Wrists are very susceptible to:

• Direct traumatic injury
• Repetitive occupational and sports-related activities – as well as
• Wear-and-tear degenerative joint articular cartilage deterioration (osteoarthritis).

So-called “carpal tunnel” problems can often be attributed to wrist joint pain and instability when the main problem is, actually, wrist ligament sprain injury.

Treatment

Osteopathic Manual Therapy (OMT) can be helpful in mobilizing wrist joints.

Wrist sprain injuries, including many cases of carpal tunnel syndrome, respond very well to Prolotherapy – especially if treated early. Prolotherapy is directed to specific wrist ligament or muscle tendon attachments – depending on history and findings on examination and X-ray.

Platelet-Rich Plasma (PRP) Therapy would be more appropriate if the sprain injury and dysfunction are due to significant ligament or tendon tearing.

The pain of wrist wear-and-tear osteoarthritis can often be relieved or, at least, minimized by treating the coexisting ligament sprain injuries by Prolotherapy.

Intra-articular therapy has been reported helpful in minimizing – in some cases restoring – articular cartilage loss.