in the hand and wrist, particularly in activities that involve sudden impact, overexertion, or repetitive motions. A sprain refers to the stretching or tearing of ligaments (the tissue connecting bones at joints), while a strain refers to the stretching or tearing of muscles or tendons (the tissue connecting muscles to bones). These injuries can range from mild to severe and often result from physical activities, accidents, or overuse. Early treatment is crucial to prevent long-term damage or recurrence.
Key Procedures
Key Specialists
Mr Alistair Phillips
Causes
- Falls: Falling onto an outstretched hand (FOOSH) is a common cause of wrist sprains, especially in sports or accidents.
- Sudden Impact: Activities like catching or throwing a ball can lead to sprains, especially if the finger or wrist is forced into an unnatural position.
- Overuse: Repetitive motions, such as typing, playing sports, or manual labor, can strain the muscles and tendons in the hand and wrist.
- Twisting Motions: Sudden twisting or jerking movements of the wrist can lead to ligament sprains or muscle strains.
- Heavy Lifting: Lifting heavy objects with poor form can strain the muscles and tendons in the hand and wrist.
- Sports Injuries: Contact sports, racket sports, and weightlifting are frequent culprits of hand and wrist sprains and strains.
Symptoms
The symptoms of sprains and strains in the hand and wrist can vary depending on the severity of the injury but often include:
- Pain: A sharp or aching pain at the site of injury, which may worsen with movement.
- Swelling: Inflammation around the affected area, which may develop immediately or over several hours.
- Bruising: Discoloration around the injured area due to broken blood vessels.
- Weakness: Difficulty gripping objects or using the hand or wrist due to pain or muscle weakness.
- Limited Mobility: Reduced ability to move the hand, wrist, or fingers, particularly in severe strains or sprains.
- Tenderness: Sensitivity to touch at the injured site, especially over the ligaments or tendons.
- Stiffness: Reduced range of motion due to inflammation or swelling in the injured area.
Treatments
Treatment for sprains and strains in the hand and wrist depends on the severity of the injury. Common treatment options include:
- Rest, Ice, Compression, Elevation (RICE): The first line of treatment for most sprains and strains. Resting the hand or wrist, applying ice to reduce swelling, using a compression bandage, and keeping the hand elevated can help reduce inflammation and promote healing.
- Immobilisation: Wearing a splint or brace to immobilise the injured area can help the ligaments, tendons, or muscles heal. This is particularly useful for more severe sprains or strains.
- Pain Management: Over-the-counter anti-inflammatory medications like ibuprofen can help reduce pain and swelling.
- Physiotherapy: In moderate to severe cases, physical therapy may be necessary to restore strength, flexibility, and range of motion.
- Exercises: Once the initial pain and swelling have subsided, exercises designed to improve flexibility and strengthen the hand and wrist muscles can help prevent future injuries.
- Surgery: In rare cases where a ligament or tendon is completely torn, surgical intervention may be necessary to repair the damage.
- Activity Modification: Adjusting your activity level or technique may help prevent further injury, especially if the injury is due to overuse or repetitive motion.