Dr Leo Rozmaryn, Orthopaedic Surgeon, Silver Spring, Rockville, Germantown, Montgomery County, Maryland » Patient Info » Services » Sports Injury Management of the Hand, Wrist and Elbow

Sports Injury Management of the Hand, Wrist and Elbow

Sports injuries are the injuries that most commonly occur during sports and exercises. These injuries may result from accidents, poor training practices, and use of improper protective gear, lack of conditioning, and insufficient warm up and stretching. The sports injuries may be either acute (sprains, fractures, tears) or chronic (tendinitis, overuse injury) injuries.

Hand, Wrist and Elbow Injuries

Some of the common sports injuries that may affect the hands and wrists include finger fracture, mallet finger, jammed finger, wrist sprains, tendinitis of the wrist, and Colles wrist fracture. Tennis elbow and Golfer’s elbow are the sports injuries involving the elbow joint.

Sports Injury Management

When you suffer an injury during sports events, never try to continue the activity in pain because it may cause further harm. Some injuries may require prompt attention by a doctor, while others can be treated at home.

You should seek medical treatment if:

The injury is causing severe pain, swelling, or numbness
You are not able to put any weight on the injured area
The pain or dull ache of an old injury has increased along with swelling and joint instability

If you do not have any symptoms mentioned above, you can adopt self –care treatment at home. You should follow the RICE method immediately after injury to relieve pain and inflammation. These steps should continue for at least 48 hours.

Rest: You should take rest from regular exercises or daily activities as needed
Ice: Apply an ice pack over the injured area for 20 minutes at a time. This should be done four to eight times a day. A cold pack, ice bag, or plastic bag filled with crushed ice and wrapped in a towel can be used
Compression: Compress the injured area with elastic wraps, special boots, air casts, and splints. This helps to reduce swelling
Elevation: Keep the injured elbow or wrist elevated on a pillow, above the level of the heart. This is to help decrease swelling

Your doctor may recommend other treatments to help your injury heal. These include:

Nonsteroidal Anti-Inflammatory Drugs: Nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen, ketoprofen, or naproxen sodium reduce swelling and pain
Immobilization

Immobilization involves reducing movement of injured area to prevent further damage. It also reduces pain, swelling, and muscle spasm. Slings are given to immobilize the arms and shoulders.

Surgery: Surgery may be necessary to repair torn tendons and ligaments or to realign the broken bones
Rehabilitation:Rehabilitation involves exercises that get the injured area back to normal condition. Exercises start with gentle range-of-motion exercises followed by stretching and strengthening exercises
Other Therapies: Other common therapies that help in the healing of sports injuries include mild electrical currents (electrostimulation), cold packs or cryotherapy, heat packs or thermotherapy, high-frequency sound waves (ultrasound), massage and platelet rich plasma (PRP injections)

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