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How do I Treat a Strained Wrist?

Dan Cavallari
Dan Cavallari

A strained wrist cannot actually occur; strains refer to muscle injuries, while sprains refer to ligament injuries. Ligaments are the tissues that connect bones with other bones in joints, so what you may think is a strained wrist is actually a sprained wrist. The muscles in the arm near the wrist can become strained, however, though the wrist itself, which is a joint, cannot become strained. Treating what many consider to be a strained wrist is a similar process to treating sprains anywhere else in the body: the RICE treatment — Rest, Ice, Compression, and Elevation — can be used to help reduce pain and swelling and allow the injury to heal on its own.

If the wrist itself is not injured, though your initial thought was that you may have a strained wrist, the muscles that run through the arm may have been injured and will require the same treatment as that of a sprained wrist. Resting the injury means refraining from using the limb and the joint as much as possible to allow the muscles or ligaments to heal on their own. These injuries occur when the tiny fibers that make up the muscles or ligaments begin to tear, causing pain and inflammation. Allowing the affected area to rest will in turn allow the muscles or ligaments to repair themselves.

An ice pack, which can be used to treat a strained risk.
An ice pack, which can be used to treat a strained risk.

Icing the injury, whether it is a sprained wrist or what you had thought to be a strained wrist, will help reduce swelling and numb the pain associated with the injury. Icing should be done immediately after the injury and on and off for the next several hours. After a day or so, a heating pad may be applied to the injury to help alleviate pain, though this does not work for all people and can in fact make the pain worse. Try applying heat to see how your injury reacts, and if it helps, continue the practice.

Immobilizing a sprained wrist in a wrap may help prevent re-injury.
Immobilizing a sprained wrist in a wrap may help prevent re-injury.

Sprains generally take longer than strains to heal, so be prepared to rest the injury for a fair amount of time. Immobilizing the wrist with a brace or wrap can help prevent re-injury as well. Once the injury has healed partially or completely, it will be necessary to do some exercises to increase strength and mobility. Start with mobility exercises that help the muscles, tendons, or ligaments get used to moving the way they once did. Strength training exercises can help redevelop muscle tone and mass that may have been lost as a result of the injury, or help regain ligament strength that may have been lost.

Discussion Comments

turquoise

@candyquilt-- That's a good question.

Do you have a triangular bandage at home? You can use a triangular bandage to make a sling. Tie the bandage around your neck and put your arm into the bandage to keep it high. The point of elevation is to reduce blood flow to the area. The more blood flow to an area of injury, the greater the inflammation and swelling will be.

Sometimes, if the strain is not very serious, cold packs and the use of a splint may be enough. Just try not to move or bend your wrist because it can't heal if it moves.

candyquilt

I want to apply the RICE method for my strained wrist. I understand rest, ice and compression. But how do I elevate my wrist?

SarahGen

It doesn't really matter whether the wrist is strained or sprained, because the treatment is basically the same for both, as the article author mentioned.

I sprained my wrist recently after falling on it. The doctor took an x-ray and found no fractures. He said that it's a minor injury and doesn't require much treatment. I was told to use a wrist splint, apply a cold pack to my wrist and take pain relievers. I have been doing all this, and also resting as much as possible since the past two days. The pain has already lessened a lot. I'm sure I'll be able to take the splint off after this week.

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    • An ice pack, which can be used to treat a strained risk.
      By: Marc Dietrich
      An ice pack, which can be used to treat a strained risk.
    • Immobilizing a sprained wrist in a wrap may help prevent re-injury.
      By: auremar
      Immobilizing a sprained wrist in a wrap may help prevent re-injury.
    • Using a wrist cushion can help prevent a strained wrist.
      By: uwimages
      Using a wrist cushion can help prevent a strained wrist.