Indications

Wrist pain can be a frustrating and debilitating problem for both sufferer and therapist. Repetitive jobs, computer-based work postures, and poor workplace ergonomics are leading to an ever-increasing incidence of RSI and occupational overuse syndrome (see Chapter 2 for the proper work set-up). Symptoms may include recurring pain (myalgia) or soreness in the neck, shoulders, upper back, wrists, or hands; tingling, numbness, coldness, or loss of sensation; loss of grip strength; lack of endurance; and weakness. It is important to view the hand and wrist in context. Chronic poor posture and problems in the head, neck, and shoulder should all be taken into account. There are often many trigger points to be found in the wrist flexors and extensors, all of which will need to be documented and addressed.