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Why Does My Wrist Hurt in Extension?

Published in Wrist Pain 3 mins read

Your wrist might hurt in extension because of a condition called dorsal wrist impingement syndrome.

Understanding Dorsal Wrist Impingement

Dorsal wrist impingement syndrome specifically involves the back of your wrist. Here's how it typically occurs:

  • Capsule Thickening: The capsule, which is the lining of your wrist joint, becomes thicker than normal.
  • Pinched Tissue: When you extend your wrist (bending it backwards), this thickened capsule can get pinched between the bones in your wrist joint.
  • Pain: The pinching causes pain and discomfort, particularly when you push your wrist into extension.

Activities that May Trigger Wrist Pain in Extension

Several activities can aggravate this condition, including:

  • Yoga: Poses like downward dog and plank put significant pressure on your wrists in extension.
  • Pushups: The motion and pressure during pushups can exacerbate the pain.
  • Everyday Activities: Even simple actions such as pushing yourself up from a chair can cause pain if you have dorsal wrist impingement syndrome.

Why the pain is specific to wrist extension?

Here's a table summarizing the key aspects:

Aspect Description
Condition Dorsal wrist impingement syndrome
Location Back of the wrist joint
Mechanism Thickened joint capsule gets pinched during wrist extension
Triggering Activities Yoga (downward dog, plank), pushups, pushing up from a chair
Primary Symptom Pain when extending (bending backwards) your wrist

What to do if your wrist hurts in extension?

If you suspect you have dorsal wrist impingement syndrome:

  1. Rest: Avoid activities that worsen your pain.
  2. Consult a professional: Seek advice from a doctor, physical therapist, or occupational therapist for proper diagnosis and treatment, which might include:
    • Splinting: To restrict wrist movements and allow healing.
    • Exercises: Specific exercises can help reduce inflammation and improve wrist stability.
    • Medication: Your doctor might prescribe anti-inflammatory medications.
  3. Modify Activity: If your job requires repetitive wrist movements, take regular breaks and modify movements to lessen extension.

Conclusion

In short, your wrist may hurt in extension due to the pinching of a thickened joint capsule in the back of your wrist, a condition known as dorsal wrist impingement syndrome. Certain activities like yoga, pushups, or simply pushing up from a chair can exacerbate this pain.

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