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Wrist tendonitis, also known as tenosynovitis, is a condition characterized by inflammation and irritation of the tendons around the wrist joint. This condition often results from repetitive motions, overuse, or an injury to the wrist. In this guide, we will discuss the symptoms, diagnosis, and treatment options for wrist tendonitis, with a focus on how physical therapy can help you manage your symptoms and improve your wrist function.

Understanding Wrist Tendonitis

Wrist tendonitis can be caused by:

  • Repetitive wrist movements, such as typing, writing, or sports activities
  • Overuse or strain on the wrist tendons
  • Direct injury or trauma to the wrist
  • Underlying conditions, such as rheumatoid arthritis or diabetes

Symptoms to Watch Out For

  • Pain and tenderness around the wrist joint
  • Swelling or inflammation in the wrist
  • Stiffness or limited range of motion in the wrist
  • Weakness or difficulty gripping objects

How is Wrist Tendonitis Diagnosed?

Wrist tendonitis is typically diagnosed based on:

  • A physical examination to assess pain, swelling, and range of motion in the wrist
  • The patient's history of wrist activities and symptoms
  • Imaging tests such as X-rays or MRI may be used to rule out other conditions

The Treatment for Wrist Tendonitis

Treatment for wrist tendonitis may include:

  • Rest and activity modification to allow the tendons to heal
  • Ice and anti-inflammatory medications to reduce pain and swelling
  • Splinting or bracing to immobilize the wrist and provide support
  • Corticosteroid injections to reduce inflammation in severe cases

Physical Therapy for Wrist Tendonitis

A physical therapist may employ the following during a session:

  • Exercises: Gentle range-of-motion exercises and progressive strengthening exercises to improve flexibility and strength in the wrist. Examples include wrist flexion and extension exercises, wrist radial and ulnar deviation exercises, and grip strengthening exercises.
  • Modalities: Techniques such as heat, cold, or ultrasound to reduce pain and inflammation.
  • Manual Techniques: Hands-on techniques such as soft tissue massage and joint mobilizations to improve mobility and reduce stiffness.
  • Ergonomic Assessment: Evaluation and modification of work or activity setups to prevent further strain on the wrist tendons.

Prevention of Wrist Tendonitis

To prevent wrist tendonitis:

  • Use proper ergonomics when performing repetitive wrist activities
  • Take regular breaks and stretch your wrists during prolonged activities
  • Gradually increase the intensity of new activities to avoid overuse
  • Strengthen the muscles around the wrist to provide better support

Conclusion

Wrist tendonitis can be a painful and limiting condition, but with the right treatment, including physical therapy, you can manage your symptoms and improve your wrist function. By working closely with a physical therapist and following a personalized rehabilitation plan, you can reduce pain, increase mobility, and return to your daily activities with comfort and ease.

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