Treating a sprained wrist tendon typically involves a combination of immediate care to reduce swelling and pain, followed by rehabilitation to restore strength and range of motion.
Initial Treatment (RICE Protocol)
The first 24-72 hours are crucial for reducing inflammation and promoting healing. Implement the RICE protocol:
- Rest: Avoid using the injured wrist as much as possible. This might involve wearing a splint or brace to immobilize the joint and prevent further damage.
- Ice: Apply ice packs to the injured area for 15-20 minutes at a time, several times a day. Never apply ice directly to the skin; use a towel as a barrier. Ice helps reduce pain and swelling.
- Compression: Wrap the wrist with a compression bandage to help minimize swelling. Ensure the bandage is snug but not too tight, as this could cut off circulation.
- Elevation: Keep your wrist elevated above your heart as often as possible. This helps reduce swelling by promoting fluid drainage.
Pain Management
Over-the-counter pain relievers can help manage pain and inflammation.
- NSAIDs (Nonsteroidal Anti-inflammatory Drugs): Medications like ibuprofen (Advil, Motrin) or naproxen (Aleve) can reduce pain and inflammation.
- Acetaminophen (Tylenol): This can help relieve pain, but it doesn't reduce inflammation.
Consult your doctor or pharmacist before taking any new medications.
Rehabilitation and Exercises
Once the initial pain and swelling have subsided, rehabilitation exercises are important to restore strength and range of motion. Start these only when advised by your doctor or physical therapist.
- Range-of-Motion Exercises: Gentle exercises to move your wrist in all directions, such as wrist flexion, extension, and rotation.
- Strengthening Exercises: As your pain decreases, begin strengthening exercises using light weights or resistance bands. Examples include wrist curls, reverse wrist curls, and grip strengthening exercises.
When to See a Doctor
It's important to consult a doctor if:
- You have severe pain or swelling.
- You can't move your wrist.
- Your fingers are numb or tingling.
- The pain doesn't improve after a few days of home treatment.
A doctor can properly diagnose the severity of the sprain and recommend the appropriate treatment plan, which may include further imaging like X-rays or an MRI to rule out fractures or other injuries. In some cases, referral to a physical therapist may be necessary.
