From picking up a glass while lounging to combing the hair, the wrist is an area of the body that is in motion the majority of awake hours. The extensive use of the wrist in both sporting and daily activities places it at high risk for injury. One injury of the wrist is called bursitis; it may also be referred to as wrist bursitis or bursitis of the wrist.
Wrist Bursitis
Anatomy Of The Wrist as It Relates To Wrist Bursitis
The main structures of the wrist are eight small carpal bones, the wrist joints, tendons, ligaments, cartilage, and bursae. The bursae are tiny enclosed jelly like sacs that contain a minimal amount of fluid. It functions as a friction reducer as tendons and carpal bones move in their joints.
What Is Wrist Bursitis?
When a wrist bursa is irritated to the point of inflammation, it’s called wrist bursitis.
What Causes Wrist Bursitis?
Wrist bursitis is most often the result of noninfectious inflammation, also called aseptic bursitis, to the bursae. The noninfectious inflammation is usually caused by an acute local trauma to the wrist, such as from falling and overextending the wrist. Another common cause is from chronic friction due repetitive stressful movements. There are also rare occasions when a bacterial infection of the wrist bursae, also called septic bursitis, is the causative factor. Common risk factors that could lead to wrist bursitis may include any of the following:
* crystal deposition from gout or pseudo gout
* systemic diseases such as arthritis, thyroid disease, or systemic lupus
* frequently performing high risk activities, especially those that require wrist twisting and grip weight being placed on the wrist (gardening, paining, throwing, rowing, or biking for example)
* sport-related injury
* history of trauma or surgery to the wrist
What Are The Symptoms Of Wrist Bursitis?
* pain in the wrist, especially when weight is placed on it or it is bent toward the body
* pain often intensifies with wrist movement
* localized swelling around the wrist
* localized redness around the wrist
* localized bruising around the wrist
* affected area might be very tender to touch
* range of motion may be limited
* wrist may feel weak and stiff
* a small lump over the affected wrist bursa may be felt from the surface of the skin
Strengthening Exercises
These Wrist Exercises are ideal to build strength and flexibility.
Massage Treatment
These Wrist Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.
ACUTE STAGE SYMPTOMS AND TREATMENT
This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.
ACUTE STAGE SYMPTOMS:
The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the wrist because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured wrist, causing pain, inflammation, lumps and swelling.
The sensation of heat is due to the warming action of the blood and fluids overheating in the injured wrist as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.
As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.
During the acute stage it is very important to restore normal circulation to the wrist, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the wrist, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the wrist can strengthen and regain it's mobility.
ACUTE STAGE TREATMENT:
1. Apply the Sinew Herbal Ice on your wrist to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the wrist. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.
Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that don’t heal well.
2. Massage your wrist with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.
3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.
CHRONIC STAGE SYMPTOMS AND TREATMENT
This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.
CHRONIC STAGE SYMPTOMS:
The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your wrist that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.
Your wrist may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your wrist you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.
Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.
During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the wrist, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.
CHRONIC STAGE TREATMENT:
1. Massage your wrist with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. The Sinew Relaxing Soak can be used in-between applications.
2. Soak your wrist with the Sinew Relaxing Soak to relax muscles and tendons that are in spasm, ease joint pain and stiffness, and improve range of motion. The Sinew Relaxing Soak is particularly useful if you feel restricted mobility in your wrist. Chronic Sinew Liniment can be used in-between applications.
3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.
