What Causes Wrist Pain?

Unlike animals, hands and wrists are the most frequently used limbs in the human body. Therefore, they are one of the areas most vulnerable to trauma and strain. However, problems in other body parts can also be reflected through muscle chains that have a functional function and through neural connections.

What Are the Most Common Pathologies?

According to examination and MRI imaging results, the most common wrist problems are as follows.

• Tendinitis: Painful inflammations that occur in the areas where muscles attach to joints. The most common is tendonitis of the muscle that opens the thumb outward, called De Quervain tendonitis.
• Fasciitis: The membranes that surround the muscles and enable the formation of muscle chains are called fascia. These fascias allow muscle problems in distant areas to be transferred to the muscles they are associated with. The palm is especially rich in fascia. Problems found especially in the chest, neck, and inner surfaces of the arms are also transmitted to the hand via fascia. When combined with activities that strain the palm, inflammation and thickening occur in the fascia in the palm. As a result, nodules that form in the palm cause problems such as trigger finger and palmar fasciitis.
• Arthrosis: Hand calcification is usually a disease of older women and has a familial characteristic.
• Inflammatory Rheumatism: Especially the hand-wrist joints are most commonly affected by rheumatoid arthritis.
• Rare Conditions: Infections and tumors that affect the hand area.

How is it Treated?

First of all, it is necessary to understand what the pathology is. If it is not due to obvious strain and trauma, it should be determined whether there is a predisposing factor. Especially in tendonitis and fasciitis, the muscle chains to which the hand is connected should be examined.

In the general treatment approach, painkillers are given first, and in cases that do not benefit, applications directly targeting the hand are made. These include physical therapy, applications such as cortisone, ozone, PRP, prolotherapy to the wrist tendons. These treatments are outcome treatments. In other words, they focus on the problem in the hand and do not take into account the predisposing factors.

While neural therapy treats problems in the hand, it also takes into consideration and treats the factors that pave the way for these problems.

In cases of ligament and tendon injuries due to trauma and strain, good results can be obtained with prolotherapy and CGF-PRP. Increasing blood flow and relaxing surrounding muscles with neural therapy will accelerate healing.

In cases where the integrity of the structures is impaired, orthopedic surgery is required.