The most frequent traumatic mechanism is falling on the hand in extension and extra-rotation, that which leads to the sprain of the capsular structures.
You will arrive in Isokinetic with a pain typically spread to all the wrist and considerable swelling.
Sometimes lumps are present on the back of the wrist. Rest with bandage and ice, or possibly a brace, for on average 10 days is generally the solution to pain. After, it is necessary to start the local physic therapy together with the recovery of the range of motion and muscular tone-trophism.
Proprioceptive and co-ordination exercises should not be underestimated to recover the specific technical gesture in athletes.
Sprained wrist – Rehabilitation
The most common mechanism of wrist sprain is falling on the hand in extension and external rotation, resulting in a stretching of the capsular structures with no injury to the ligaments, tendons and bone. The pain is typically spread to the wrist with swelling on the back of the same; symptom of muscle weakness is the decrease of prehensile capacity. After the traumatic event is prescribed rest with bandage or split for about 10 days after which you can begin rehabilitation.
The first phase of the treatment protocol is aimed to the reduction of pain through physical therapy and ice cube on the sore and the recovery of the range of motion with active and passive mobilization for the recovery of the physiological ROM even at extreme degrees and massage of the forearm muscles’ to check for any analgesic muscle contractures.
After reaching the full mobility of the wrist you can progress to the second phase focused on the comprehensive reinforcement of the muscles of the forearm and hand using exercises with weights and rubber bands to pronator /supinator, flexor/extensor of the wrist, biceps and triceps, shoulder stabilizers (intra/external rotation) and muscles of the CORE.
The rehabilitation program ends on the sports field with the last stage which aims at the recovery of the gripping ability and dexterity through the use of theraband balls or objects for the socket (type pliers) and the carefully resumption of the sport specific gesture for disciplines that require the involvement of the upper limb and hand.