Postpartum a "pain" gift

What is the "mother wrist"

Mom wrist, in medicine is also known as "wrist tendon stenosing bursitis" is a very common in clinical practice in the thumb side of wrist

Thumbs-up roots in our two tendons, one is a long muscle thumb outreach, is a short thumb extensor muscles; thumbs-up can be the root of the wrist in the thumb, the touch of these two tendons.  Just as the same tendon Sarcophagidae, muscle contraction affects the tendon and lead finger movement.  If these two activities tendon too frequent, or more than the strength of the load, incorrect posture used will tendon injuries, arising from around the synoviae inflammation, resulting in the thumb side of wrist pain, and the impact of the activities of the wrist and thumb.

How to determine scored "Mama wrist"

Symptoms usually increase gradually, rather than sudden, serious wrist not only impede the movement will also affect sleep, the patient will feel stiff joints, and even as neuralgia, the pain will be up to the arm, down to a big pain the end of the thumb. Doing the palm of your hand grip, thumb crossing, wrist lateral bending to the little finger, the pain often exacerbated.  Can see the end of the wrist radial styloid process there a little bit of swelling, pain when pressure.

do testing, is about to hold your thumb and your little fingerside of the wrist, because of inflammation of the tendonpain caused by the tension involved, it may be your mother had a wrist!

  Clinical examination can take from the above thesis, but for some typical cases, can now use the "Musculoskeletal Ultrasound" to thesis.  Ultrasonic inspection of the advantages of accurate, time-saving and no radiation hazards.  Ultrasound can help doctors queuing up easily confuse other diseases, such as carpal osteoarthritis, radial nerve, tendon infection and so on, would give you the most appropriate treatment.
 Incidentally, "carpal tunnel syndrome" is another common disease of the wrist, because the median nerve in the palm of your hand through the palm of your hand when ligament oppression, will happen finger numbness, feeling like an electric shock in general, below the thumb muscles atrophy inability of the situation must be with the "mother wrist" is clearly distinguished.

"Mom wrist," the high-risk groups

1, following these activities cause carpal mother: cutting cloth, sewing, repeat grip, turn the tap, and so on to cork. Such as musicians, typists, computer operators, operations and so on.  Need to use the wrist and thumb to do repetitive movements, wrist often oppressed people, the most frequently plagued by this disease.

2, another high-risk groups, that is, the late pregnant mothers as well as  mothers, because the changes in hormones, easy edema caused by wrist ligament, tendons have become fragile; or carrying improper posture, time too long , also would wrist tendon injury.

In determining the thesis, the general we recommend that patients receiving drug treatment and rehabilitation.

1, acute phase

A, drug treatment: the majority as long as the oral non-steroidal anti-inflammatory drugs can reduce the pain and reduce inflammation.

  B, rehabilitation aspects: the doctor will be customized for your wrist and thumb a fixed Deputy wood, please wear 4-6 weeks, not only can protect the inflamed tendon, but also to remind you that as far as possible, rest the affected area.
C, if the above treatment and can not reach the expected effects, it should tie in with the local thermotherapy, electrotherapy, ultrasound or laser, such as physical therapy.

2, the acute phase after

Once the pain eased a little, should begin to refuse to do moderate isotonic exercise, including:

  A, the thumb bent, stretched, outreach, adduction.

B, wrist bending, extension, lateral bending and rotation movements.

C, by the by the treatment, in some 4-6 weeks can be improved.
3, treatment of symptoms vary due to a small number of serious cases, conservative treatment, the effect is still bad;

  A, can be local injection of small doses of steroids, painkillers local anesthesia, pain inflammation can been significantly improved, but rare side effects, there will be no oral steroids, resulting in suppression of adrenal function, body edema, obesity and other shortcomings.

  B, technically, the only It should be noted that the drug can not be injected into the tendon to avoid tendon rupture.

C, the current standard method is to use ultrasonic positioning injection, can be accurately guided drug injected into the tendon inflammation around synoviae edema, while there will be no risk of tendon rupture.

4, if carried out over the treatment will be null and void, or chronic inflammatory pain patients before recommending surgery.

How to prevent and maintenance

Occurred in the prevention of mother wrist, as well as maintenance treatment, the most important thing is to follow the recommendations of health education of engineers:

A, in the case of carrying as far as possible, not just, should not hold on for too long, not to place undue reliance wrist strength, will be children around their bodies in order to obtain better mechanical support.

C, to avoid thumb, wrist excessive burden, like to mention heavy, take cooking pots, twisted a towel, bowling and so on.  If you do, the best first warm-up exercise.

D, some repetitive family, such as cooking, cleaning, sewing and so on, so for some time to rest will be moderate.

Conclusion

Mom wrist that occurred in women is ten times that of men, do have to understand Mr. wife inherent physical differences, family sharing in order to reduce the incidence of carpal mother.

Text: Tsai Chung from "baby mother"