Common Causes of Wrist Pain
The wrist is complex—eight small bones, numerous ligaments, and tendons passing through tight spaces. Many things can cause pain:
**Carpal tunnel syndrome** — Nerve compression**De Quervain's tenosynovitis** — Thumb tendon pain**Wrist tendonitis** — Overuse inflammation**Ganglion cyst** — Fluid-filled bump**Arthritis** — Joint degeneration**Sprains/strains** — Ligament or muscle injury**Fractures** — Especially scaphoidWhen to See a Doctor
Before starting exercises, rule out serious injury:
Recent trauma + significant pain/swellingObvious deformityUnable to move wristNumbness/tingling in fingersPain at rest that doesn't improveGeneral Wrist Exercises
Mobility Exercises
Wrist Circles
Make fistCircle wrist slowly10 each directionBoth wristsWrist Flexion/Extension
Arm out, palm downBend wrist up, then downFull range of motion10-15 repsRadial/Ulnar Deviation
Arm out, thumb upBend wrist side to side10-15 repsPrayer Stretch
Palms together, fingers upLower hands while keeping palms togetherFeel stretch in inner wristsHold 30 secondsReverse Prayer Stretch
Back of hands togetherRaise hands upFeel stretch on outer wristsHold 30 secondsStrengthening Exercises
Wrist Curls (Flexion)
Forearm on table, palm upHold light weightCurl wrist upLower slowly3 x 15Reverse Wrist Curls (Extension)
Forearm on table, palm downHold light weightRaise wrist upLower slowly3 x 15Radial Deviation
Arm at side, thumb upHold weight (or hammer by end)Raise thumb toward ceiling3 x 15Finger Spreads
Place rubber band around fingersSpread fingers apart3 x 20Grip Strengthening
Squeeze stress ball or gripper3 x 20Don't overdo if pain presentCarpal Tunnel Exercises
Nerve Gliding
Median Nerve Glide
1. Arm at side, wrist neutral, fist closed
2. Extend fingers
3. Extend wrist (fingers back)
4. Turn palm up
5. Extend arm out
6. Tilt head away
7. Return through steps
8. 5-10 reps, 2-3x daily
Wrist Stretch
Arm out, palm downUse other hand to pull fingers toward youHold 20-30 secondsGentle stretch onlyFinger Tendon Glides
Straight fingers → fist → hook → straightMove through positions smoothly10 repsNerve Flossing
Similar to glide but alternate neck/wristAs wrist extends, tilt head towardAs wrist flexes, tilt head away10-15 "flossing" movementsDe Quervain's Exercises
Finkelstein Stretch (Gentle)
Make fist with thumb insideGently bend wrist toward pinkyHold 15-20 secondsDon't force—should be mild stretchThumb Strengthening
Thumb Extension
Place rubber band around thumbPull thumb away from fingers3 x 15Thumb Opposition
Touch thumb to each fingertip2-3 sets throughEccentric Exercise
Radial Deviation (Eccentric)
Use hammer, hold by endLower thumb side slowlyUse other hand to lift back up3 x 15Wrist Tendonitis Exercises
Isometric Holds
Hold wrist in neutralPush against immovable object in each direction30-second holdsReduces painEccentric Loading
Same as strengthening exercisesFocus on slow lowering (4-5 seconds)3 x 10-15 dailyKey for tendon healingForearm Rotation
Elbow at 90°Rotate forearm palm up, then palm downAdd light weight to progress3 x 15Desk Worker Program
Prevention Routine (5 minutes)
Do every 1-2 hours at desk:
1. Wrist circles: 10 each direction
2. Prayer stretch: 20 seconds
3. Reverse prayer: 20 seconds
4. Finger spreads: 15 reps
5. Finger stretches: 5 seconds each
6. Shake out hands
Ergonomic Tips
Keyboard and mouse at elbow heightNeutral wrist positionConsider ergonomic keyboardWrist rest (for pausing, not typing)Regular breaksSample Rehab Program
Acute Phase (Week 1-2)
Daily:
Ice: 15-20 min, 2-3xGentle range of motionIsometric holds: 3 x 30 sec each directionNerve glides if carpal tunnel: 2 x 10Subacute Phase (Week 2-4)
Daily:
Wrist curls (both directions): 3 x 15Eccentric focus on painful movementsFull stretching routineContinue nerve glidesStrengthening Phase (Week 4+)
3x weekly:
Progressive wrist curlsGrip workForearm rotationRadial/ulnar deviationCommon Mistakes
1. Pushing Through Pain
Fix: Work around pain, not through it
2. Only Stretching
Fix: Strengthening is essential
3. Ignoring Ergonomics
Fix: Address workstation setup
4. Expecting Quick Fixes
Fix: Wrist issues take weeks to resolve
The Bottom Line
Wrist pain is common and usually responds to conservative treatment:
1. Identify the cause — Different conditions need different approaches
2. Start gently — Mobility before strength
3. Progress loading — Eccentrics are key for tendons
4. Fix ergonomics — Address root cause
5. Be patient — Wrists heal slowly
If symptoms persist or worsen, see a hand specialist.
Foundational Rehab provides targeted wrist rehabilitation programs.