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Many people suffer from wrist pain. Our osteopaths work in our specialist rehabilitation clinic for pain and performance in Cambridge, with wrist pain management treatment and rehabilitation therapy, for wrist and hand pain, and other arm pain conditions. Working with a vast range of physical capabilities, allows us to have very positive contact with such pain symptom sufferers. This is why we provide some of the most effective Cambridge Osteopath treatments and Sports Injury Clinical care.

In fact, Wrist pain (including wrist muscle pain, wrist tendon pain, interosseous strain, or similar pain syndromes and muscle strain) is currently a common musculoskeletal disorder, and the burden is most likely underestimated. The ‘physical and personal impact’ of musculoskeletal illnesses are believed to generate some of the highest costs to society, by threatening ‘efforts to support healthy ageing’. Wrist pain seems to have large effects on disability levels and quality of life.
For wrist pain suffers, the most cost effective therapy options includes manual therapies, to improve physical function.

Diagnosis

Some of the most commonly ‘diagnosed’ issues leading to an episode (acute), or multiple episodes (chronic), of wrist pain, with or without ‘swelling’ (filling of the joint’s and capsule’s or fluid around the joint’s area) are:- 

Functional wrist instability, structural wrist instability, wrist joint pain, interosseous joint sprain, carpal pain, carpal subluxation, ‘tendonitis’, ‘wrist joint pain’, muscle strain, wrist sprain, wrist tendonitis, wrist tenosynovitis, ‘de Quervain’s tenosynovitis’, carpal tunnel syndrome, wrist fracture, scaphoid fracture, wrist osteoarthritis, wrist joint rheumatoid arthritis, ganglion cyst, cubital tunnel syndrome, ‘carpal boss’, lipoma, rheumatoid nodule, epidermoid cyst, ‘RSI’, arthritis, Kienbock’s disease, ‘ulnar impaction syndrome’, triangular fibrocartilage complex injury (TFCC), nerve injury, nerve compression, benign mass, ‘arthralgia’, ‘repetitive motion injury’, impingement, strains, sprains, extensor carpi radialis tenosynovitis, posterior interosseous nerve / radial nerve entrapment, scapholunate ligament sprain, extensor carpi ulnaris tenosynovitis, triangular fibrocartilage complex tear, ulnar styloid injury, distal radius injury, triquetral injury, anterior interosseous nerve compression, intersection syndrome, radial sensory nerve compression, extensor pollicis longus impingement on lister’s tubercle, impingement syndrome, distal radioulnar joint instability, luno-triquetral ligament sprain, ulna injury, extensor carpi ulnaris subluxation, flexor carpi radialis tendinopathy, pisotriquetral degenerative joint disease, carpo-metacarpal osteoarthritis, ulnar nerve compression at Guyon’s canal, flexor carpi ulnaris tendinopathy, carpal instability, carpal dislocation, radial epiphyseal stress reaction, scapholunate dislocation, perilumar dislocation, anterior dislocation of lunate, motor control imbalances, tendonitis, ligament sprain, muscle spasms, over use syndromes, degeneration, arthritis, cartilage injury, ‘inflammation’, ‘wear-and-tear Injuries’, ‘Tendonitis’, ‘wear and tear’, mechanical wrist pain, wrist stiffness, wrist swelling, wrist ‘restriction’, stress fracture, muscle injury, ‘myofascial pain’, ‘fibromyalgia’, ‘postural imbalance of the neck and shoulders and upper thoracic spine’, ‘pain syndrome’, ‘wrist stress reaction / fracture’, ‘tendinitis’ (tendonitis), trigger points, trapped nerves, ‘nerve entrapment’, ‘sprains and strains’, ‘arthritis of the wrist‘.….The list goes on!

The quality of some of these diagnosis concepts, and the actual correlation to your pain, are even more fascinating!

How This May Affect People

When this doesn’t go well, it often leads to a very dissatisfying outcome. This can manifest itself as: deconditioning, disability development, depression, loss of confidence in yourself and your body, which ultimately often leads to a dependency on pain altering medications, and poorer physical health. This can even affect the health related quality of life among adolescents, which then runs the risk of developing into adulthood.

So, what are we to do? Are we to:- be immobile?, be mobile?, be active?, or minimally active?, train into pain (‘no pain no gain’)?, or train avoiding pain?, stretch the wrist?, or no stretching of the wrist?, use medication management?, topical or oral?, use massage?, use mobilisation?, Osteopathy or chiropractic or physiotherapy?, use prescriptive exercise?, regular treatments or minimal treatments?, have imaging or not to have imaging?, surgery?, should we focus on structure or function?, or is it just age?!!!

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I’ve employed the services of Osteopaths on and off for over 30 years. Michael Parr is certainly one of the best: he is very professional, and extremely effective. Michael strikes the perfect balance between massage, physical manipulation, and restorative exercises. I no longer see him as just someone to turn to when I have acute pain (although I do turn to him in those situations!), but as a trusted adviser and coach, helping me move on to the next physical target that I want to achieve. Since visiting him I can see clear and distinct improvement in my overall health, directly attributable to his methods, input, advice and continued guidance.

Investigations

Imaging

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General Imaging

Ultrasound

X-ray

MRI

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Physical Assessment

Physical assessment by a clinician is vital in all cases of wrist pain.

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Does This Apply To You?

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What Can Help

Injections
Osteopathy and Manual Therapy

 

Phsyical Exercise Rehabilitation

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Combination Therapy

 

 

 

Degeneration and Arthritis

Ligament Sprain

 

Post Surgical Rehabiliation

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Whole Body Integration

Then we can start to look at a more global pattern, and treatment plan.

 

 

This may show why whole body assessment and treatment, is reported anecdotally to be so effective in clinic.

These positive effects from manual therapy and exercise, may be due to the increasing body of evidence, that pain is a brain interpretation of data, and the local structure itself, cannot be consistently linked with pain or general function.

Additionally, manual therapy by an osteopath including the use mobilization and manipulation, and prescription exercise therapy, are all safer than long, or even short term medication treatments, such as non-steroidal anti-inflammatory drugs (NSAIDs). Additionally, these are statistically safer than surgical intervention.

The point here is that there are many opinions and many solutions, to treating wrist pain (carpal pain / Carpal Tunnel pain / wrist joint pain). Perhaps some, in our opinion, are more rational than others and some statistically safer than others, and some more empowering than others.

With all treatments, it’s important to get the diagnosis, advice, and treatment programme from people who are trained, skilled and prepared to aid your musculoskeletal needs, such as at our Cambridge Osteopath Clinic.

Treatment Options

The guidelines for ‘wrist pain’, includes the guidance to remain as active as possible, seek support and advice at a specialist clinic, for, diagnosis, education, management advice, manual therapy including mobilisation and manipulation, and soft tissue treatment, hydrotherapy application, increase in muscle strength (strength training) and specialist exercise therapy for rehabilitation.

At Elementary Health, our Cambridge Osteopath Clinic, we provide a seamlessly layered combination approach, of diagnosis, education and therapeutic application. This includes education of anatomy and pain theories, manual therapy, osteopathy for wrist pain, posture advice and training, lifestyle advice, hydrotherapy guidance, dietary overviews, and dynamic exercise therapy with motor control training rehabilitation. All of these work together to provide a uniquely structured approach, towards the aim of restoring your brain’s interpretation, or ‘mapping’ of your healthy functioning body, giving you back the control!

Next Steps

If there are any other questions, or, you wish to book a consultation with Michael Parr the consulting osteopath in Cambridge, based at Elementary Health. Please don’t hesitate to call or email.

Cambridge Osteopathy
& Rehabilitation Clinic

8c Romsey Terrace
Cambridge
CB1 3NH