(9) Wrist sprain

Wrist joints, including the radial carpal joint, the interosseous carpal joint, and the distal radius joint, are prone to sprains. Because the local pain after a sprain is less obvious, there is a lot of misdiagnosis. Due to the common occurrence of wrist fractures, wrist sprains are easy to be overlooked.

Has a history of wrist sprain. Lifting a heavy object when flexing the wrist or holding a heavy object when extending the wrist causes a strong lateral flexion or rotational movement of the wrist joint, resulting in a sprain. Most patients are unilateral, and most patients have no obvious local swelling and pain, but they have a feeling of weakness and inflexibility in the wrist.

1. Methods and steps

See Figure 2-2-9.

Figure 2-2-9 Massage for wrist sprain

(1) The patient takes a sitting position, places the upper limb on the affected side on the diagnosis and treatment table, turns the back of the palm to the sky, and puts a pillow under the wrist. The surgeon uses the thumb of the right hand to press and rub the acupoints of the affected limb such as Yangchi, Yanggu, Waiguan, Hegu and other acupoints for 3~5 minutes, and the strength is from light to heavy, as shown in this figure (1).

(2) The position is as above, and the surgeon rubs the Daling, Neiguan and Laogong acupoints of the affected limb with two thumbs for 3~5 minutes. The technique should be slightly gentle and gentle, as shown in this diagram (2).

(3) The surgeon holds the wrist of the affected side of the patient with his left hand, holds the palm of the affected side of the patient with his right hand, and gently rotates the wrist joint of the affected side for 1~3 minutes in the clockwise direction and counterclockwise direction, as shown in this figure (3).

2. Precautions

(1) If there is a traumatic injury, the Kress fracture or Smith fracture should be ruled out first.

(2) The wrist joint on the affected side should avoid weight-bearing and minimize wrist rotation movements.

(3) It can be used with an appropriate size of "wrist guard", if you feel numb soon after use, you should remove it immediately, replace the larger one, and last for half a month to 1 month.

(4) After 24 hours of sprain, patients without bone lesions can be treated with hot compresses and warm water local baths to consolidate the curative effect.

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