Wrist Sprain
What is a Wrist Sprain?
A wrist sprain occurs when the ligaments that support the wrist are stretched or torn. This typically happens after a fall on an outstretched hand, but it can also occur in sports that involve sudden twisting or impact to the wrist.
Common Symptoms
Pain and swelling in the wrist
Tenderness with movement or pressure
Bruising in some cases
Difficulty gripping or bearing weight on the hand
Physical Therapist Diagnosis
A PT assesses the mechanism of injury, joint stability, swelling, and pain with motion. Clinical stress testing helps determine the severity of the sprain. Imaging may be ordered to rule out fractures.
Why it Happens
Falls, collisions, and awkward landings are the most common causes. Athletes in football, gymnastics, and snowboarding are particularly at risk.
Why it Doesn’t Always Heal on Its Own
Mild sprains may resolve with rest, but without therapy, stiffness, weakness, or residual instability can linger. Untreated sprains sometimes mask underlying ligament or cartilage injuries.
Ideal Physical Therapy Treatment
Rehabilitation focuses on pain control, restoring mobility, and regaining strength.
Key components include:
Manual therapy for joint and soft tissue mobility
Dry needling for muscle tension or spasm in the forearm
Progressive strengthening of grip, wrist, and forearm muscles
Proprioceptive training to restore stability
Gradual return-to-sport drills for high-demand activities
Expected Outcomes
Most wrist sprains heal within weeks with proper therapy. More severe injuries may require longer rehabilitation, but most athletes return to sport at full strength.
Key Takeaway
Wrist sprains are common but respond well to therapy. Proper rehab prevents lingering pain and restores stability for daily and athletic activities.