Monday, March 20, 2023

Physical Therapy For Wrist Tendonitis

Causes: Why Does Wrist Tendonitis Occur

3 Stretches to Fix Your Wrist Pain in Minutes (Including Decompression)

Wrist tendonitis refers to the progressive wear and tear of tendons due to repetitive movements. Overuse can be caused by:

  • Non-stop typing and frequent use of a computer mouse or keyboard
  • High-usage of digital devices to text or play video games
  • Playing sports requiring repetitive wrist movements

Moreover, certain risk factors contribute to the stress placed on your overworked tendons.

Common reasons include:

  • Improper posture, maintained for prolonged periods
  • Incorrect postural alignment of the back, wrist, and joints
  • An acute wrist injury that results in trauma to the wrist, joints, or forearms
  • Weakness and limited range of motion in the shoulder, elbow, or wrist

Other causes can be associated with a health problem, such as an infection, arthritis, or diabetes.

Nevertheless, most causes of wrist tendonitis are preventable. Physical therapy exercises for wrist tendonitis and functional training can lead to rehabilitation.

What Are The Symptoms Of Wrist Tendinitis

Symptoms of wrist tendinitis may include:

  • Difficulty performing certain movements, such as opening jars or turning doorknobs, or lifting pets, babies or small children.
  • Stiffness, catching or a popping sensation when moving your wrist or fingers.
  • Swelling around your wrist or the bases of your fingers.
  • Wrist pain, especially along the side of the wrist near the thumb or pinkie finger.

Isometric Exercise For Effective Wrist Physical Therapy

sometric exercise differs from concentric and eccentric exercise , because it does not involve a change in muscle length or joint angle. With other types of exercises, the muscle lengthens or shortens , but isometric exercise keeps the muscle stationary. However, this does not mean that your muscles arent working hard when engaged in isometric exercise. In fact the opposite is true: isometric exercise works your muscles from their very core, building strength and endurance faster than any other form of exercise.I

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Tendonitis: What It Is And How Physical Therapy Can Help

Tendons are the tissues in your body that keep your muscles and bones connected to one another. More specifically, they are what allows your muscles to move your bones. That said, many types of injuries are related to the tendon, limiting your bodys ability to move. One of the best examples of this is tendonitis .

Did you know that physical therapy can actually help patients with tendonitis to heal? If you are dealing with tendonitis, you can opt to participate in physical therapy to boost your recovery. Not only that, but physical therapy also ensures that you wont fall back into the same injury.

Let us talk about the symptoms of tendonitis and how exactly physical therapy can address this condition.

Treating An Achilles Tendon Rupture


If you suspect youve had an Achilles tendon rupture, see a doctor as soon as possible. Dont wait for an MRI, as it can cause a delay in treatment and mean that different treatments are needed.

Achilles tendon ruptures may be treated with or without surgery. In the early to mid 2000s, additional research was done on a treatment called accelerated rehabilitation. Instead of a prolonged period of casting, its a shorter period of immobilization and very intensive physical therapy while the Achilles tendon strength is closely monitored and the range of motion is slowly increased.

The patient starts in a boot with a very high wedge, almost like youre walking on an high-heeled shoe. Over time, the wedge is brought down so your foot becomes closer and closer to flat. With accelerated rehabilitation protocols, patients have excellent results, almost as good or as good as having surgery for their Achilles tendon rupture. However, there are several caveats.

Patients who wait over 24 hours to receive care for their Achilles tendon rupture are not candidates for accelerated rehabilitation and need to have surgery. Other reasons to have surgery include if the two ends of the tendon are not near each other, if the tendon ruptures where it is attached to the heel, or if youre not able to go to physical therapy two to three times a week for the accelerated rehabilitation program.

The great thing about accelerated rehabilitation is that there are no risks of surgical complications.

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Preventing And Treating Achilles Tendon Injuries

The Achilles tendon goes down the back of your leg to your heel. Its formed by three separate tendons drawing together, connecting your calf muscles to the heel bone. The Achilles tendon gives us strength pushing down, which is important for climbing stairs, jumping, and other similar activities.

Wrist Tendonitis Treatment Near Me In San Antonio Tx

If you want relief from wrist tendonitis pain, put your trust in our hand surgeon at the Center for Orthopaedic Surgery and Sports Medicine, Dr. Michael L. Jones. Dr. Jones is fellowship-trained in surgeries of the hand and can treat even the most complex hand disorders. In addition to providing expert medical treatment of your hand condition, we also offer a superior hand therapy program led by a certified hand therapist .

To schedule an appointment with us, call our office today at 692-7400 or use our appointment request form.

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Strengthen As You Recover

Powerball is so effective for wrist physical therapy because of its ability to build strength and rehabilitate at the same time. As your muscles and tendons are healing, they are also fully engaged by Powerballs isometric resistance. This resistance delves deep into tissue fibres, actively strengthening your muscles as you recover. This dual action of strengthening and rehabilitation dramatically cuts recovery times and promotes long-lasting rehabilitation results that go muscle-deep.

Posterior Tibial Tendon Dysfunction

Wrist Tendonitis Treatment for Pain Relief – Ask Doctor Jo


  • PTTD is a potential cause of acquired flat foot deformity .
  • Posterior tibial tendon runs around the medial malleolus and supports the arch of the foot.


  • Classically seen in middle-aged women. Being overweight and wearing poorly supportive shoes are additional risk factors.
  • Presents with burning, medial ankle pain that radiates up the leg.
  • Patient may demonstrate the too many toes sign
  • The patient stands barefoot facing away from you
  • A positive sign is more than 2 ½ toes seen laterally peeking out from behind the leg


  • Conservative management involves activity modification, orthotics, and NSAIDs, physical therapy +/- immobilization with casting or a walking boot .
  • More severe cases may be referred to orthopedics for surgical eval .

Featuring Joan Ritter and production and graphics by Paul Williams

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Is Surgery Necessary To Treat Hand And Wrist Tendonitis

Surgery is not always needed to treat hand and wrist tendonitis. Wrist tendonitis usually only manifests as wrist pain, which isnt a significant cause for alarm. Youll only need some home remedies to relieve pain and the other symptoms of wrist tendonitis. If you do at-home treatments correctly and take care of your hand or wrist, the issue will usually heal on its own in two to four weeks.

Physical Therapy And Tendonitis At The Wrist

This is a common condition. The tendon at the wrist joint is responsible for pain, irritation and inflammation. Although there are many tendons surrounding it, this tendon usually affects one. In some cases it may involve more than one. It can occur at the points where the tendons cross over or pass over a bony surface. This can cause pain when you move your wrist.

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Wrist Physical Therapy Effective Exercises For Rehabilitation & Strengthening

As one of the most active joints in the body, the wrist can be very susceptible to injury. Fractures, sprains, tendonitis, tenosynovitis, ligament tears, breaks the list goes on there are so many different types of wrist injuries that affect people today. But no matter what your injury, it is important to make sure that you rehabilitate fully by practicing effective wrist physical therapy.

Who Gets Wrist Tendinitis

Know The Details Of Wrist Tendonitis Treatment

People who perform activities that put a lot of stress on their wrists are at risk for tendinitis . New mothers and childcare providers who lift and hold babies for multiple hours each day are especially prone to this condition, often called mommys wrist another term for de Quervains tendinitis.

Other risk factors for wrist tendonitis include:

  • Being assigned female at birth.
  • Being older than 40.
  • Having a history of tendon injuries or lateral epicondylitis .
  • Having a job that involves repetitive wrist motions, such as being a cake decorator or hairstylist, using heavy machinery or typing on a keyboard.
  • Starting a new activity before properly conditioning your wrists.
  • Pushing through pain when it occurs.

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Common Wrist Tendonitis Symptoms

At first, a person might notice a slight ache or soreness in their wrist as they perform a wrist motion. This pain may decrease as their wrist warms up.

With tendonitis, though, the pain can actually lead to reduced wrist strength and an inability to bear the kind of weight they were previously able to handle.

De Quervains Tenosynovitis Causes Inflammation And Can Lead To Symptoms That Include:

  • Swelling and pain near the base of the thumb
  • The sensation of the thumb being stuck or having a stop and go feeling when using a motion to grasp or pinch an object

The exact cause of tenosynovitis, according to the Mayo Clinic, is not known, but it is likely similar to what causes wrist tendon pain with wrist tendonitis.

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Forearm Pronation And Supination:

With your elbow bent 90°, turn your palm upward and hold for 5 seconds. Slowly turn your palm downward and hold for 5 seconds. Make sure you keep your elbow at your side and bent 90° throughout this exercise. Do 3 sets of 10.

When this exercise becomes pain free, do it with some weight in your hand such as a soup can or hammer handle.

How Does Physical Therapy Help With Wrist Pain

Wrist Tendonitis Exercises, Stretches and Massage Pain Relief Treatment – Fix Wrist Pain!

Physical therapy and therapeutic exercises for wrist pain are the most effective ways to treat wrist-related conditions and chronic pain.

As a physical therapy practice with a particular interest in wrist pain, we help you:

Manage Pain: We do this by identifying the root cause of your pain and suggesting remedial movements to reduce stress on the joint and prevent pain. We may also recommend hot and cold packs or using a wrist brace in between sessions to reduce inflammation, lessen the pain and its effect on your daily life, and speed up recovery.

With Manual Therapy: Dependent on your presenting symptoms, we may use manual therapy to reduce your wrist pain. These specialist techniques include therapeutic massage, stretches, and joint manipulation. We may also recommend range-of-motion movements to remove stiffness and aid in proper movement.

Guide and Educate You: Prevention is better than cure. Therefore, towards the end of the recovery process, we guide and educate you on how to resume your daily activities without aggravating your wrist and causing a reoccurrence of pain. In addition, this information includes how to use the wrist neutrally when doing repetitive tasks.

Restore Wrist Functionality: Along with improving your symptoms, we demonstrate how to carry out specific movements with the right wrist movements to restore functionality and return to a pre-pain state. This knowledge helps you resume your routine activities while remaining pain-free.

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When Is Surgery For Wrist Tendonitis Needed

Surgery for wrist tendonitis is only necessary for worst-case scenarios. Occupational therapy and other nonsurgical treatments should be the go-to treatments whenever possible. Recommending surgery is only for cases that other methods cant resolve. Thankfully, some types of surgery, only require a small incision. If the tendon has ripped from the bone, a wrist surgeon and a significant incision might be needed to reconnect it.

Can Tendonitis In The Wrist Be Prevented

Tendonitis in the wrist can be prevented with a few simple steps. Some of these prevention tips include:

  • Strengthening the muscles in your wrist and forearm: Regular stretching and strengthening exercises can help build up the muscles and prevent them from straining due to overuse or repetitive motions.
  • Wearing a brace: A wrist brace can provide additional support and stability for your wrist, helping to reduce strain on the tendons.
  • Avoiding excessive use of the wrist: Try to limit activities that require repetitive use of the wrist, and take regular breaks throughout the day.
  • Maintaining a healthy diet and lifestyle: Eating a balanced diet with plenty of fruits and vegetables and exercising regularly can help keep your muscles strong, reducing your risk for tendonitis.
  • Practicing good posture: Poor posture can result in strain on the wrist muscles and tendons. So its important to sit up straight and maintain proper body mechanics when typing or working with your hands.
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    The Basics: What Is Wrist Tendonitis

    Wrist tendonitis is essentially an overuse injury that causes inflammation and irritation due to excessive movement, injury, or strain. This condition impacts a network of fibrous muscle-like cords present on the front of our wrist and back of the wrist .

    Both groups of tendons serve as connection points between our forearms and hand . Their presence promotes frictionless wrist movements. In other words, tendons allow you to bend and rotate your wrist with ease.

    Unfortunately, some activities such as typing for prolonged periods, training for wrist-based sports activities or manual labor with frequent wrist usage places undue pressure on our tendons. Subsequently, it causes inflammation and swelling in the distressed tendons.

    Common types of wrist tendonitis include:

    Wrist Physical Therapy For Specific Injuries

    de Quervainâs Tenosynovitis Treatment

    Because there are so many different types of wrist injuries, there are also different forms of wrist injury rehabilitation. Some wrist injuries, such as RSI , will heal themselves over time, while others require that you wear a cast or splint on your wrist for a couple of weeks before beginning any kind of therapy.Very severe wrist injuries may even require surgery, but no matter what kind of wrist injury you have, all injuries will benefit from wrist strengthening exercises at some point during your recovery.

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    Work With Academy Orthopedics

    When looking for an orthopedic practice, turn to Academy Orthopedics. We are a trusted team of healthcare professionals led by dedicated, experienced physicians. Our patient-centered approach will provide personalized care, address your concerns, and follow your references.

    We use a systematic approach to diagnose and treat your wrist tendonitis. It involves a physical examination, consultations with our doctor, and surgery if necessary. Here are some of the treatments you can expect at our practice.


    Before surgery, we sometimes recommend physical or occupational therapy to treat wrist tendonitis. Its chiefly used for those who are already recovering from the injury and are just learning correct hand movements. However, hand therapy is still applicable for those unable to fully recover from the problem.

    Therapy usually includes specific exercises and movements to address wrist tendonitis. Stretches, soft-tissue massage, and gentle joint movements increase blood flow and exercise the muscles, removing wrist stiffness and pain.

    Wrist Tendonitis Surgery

    When other conservative treatment options cannot address the problem, wrist tendonitis surgery is the last resort. Surgery is also the best method if tendonitis is becoming a chronic issue.

    How Is It Diagnosed

    Your physical therapist will conduct a thorough evaluation of your entire arm to include the shoulder, elbow, wrist, and hand. The therapist will ask you to describe the types of activities you normally perform using your arm at home, at work, and for recreation, and which of these activities causes pain or stiffness in the area. You will be asked how long the pain has been occurring and how it is affecting your regular activities of daily living. Your physical therapist will check your range of motion and strength in your entire upper arm. Your therapist will gently touch specific areas of your wrist and forearm to determine which wrist tendons are involved, and check for any swelling in the area.

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    Wrist Physical Therapy Made Simple With Powerball

    There are a variety of techniques and exercises that are effective for wrist physical therapy. Range of motion exercises along with stretching and strengthening exercises will most likely be recommended by your doctor or physiotherapist to help you rehabilitate and re-train your wrist after injury. While these types of exercises are very beneficial, we recommend that you supplement them with isometric exercise in order to achieve maximum recovery results.

    Powerball is one of the most effective isometric exercisers in the world. At only the size of an apple, Powerball is a physician-approved gyroscope that is used by over 4 million people worldwide to effectively rehabilitate and strengthen their upper-body limbs.

    Experience the results for yourself spin Powerball for just 3 minutes a day to benefit from fast and effective wrist physical therapy.

    Continue reading for recommended wrist physical therapy exercises and more information on Powerballs incredible rehabilitation benefits.

    Wrist Tendonitis Vs Carpal Tunnel Syndrome: Are They The Same Thing

    Yoga Therapy for Tendonitis & Wrist Pain

    No, they are fairly different disorders that limit hand movements and the overall range of motion in your elbows and shoulder. The difference lies in the anatomical reasons behind the physical symptoms.

    For instance, wrist tendonitis refers to the inflammation of tendons while carpal tunnel syndrome develops due to a pinched nerve . Moreover, tendonitis has a significant impact on muscle strength and movement.

    In contrast, carpal tunnel syndrome reduces mobility due to its impact on carpal bones and ligaments.

    Consulting a physical therapist for wrist tendonitis treatment can help you learn the differences between the two disorders. Our team, in particular, eliminates misdiagnosis by carefully assessing overlapping symptoms and identifying the root cause of your wrist pain.

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    When Should I Visit A Wrist Specialist

    Dont hesitate to call your doctor if you experience the following:

    • Difficulty moving the wrist, hand, or fingers
    • Severe or sudden pain in the wrist, fingers, or hand
    • Unable to grab objects or make a fist
    • Dropping objects accidentally when holding them
    • Swelling or discoloration on the skin around the wrist

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