If get pains in wrist in extension – especially with pressure – then a strap self-mobilization technique could help.
Man Ther. 2013 Dec;18(6):568-72.
Short-term effects of self-mobilization with a strap on pain and range of motion of the wrist joint in patients with dorsal wrist pain when weight bearing through
the hand: A case series.
Choung SD, Kwon OY, Park KN, Kim SH, Cynn HS.
- Dorsal wrist pain with weight bearing through the hand
- Causes include:
distal radius stress injuries,
scaphoid impaction syndrome
- Squat by a table that you put wrist on so can straighten up as you extend wrist later
- Put hand on a table with wrist in neutral position, shoulder at 90 degrees flexion and elbow in extension
- Put strap “on the dorsal surface of the proximal carpal bones, just below the distal end of the radius”
- Pull strap down with other arm but not enough to hurt
- Gardually bent wrist up until it starts to become uncomfortable
- distract wrist at this point by pulling arm upward and maintain for 10 seconds
- do ten trails with 20 second rest in between
- Took 15 cases of dorsal wrist impingement on extension, worse with weightbearing
- strap was a commercial shoelace (1 cm wide and 125 cm long)
- did 5 sessions over 1 week
Results: pain dropped from 6.5/10 to 2.8/10 on extension:
Comment – Would have been nice if they specified the impingement. Does sound like too far gone for a simple manipulation ( hold wrist and elbow with separate arms and jerk wrist into distraction). Does not deal with instability issues that could be a factor. Nonetheless, is simple enough for patients to do at home and seems safe.