A wrist sprain is stretching or tearing of the ligaments that support the wrist. Ligaments are strong bands of tissue that connect bones to each other.
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The most common causes for wrist sprains are falling on an outstretched hand and repetitive motion.
Factors that may increase your chance of getting a wrist sprain include: Playing sportsJob- or activity-related repetitive motion of the wristPoor coordinationPoor balanceReduced flexibility and strength in muscles and ligamentsLoose jointsNot wearing wrist guards during activities, such as in-line skating
A wrist sprain may cause: Pain, tenderness, and swelling around the wristRedness, warmth, or bruising around the wristLimited ability to move the wrist
It can be hard to tell the difference between a wrist sprain and a fracture or dislocation of one of the small wrist bones. See your doctor if there is any deformity, swelling, or if you are unable to move your wrist or hand.
You will be asked about your symptoms and how you injured your wrist. An exam of your wrist will be done to check the stability of the joint and the severity of the injury.
Imaging tests may include: X-rayMRI scanCT scanBone scan
Wrist sprains are graded according to their severity: Grade 1—Some stretching with micro-tearing of ligament tissueGrade 2—Partial tearing of ligament tissueGrade 3—Complete tearing of ligament tissue
Your wrist will need time to heal. Avoid activities that cause pain or put extra stress on your wrist.
Ice may help decrease swelling and pain in the first few days after the injury.
Your doctor may advise: Over-the-counter medication, such as ibuprofenTopical pain medication—creams or patches that are applied to the skinPrescription pain relievers
Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.
Compression can help prevent more swelling. This can be done using an elastic compression bandage around the wrist.
Elevation can also help keep swelling down. Elevate the arm higher than the heart as much as possible. A couple of days of elevation might be recommended for severe strains.
Support may be needed to help protect, support, and keep your wrist in line while it heals. Supportive steps may include: A brace—A brace may need to be worn to keep the wrist still as it heals. A cast—A cast may be needed for 2-3 weeks in cases of severe sprain.
Rehabilitation exercises—Exercises to restore flexibility,
range of motion, and strength in the wrist may be advised by a doctor or physical therapist.
Surgery—Surgery is rarely needed to repair a wrist sprain. However, surgery may be needed to repair a ligament that is torn completely, or if there is an associated
Wrist sprains may not always be preventable. There are steps you can take to reduce your chance of getting a wrist sprain. These include: Wearing protective equipment and using proper technique while playing sportsKeep wrists strong with regular exercises to absorb the energy of sudden physical stress
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Last reviewed May 2016 by Warren A. Bodine, DO, CAQSM
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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