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- Playing sports
- Job- or activity-related repetitive motion of the wrist
- Poor coordination
- Poor balance
- Reduced flexibility and strength in muscles and ligaments
- Loose joints
- Not wearing wrist guards during activities, such as in-line skating
- Pain, tenderness, and swelling around the wrist
- Redness, warmth, or bruising around the wrist
- Limited ability to move the wrist
- Grade 1—Some stretching with micro-tearing of ligament tissue.
- Grade 2—Partial tearing of ligament tissue.
- Grade 3—Complete tearing of ligament tissue.
- Over-the-counter medication, such as aspirin, ibuprofen, or acetaminophen
- Topical pain medication—creams or patches that are applied to the skin
- Prescription pain relievers
- A brace—You may need to wear a brace to keep your wrist still as it heals. If you play sports, you may need to wear a wrist brace, or tape your wrist when you return to your sport after you are healed. Do not return to activities or sports until your doctor gives you permission to do so.
- A cast—If you have a severe sprain, your doctor may recommend a cast for 2-3 weeks.
- Rehabilitation exercises—Begin exercises to restore flexibility, range of motion, and strength in your wrist as recommended by your 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 fracture .
- Wearing protective equipment and using proper technique while playing sports
- Keep wrists strong with regular exercises to absorb the energy of sudden physical stress
American Academy of Orthopaedic Surgeons http://orthoinfo.org
American College of Sports Medicine http://www.acsm.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Abraham MK, Scott S. The emergent evaluation and treatment of hand and wrist injuries. Emerg Med Clin North Am. 2010 Nov;28(4):789-809.
Frontera WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation.1st ed. Philadelphia, PA: Hanley and Belfus; 2002.
Parmelee-Peters K, Eathorne SW. The wrist: common injuries and management. Primary Care: Clinics in Office Practice. 2006 March 32(1).
Renström P; IOC Medical Commission, International Federation of Sports Medicine. Sports Injuries: Basic Principles of Prevention and Care . Boston, MA: Blackwell Scientific Publications; 1993.
Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Sprains%5FStrains/default.asp. Updated July 2012. Accessed September 10, 2013.
Wrist sprains. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00023. Updated September 2010. Accessed September 10, 2013.
10/26/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 09/30/2013