Patient: Ms Toh, 28 years old
Date: July 06, 2022, First visit
Main Problem: Left wrist sprain and pain for 1 week.
I learned from Ms.Toh that the cause this time, she accidentally sprained her wrist when she returned from a work trip while carrying the luggage. After observing at home for a week, her wrist still hurts, she can’t lift heavy objects, and her wrist is sore when moving, so she came for treatment.
【Diagnosis】
During the examination of Ms.Toh’s wrist tenderness, it would be painful to rotate the wrist inward.
When I checked her elbow together, I found tenderness on the inside of the elbow, so I diagnosed an injury to the wrist and elbow joint, and the muscles nearby were also very tight.
Her pain was feel like pulling pain, and her range of motion was also limited. She felt uncomfortable if she exerted effort to hold things.
After preliminary examination and diagnosis, Ms.Toh was invited to the treatment room and lie down on the treatment bed for treatment.
【Treatment】
During the treatment, tuina therapy are used to unclog the muscle groups near the wrist and elbow to relax the tense muscles, and then combined with acupuncture and heating light to promote the blood circulation of the wrist and elbow joints and the repair of joint ligaments.
Afterwards, use manipulations and movement methods to adjust the range of motion of the wrist and elbow, and help to restore the range of motion of the wrist and elbow joints.
After the treatment, let Ms.Toh feel how does it to have move his wrist and elbow?
Ms.Toh felt that the wrist and elbow movements were more comfortable and natural, but there was still soreness.
I prescribed some Traditional Chinese medicine for her to take, to help the injured part relax the muscles and blood and strengthen the repair ability of the joints. It is also combined with external medicine ointment to help reduce swelling and stasis in the wrist and elbow area.
Before Ms.Toh left, I reminded again: “In the next few days, you can’t hold heavy things for the time being. Try to rest your wrists and elbows as much as possible. If necessary, you can wear wrist guards to protect your wrists avoid from secondary injuries. Remember to Take the medicine and apply the external medicine on time, and the pain will be relieved a lot after applying the medicine.”
Revisit: July 09, 2022
Three days later, Ms.Toh came back for a follow-up.
After three days of rest,Ms.Toh said that she has improved a lot, and her wrist movements are relatively smooth, but sometimes she still feels soreness in wrist movements and a little tightness in her elbows.Once again, the muscles and fascia near the wrist and elbow were loosened by tuina therapy. After the treatment, Ms.Toh felt that her soreness was relieved a lot.
Since the wrist and elbow have not fully recovered, I will let you continue to take traditional Chinese medicine and topical ointment and observe for another 3 days.
Revisit: July 13, 2022
After 4 days, Ms.Toh came back again for follow-up.
After one week of treatment, Ms.Toh said that the range of motion and symptoms of the wrist and elbow have been relieved a lot, there is basically no pain, and even the gastrointestinal function has been improved.
This follow-up visit is combined with tuina therapy to consolidate the treatment effect of the wrist and elbow and to test whether there is any discomfort when the wrist and elbow are moving.
After the treatment, I once again instructed Ms.Toh not to pull the luggage back with his hands next time, and then try to cooperate with wearing the wrist guards in the following days to avoid secondary injuries.
【How to deal with wrist sprain? 】
- When you are just injured, if there is swelling and pain in the local area, it is not recommended to push the local area to avoid secondary injury.
- After a sprain, we can also touch the sprained part and feel the skin temperature. If the area is swollen and hot, you can apply an ice pack for 10-15 minutes to relieve local inflammation and relieve pain.
- After an injury, try to avoid using your wrist to hold heavy objects and need take more rest on it.
- It is recommended to use a wrist brace to wrap the injured part, fix the sprained part, stabilize the joint injury and avoid re-injury.
- If the pain persists the next day after the sprained knee and does not get relief, please consult a physician who can handle muscle injuries, or an experienced physician for examination and treatment, so as not to delay the treatment time.
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