Treatment of pain in the wrist jointHands are a very complex and thin part of the body, the correct functioning of which is a necessary condition for a comfortable life of a person. Various injuries and diseases of the hand often occur in the area including the wrist joint.
The injuries of this joint are especially common among seamstresses, builders, athletes and those who work a lot at the computer. As a rule, this pain is aching, insignificant, but gradually increasing. Its manifestations, nature and methods of treatment will depend on the disease that struck the wrist.
Causes of wrist pain
The following are the main reasons why the wrist joint can hurt:
- Acute damage, which can include fractures and dislocations. They arise as a result of either a strong blow to the hand, or a fall. Depending on the degree and severity of damage, such traumas can take the form of an obvious deformity, accompanied by severe, acute pain, and minor discomfort and mild tumors.
- Sprain and rupture of ligaments in the wrist area, which in most cases cause a sharp bending of the hand back. Injury is accompanied by a tumor, restriction of motor activity, instability of the radial joint and rather intense pain sensations.
- Styloiditis or tendon arising from excessive stress on the wrist, repeated stresses, sudden movements and folds. A similar disease is especially common among athletes involved in tennis, golf, rowing. Styloiditis often appears in people whose work has long been associated with engineering, agriculture, construction, mining, and computer work. With the tendon of the wrist joint, the symptoms begin to appear gradually, they will be aggravated by the manifestation of physical activity, stress on the joint or even changing the weather and time of day. With the development of the disease, pain symptoms increase. In addition, styloiditis is accompanied by a crackling of the tendons and restriction of motor function.
- Tunnel syndrome, known as occupational disease of people, whose activities are closely related to computer work. The cause of the tunnel syndrome is a regular load on the same muscle group, resulting from constant monotonous movements or prolonged uncomfortable position of the hand. The disease causes pinching of the nerve in the hand, which can provoke a swelling of the tendons located next to the nerve, or its swelling. Symptoms of this disease are: constant pain and discomfort in the area of the injured wrist, weakness and numbness of the hand.
- Osteoarthritis - a fairly common cause of pain of the radial joint, most often it provokes a fracture that could not grow together. Osteoarthritis occurs because of age-related changes or regular overloads. Arthrosis of the wrist joint can be determined by pains in the wrist with movements of the forearm, decreased mobility, crunch and unpleasant sensations arising after pressing on the back surface in the area surrounding the lower radial-fibrous joint.
- Wrist pain can be caused by the development of connective tissue diseases( systemic lupus erythematosus, gout, Bechterew's disease, rheumatoid arthritis).But such ailments will be characterized by symptoms affecting not only the wrist joint, but also the knee area, spine, ankle joints.
Diseases of connective tissues are characterized by increased pain in the morning and almost complete absence in the evening.
Treatment of arthritis of the wrist joint
Arthritis of the wrist joint can become a consequence of autoimmune pathology or complication of an infectious disease. Symptoms that characterize arthritis will be swelling, hyperemia, heat in the area of damage. When you move or load the wrist joint, the pain increases. When purulent arthritis symptoms are chills, a sharp increase in temperature.
Arthritis is diagnosed on the basis of anamnesis, biochemical blood test and MRI results, which allow to detect the disease even at the initial stages. Treatment of arthritis is determined by the doctor, taking into account the stage of the development of the disease and its causes. In the presence of an acute form of the disease and exacerbation of chronic arthritis, the damaged joint is immobilized, and then the patient is prescribed antibacterial and anti-inflammatory drugs.
At the final stages of treatment, physiotherapy, exercise therapy and massage are used. In addition, people who are diagnosed with chronic arthritis of the wrist joint will have to constantly monitor the load on the wrist, systematically perform a set of exercises and eat strictly in accordance with a special diet prescribed by the doctor.
In case of lesion of the radial joint with purulent arthritis, drainage is established, eliminating pus from the joint cavity. The received liquid is sent for analysis to determine the cause of the disease, after which the patient is assigned the appropriate course of antibiotics.
If arthritis of the wrist joint is severe or there are no results of conservative therapy, surgical treatment is possible, which will reduce the intensity of pain and improve the mobility of the hand.
Treatment for arthrosis
In case of arthrosis, the joint collapses and deforms the fingers of the hands.
. In order to reveal the patient's arthrosis, the doctor needs to collect anamnesis and examine the radiolucent and wrist joint. Then a blood test and an X-ray study are assigned for an accurate diagnosis.
In some cases, arthrosis of the wrist joint is confused with rheumatoid arthritis, since the symptoms of these diseases are quite similar. But there are some differences, in particular, in the expressions of pain symptoms. Arthritis is characterized by pain when the joint is at rest, for example, at night. Arthritic pains occur, as a rule, only with direct stress on the wrist or prolonged operation of the hands. When arthrosis is extremely rare, there are tumors accompanying arthritis. Osteoarthritis affects only one area, while arthritis provokes inflammation of several joints.
Treat arthrosis of the wrist joint can be conservative and surgical ways. Conservative therapy is a complex of various procedures, which can include:
- a course of chondroprotectors, saturating the cartilage of joints with nutrients;
- manual therapy, allowing the return of the damaged limb mobility;
- laser therapy;
- massage with anti-inflammatory ointments;
- mud treatment;
- paraffin therapy;
- cold compresses;
- treatment with ozocerite;
- feeding the radial joint with hyaluronic acid derivatives, which is prescribed only in difficult cases.
Conservative treatment involves the use of fixation and protective devices on the wrist joints, the radiation-joint and the restriction of the load on the arm, which was damaged by arthrosis. A special role is played by a specialized diet that helps to cure arthrosis faster and more efficiently: it normalizes metabolism and strengthens cartilage.
Nutritionists recommend eating vegetables rich in vitamins B and C, low-fat fish, bread from wholemeal flour.
In most cases, treatment is not difficult and gives high efficiency. However, when arthrosis takes severe forms, deforming the radiolucent or wrist joint, surgical intervention is possible.
Treatment of styloidite
It is rather difficult to detect styloiditis due to the lack of special manifestations that distinguish it from other joint and tissue damage. Even during the examination, only certain signs of inflammation of the tendons are found, therefore, a correctly conducted differential diagnosis is required to determine this disease, including examination of a specialist, ultrasound, radiography, echography, magnetic and computer tomography, laboratory studies.
Inflammation of the tendon of the hands causes severe pain in the patient
Treatment of such a disease as styloiditis is carried out through the use of non-steroidal anti-inflammatory drugs. During the course of therapy for a damaged limb, you must ensure peace and exclude the burden on the injured wrist. A gypsum tire or langet is applied to the patient. If the wrist joint has damaged the styloid, it is necessary to apply cooling compresses several times a day. In some cases, the doctor may prescribe antibacterial drugs.
Styloiditis requires complex measures, so magnetic and laser therapy, electrophoresis, mud therapy, paraffin compresses, shock wave therapy can be used to help medicines. After the acute process subsides, the patient needs to perform a course of exercise therapy, consisting of exercises for stretching and strengthening the muscles.
If conservative treatment is ineffective, and the patient has signs of rupture or severe deformation of the tendon, if the stiloiditis is chronic, doctors perform a surgical procedure to remove the damaged tissue. The recovery period after such intervention is, as a rule, about 3 months.
Prevention of diseases
Avoiding most of the diseases affecting the wrist joint: arthrosis, arthritis, styloiditis, tunnel syndrome - regular preventive measures will help. They will not take much time and energy, but they will save you from the pain and time and money spent on treatment. This is especially true for people at risk. Experts advise to perform the following actions:
- Avoid sudden movements, take objects with the whole brush, and not just with your fingers.
- Do not lift heavy objects, load as much as possible in as many cases as possible.
- When working with vibrating tools, wear specialized gloves to support the hand, and apply gaskets that reduce the effects of vibration.
- Performing work at the computer, every hour to take breaks in 5-10 minutes for warm-up of hands and fingers.
- It is essential to warm up the muscles before sports training.
- While doing sports, use special preventive devices to prevent injuries and wrist stretches.
- Intensity and duration of physical activity to increase in stages.
- When working with a computer, provide the arm with the most comfortable and anatomically correct position.
- Systematically carry out a specialized set of exercises, helping to strengthen the group of muscles of the wrist.
- If there is discomfort or pain in the area of the radial joint, you need to stop the physical load on the brush or at least change the type of load.
If you have pain symptoms that do not last more than 2 days, or if you have to repeat it regularly, you should contact the clinic. Procrastination, as well as attempts at self-diagnosis and treatment are fraught with serious consequences, including a complete loss of mobility of the hand.
Tendovaginitis wrist joint: treatment, causes
Tendovaginitis is a rather dangerous disease characterized by severe symptoms. In the absence of therapy, such a disease can lead to a mass of complications, including necrosis of surrounding tissues. And today, people are increasingly interested in questions about what constitutes a tendovaginitis of the wrist joint, the treatment of this disease, the causes of its occurrence and the main symptoms. What is Tendovaginitis?
It's no secret that the muscle tendons are located in a kind of connective tissue pouch called the tendon sheath. Tendovaginitis is a serious disease that is accompanied by inflammation of these structures.
In most cases, the inflammatory process affects the tissues of the most mobile joints, which have to withstand heavy loads all the time. In particular, it is the joints of the foot and ankle, as well as the forearm. Nevertheless, in modern medicine, one of the most common forms is precisely the tendovaginitis of the wrist joint.
The main causes of the disease
Inflammation of connective tissue around the tendons can be caused by various reasons. Immediately it is worth mentioning that tendovaginitis can have both infectious and non-infectious origin.
Infectious inflammation is caused by the penetration of pathogenic microorganisms into the cavity of the synovial vagina. Bacteria can enter the connective tissue bag through wounds and cracks on the skin or from other inflammation foci in the patient's body.
Noninfectious( aseptic) form of the disease, as a rule, is associated with mechanical damage to the synovial membrane. Tendovaginitis can be the result of a strong stretching, prolonged physical exertion, as well as micro-trauma( when the wrist constantly performs the same movements), severe hypothermia.
As mentioned, noninfectious tendovaginitis develops against the background of permanent microtrauma of muscles and tendons. In fact, such a disease is more professional and is diagnosed in people who, by the nature of their activity, are obliged to repeat the same movements with the wrist. For example, the disease often becomes a companion of professional athletes( golfers, skiers, volleyball players), musicians, workers of factories, etc.
As a rule, at the initial stages the disease proceeds without visible symptoms - patients only complain of fast fatigue in the wrist, and sometimesand not too much pain. But as the disease progresses, soreness becomes more intense.
Infectious form of the disease
Pathogenic bacteria can enter the joint tissues from the outside - through various skin lesions. In addition, the risk factors include osteomyelitis, panaritium and arthrosis of the wrist joint, which is accompanied by the release of pus. Infection can be specific - tendovaginitis often develops as a complication in tuberculosis, brucellosis, syphilis and some other diseases.
Most often, such an ailment is acute, accompanied by severe pain, joint immobilization and fever.
Other forms of the disease
To date, there are many classification systems for this disease. As already mentioned, the disease "tendovaginitis", depending on the cause of its occurrence, can be infectious or aseptic.
In addition, depending on the features of the clinical picture, tenosynovitis may be serous( in the focus inflammation accumulates a serous fluid), purulent( formation and accumulation of purulent masses) or serous-fibrinous.
Depending on the course of the disease, the disease can be acute( usually associated with trauma or infection of tendon sheaths) or chronic( in most cases, people of certain professions suffer from this form of the disease).
Tendovaginitis of the wrist joint and its symptoms
What are the signs of tendovaginitis? The photo shows that in most cases with the disease you can notice swelling and redness of the skin in the joint area. In the infectious form of the disease, symptoms can also include fever, weakness, and other signs of intoxication.
Pain in the wrist joint can have different intensity, but is always present. Patients sometimes complain of tingling, numbness, and sometimes sharp, severe burning sensation in the wrist. At such people all literally falls from hands, as the brush is already unable to cope with its functions. As the disease develops, joint movements are severely restricted. Soreness increases with physical exertion, as well as at night, which, accordingly, affects the quality of sleep.
Current diagnostic methods for
Certainly, in the presence of symptoms, you should immediately consult a doctor. First, the specialist will necessarily conduct a visual examination and collect anamnesis. In the presence of stiffness, pain in the wrist, redness and puffiness of the joint doctor may suspect the presence of tendovaginitis. Additional studies are carried out to confirm the diagnosis.
In particular, valuable information can be given by radiography - pictures allow us to distinguish between tendovaginitis from other pathologies with a similar clinical picture, in particular, osteomyelitis and arthritis. Ligamentography is also performed - during the procedure the patient is given an X-ray photograph, but with the use of a contrast agent. In addition, additional tests are performed for the presence of infection and concomitant diseases, since in this case it is important to determine the primary cause of inflammation of the tendon sacs.
Tendovaginitis wrist joint: treatment
Immediately it is worth noting that only a specialist should be involved in therapy. Self-medication and refusal of medical care can lead to unfortunate consequences, up to loss of mobility of the joint or tissue necrosis.
What is prescribed for a patient with a diagnosis of tendovaginitis of the wrist joint? Treatment, of course, depends on the form and causes of the disease. For example, if the inflammation is secondary, it is important to find the root cause of the disease and eliminate it.
First of all, a bandage of the wrist joint is needed. Modern medicine offers a lot of special pads, bandages and orthoses that will not have a big impact on the quality of life. At the first stages of therapy, it is extremely important to free the joint from any physical activity. A bandage wrist joint helps and completely immobilize the brush.
In cases where the inflammatory process is caused by the activity of pathogenic bacteria, patients undergo antibacterial therapy - antibiotics are selected individually, depending on the sensitivity of the pathogenic flora to these or other components. In most cases, oral intake of tablets is sufficient. But in more severe situations, solutions of antibiotics are injected directly into the synovial vagina.
Pain attacks are stopped with novocaine or other pain medications. In addition, therapy includes the use of anti-inflammatory drugs - it can be both non-steroidal and hormonal agents. With purulent tendovaginitis, sometimes you have to open the cavities of the synovial vagina, remove purulent masses and treat the tissues with antiseptics or antibacterial drugs.
Various methods of physiotherapy, in particular, warming compresses, are extremely effective. For example, patients are often recommended paraffin applications. Modern medicine also uses UHF therapy. Mud treatment will also be useful.
After eliminating the inflammatory process, a different task comes to the fore: it is necessary to restore the mobility of the joint. To this end, the patient is selected a certain set of therapeutic gymnastic exercises, and also recommends regular sessions of massage.
Tendovaginitis wrist joint: treatment with folk remedies
Certainly, traditional medicine has a mass of various recipes that can help in the treatment of such a disease. For example, a good folk remedy is dried flowers of marigold, from which you can prepare an ointment. This plant has bactericidal properties, and also removes inflammation. To prepare the medicine, you need to mix the dried flowers of the plant and the usual children's cream in equal quantities. The resulting mixture is applied to the skin around the affected joint, top with a bandage and leave overnight.
There is another, no less effective folk remedy. To prepare a compress, you will need to mix egg white with a tablespoon of flour and the same amount of alcohol. Stir the ingredients thoroughly. In the resulting mixture, moisten the strip of cotton fabric, then wrap the wrist around them and leave them overnight. Such a compress differs in warming properties.
Treatment of arthrosis of the wrist joint in the Orthopedics clinic in Moscow. Treatment of osteoarthrosis of the wrist joint
Experts of the Orthopedics clinic have been treating arthrosis and osteoarthritis of the wrist joint for many years in Moscow. During this time, the medical center has accumulated a unique knowledge base, which doctors actively use in working with this disease. The clinic gives preference to modern conservative methods of treatment.Relieve pain for 1-2 visits to the clinic Effective methods of treatment of sutavas Consultations of a specialist free of charge
Arthrosis of wrist joints, what is it?
Arthrosis of the hands is a disease in which the cartilage tissue of the wrist joints is damaged. Diseases are more susceptible to men after the age of 40.However, the disease can develop earlier due to injuries of the hands.
Also, the disease often develops due to systematic overload of joints( hard work) and due to age-related changes.
In the photo, an x-ray with arthrosis of the wrist joint.
Arthrosis in the joints of the hands: symptoms
For arthrosis, osteoarthritis of the right and left wrist joint, the following symptoms stand out:
- A crunch in the wrist joint.
- Drawing pains in the hands. Depending on the stage of the disease, pain syndromes can vary from mild to acute.
- Constraint in mobility.
- There are almost no external deformations. The symptom may appear more vividly when complicating with arthritis.
Degrees of arthrosis of the wrist joint
For arthrosis, osteoarthrosis of the right and left wrist joint, three stages of the course of the disease are distinguished:
Pain in the wrist joint - causes and treatment
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Pain in the wrist joint manifests itself in various diseases - with tyloiditis, de Carven's disease, carpal tunnel syndrome, arthritis of the wrist joint, arthrosis of the wrist joint , etc.
Or stenosing tendovaginitis - an inflammation of the tendon of the muscle that discharges the thumb.
Causes of de Kerven's disease
Overstrain of the tendon, more often with constant certain movements in the wrist joint. Therefore, most often this disease affects people of certain professions - seamstresses, plasterers, grinders, housekeepers.
Diagnosis of de-Kerven's disease
The leading symptom is the pain in the region of the styloid process of the radius( along the lateral surface of the wrist joint from the side of the thumb).Pain is more pronounced when moving in the hand and thumb. In some cases, pain is disturbed at night, given in the wrist, forearm. Palpation of the region of the styloid process of the radius is painful. The symptom of Finkelstein is of great importance: the patient presses his thumb to the palm of his hand, and presses it with the other fingers( the hand is compressed into a fist, but the first finger is not above, but under the others).In this position, the patient takes the wrist to the elbow, which, if positive, is accompanied by a sharp pain.
Treatment of de-Kerven's disease: uses non-steroidal anti-inflammatory drugs( voltaren, nimesil, etc.) inside and locally, physiotherapy, rest. A good effect is provided by the blockade with a dip-dipan or kenalog.
Pain in the styloid process of the radial or ulnar bones - is associated with inflammation of ligaments attached to these processes.
Distinguish radial styloid and elbow styloid ( respectively, inflammation of styloid processes of radial and ulna)
Causes, diagnosis, treatment of stiloiditis
are the same as with de Kerven's disease( except Filkenstein's symptom).
Carpal tunnel syndrome
is a disease associated with compression of the median nerve in the fibrous canal on the palmar surface of the wrist.
Causes of carpal tunnel syndrome
Disease often occurs in people whose activities are associated with frequent flexion and extension of the hand - working with a computer mouse, playing the piano, repair and construction work, etc. It can develop with certain systemic diseases - rheumatoid arthritis, diabetes mellitus, etc. Women are more often sick.
Diagnosis of carpal tunnel syndrome
The disease manifests itself pain on the palmar surface of the wrist, accompanied by numbness, tingling, pain and other sensations in 1 to 4 fingers of the hand - those whose innervation is mediated by the median nerve. Initially, these phenomena can be transient, later they become permanent, often intensifying at night, exhausting the patient.
Treatment of carpal tunnel syndrome
The disease is treated together with a neurologist. Usually prescribed anti-inflammatory drugs( voltaren, movalis, etc.) inside and topically, B vitamins, nicotinic acid, physiotherapy. A good effect brings blockades with diprospans.
Conservative therapy is effective only at the initial stages of the disease. At later stages, the operation is performed - dissection of the nerve-compressing fibrous ring.
Osteoarthritis of the wrist joint
- is rare, mostly after trauma( posttraumatic arthrosis).Symptoms, treatment - as for arthrosis of other joints.
Arthritis of wrist joint
- inflammatory disease, is a manifestation of many conditions - rheumatoid arthritis, reactive arthritis, gout, etc.
Diagnosis of arthritis of wrist joint
The main manifestation is joint pain, swelling. Often in the joint area there is slight reddening, sometimes - morning stiffness. The clinical picture can be quite diverse, depending on the cause of arthritis. With X-ray examination, there may not be any changes. In the analyzes - increase in ESR, C-reactive protein( this is typical for all arthritis).In arthritis caused by a particular disease, other indicators may change( increase of uric acid of the blood with gout, an increase in rheumatoid factor in rheumatoid arthritis, etc.).
Treatment of arthritis of wrist joint
- depends on the cause. In acute arthritis, regardless of the cause( except purulent arthritis), use non-steroidal anti-inflammatory drugs( voltaren, movalis, tselebreks, etc.).According to the indications, blockades with glucocorticoid hormones( diprospan, kenalog) are made. There is also another treatment, depending on the cause of arthritis.
Pain in the wrists: causes, treatment of pain in the wrists of the right, left handThe wrist experiences constant loads. They often lead to problems with this part of the hand. Pain in the wrists is a symptom of many diseases. It can warn of fractures, dislocations and sprains, it accompanies arthritis, gout and osteoarthritis. To find out the exact cause of pain, you need to contact a neurologist or orthopedist. Relieve pain in the wrist for 1-2 treatment sessions. Diagnose the cause of pain with MRI and ultrasound. Primary orthopedic device for free.
. The wrist is responsible for a lot of movements in the hand and takes on the power loads, so this site is especially vulnerable. The earlier the cause of pain is established and the correct measures are taken, the greater the chances of retaining mobility in the wrist.
Warts in the wrist are often caused by various inflammations of the tendons or nerves. For example, pain over the course of the inflamed nerve can be reflected here if the cervical spine is damaged. But these reflected pains necessarily spread on the arm and above, and below the wrist. But local pains only in the wrist joint , especially - accompanied by its deformation, stiffness or swelling, are usually caused by either arthrosis of the wrist joint ( up to 20% of cases) or arthritis .
Osteoarthritis and arthritis
Basically, arthrosis of the radiocarpal joint is post-traumatic, that is, it develops as a complication after a dislocation or fracture of the bones of the wrist. For arthrosis, the wrist joint is characterized by symptoms such as a crunch in the joint during movement and pain that occurs only with certain movements or when trying to bend and unbend the joint to the maximum, "to the stop."At rest, without pain, pain occurs only if a person has reloaded a sick joint several hours earlier.
The mobility of the wrist joint for arthrosis is always reduced by 30-50%.But the appearance of the wrist joint affected by arthrosis remains almost unchanged - from the side it looks almost healthy. Strong deformations of the wrist joint with arthrosis occur only when the disease was provoked by a fracture of the bones of the wrist with their displacement.
It should be remembered that the wrist joint is one of the "favorite places" of inflammation with rheumatoid arthritis .And it is important not to confuse arthrosis of the wrist joint with this serious disease. Fortunately, distinguishing arthrosis from arthritis is usually quite simple. In arthritis, unlike arthrosis, pain is more often manifested in rest, at night or in the morning. When moving pain, on the contrary, often decrease. After noon, especially towards evening, arthritic pains almost always completely subside.
Appearance of wrist joints affected by rheumatoid arthritis, as a rule, changes significantly: either pronounced edema and "swelling" of the wrist joint, or "dip zone" in the region of this joint with the atrophy of its muscles.
It is also characteristic that in the case of arthritis, the damage to wrist joints alone is extremely rare - any arthritis often leads to inflammation of several joints;and on the contrary, arthrosis of the wrist joint is an isolated post-traumatic pathology, affecting usually only one damaged wrist joint.
When treats pain in the wrists of caused by arthrosis or arthritis, kinesiology, massage, reflexotherapy, shock wave therapy, millimeter wave therapy, magneto-laser therapy and mud therapy are usually used.
Other causes of wrist pain
Most often, wrist pains are the consequences of injuries to ( fractures, dislocations, sprains).A fall with the support of the hand or a direct blow to the wrist can lead to fracture or dislocation of the bones, and sprain of the ligaments. In all cases, bother: acute pain in the wrist joint, limited mobility, swelling of the wrist.
Pain in the wrists due to regular force loads on the arm, for example, sharp grips, wrist bends, as it happens when playing golf, tennis or rowing. As a result of such loads, tendinitis often occurs. These diseases are more common than others due to the anatomical narrowness of the membranes through which the tendons of the wrist pass. A little irritation of these tendons is enough to cause seals in them.
Carpal tunnel syndrome( short SLC) - this is the disease most often worried about pregnant women in the second to third trimester of pregnancy. The main cause of СЗК lies in the growing body weight of the woman and swelling, especially expressed in the second half of pregnancy.
Daily work at the computer, printing on the keyboard and control of the computer mouse, lead to regular monotonous loads on the same muscles, the wrist is in constant tension. Such activity leads to swelling of the tendons passing near the nerve, and sometimes leads to edema of the nerve itself. The pain in the wrist is more apparent in the right hand of the right-handers. Disturbs permanent discomfort in the carpal joint, weakening of the grip force, numbness of the hands, especially the palms. This disease was called tunnel syndrome.
The following tips will help you prevent damage and wrist pain:
- regularly perform exercises that strengthen the wrist muscles;
- with the appearance of the first symptoms of discomfort in the wrists, stop or modify the physical load on them;
- grab items with the whole brush, gripping only with your fingers damages your wrist;
- when working with vibrating tools, use special gloves that support the brush, and also use vibration absorbing pads;
- during sports use the safety devices on your wrist;
- every hour of work at the computer do 5-, 10-minute breaks, squat, knead your fingers and shake the brush;to prevent falls wear comfortable, firm shoes,
- refrain from lifting heavy objects - it is better to return several times to transfer the cargo in parts.
It is unacceptable without the appointment of a doctor to practice self-treatment of pain in the wrist!