Understanding wrist instability 

Wrist instability refers to a condition where the wrist joint can no longer maintain its normal position and stability. It can occur due to ligament injuries, fractures, or other underlying issues, leading to excessive motion and discomfort. 

Causes of wrist instability 

Several factors can contribute to wrist instability: 

Ligament injuries: Damage to the ligaments that support the wrist joint, often due to trauma or repetitive stress, can result in instability. 

Fractures: Wrist fractures, especially those involving the scaphoid bone, can disrupt the joint's stability. 

Arthritis: Degenerative joint conditions like osteoarthritis or inflammatory arthritis can weaken the wrist's supporting structures, leading to instability. 

Connective tissue disorders: Conditions such as Ehlers-Danlos syndrome or Marfan syndrome can affect the strength and stability of ligaments and joints. 

Symptoms of wrist instability 

Common signs and symptoms of wrist instability include: 

Pain: Persistent pain, especially when moving the wrist or bearing weight. 

Swelling: Swelling around the wrist joint. 

Weakness: Reduced grip strength and difficulty performing daily activities. 

Popping or clicking: Sensation of clicking or popping in the wrist during movement. 

Instability: A feeling that the wrist is giving way or not properly supporting weight. 

Diagnosis of wrist instability 

To diagnose wrist instability, an Accredited Hand Therapist will typically: 

Review medical history: Discuss your symptoms and previous wrist injuries or conditions. 

Physical examination: Examine the wrist for pain, swelling, and signs of instability. 

Imaging: X-rays, magnetic resonance imaging (MRI), or ultrasound may be used to assess the wrist's structure and identify any underlying issues. 

Specialised tests: In some cases, additional tests such as arthroscopy or stress tests may be performed to evaluate ligament function. 

Treatment for wrist instability 

Treatment for wrist instability depends on its cause, severity, and the patient's overall health. Common approaches include: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Immobilisation: Wearing a brace or orthosis restricts wrist movement and allows ligaments or fractures to heal. 

Exercise: Complete exercises and stretching as prescribed by an Accredited Hand Therapist to strengthen the wrist and improve stability. 

Medications: Over-the-counter pain relievers or prescribed medications may be used to manage pain and inflammation. 

Corticosteroid injections: Injections of corticosteroids into the wrist joint may help reduce inflammation. 

Surgery: In severe cases or when conservative treatments are ineffective, surgical procedures such as ligament reconstruction or fusion may be necessary to stabilise the wrist. 

Recovery and rehabilitation 

Recovery from wrist instability can be a gradual process. Here are essential points to consider during the recovery: 

Follow healthcare advice: Adhere to the treatment plan recommended by your Accredited hand Therapist. 

Rehabilitation Exercises: Use hand and wrist exercises as an Accredited Hand Therapist prescribes to improve strength, flexibility, and stability. 

Ergonomic changes: Make ergonomic adjustments in daily activities to minimise strain on the affected wrist. 

Patience: Recovery from wrist instability can take time. Be patient and allow the wrist to heal properly. 

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist