What to Do When You Have a Wrist Sprain

A sprain is an injury to one or more ligaments that support the wrist. It can cause pain, swelling, bruising, tenderness and difficulty gripping or moving. A fall can also cause a fracture, and these problems can feel similar at first. Wrist pain that continues or interferes with ordinary use deserves a clinical examination.

Rest from lifting, pushing and activities that increase pain. Apply a cold pack wrapped in cloth for short periods, leave the skin warm between applications, and keep the hand raised when possible. A comfortable wrist support may limit aggravating movement; it should not make the fingers numb, pale or blue. Remove rings if swelling is developing. As pain settles, gentle movement can help prevent stiffness, but do not force the wrist. A clinician or physiotherapist can guide rehabilitation.

Seek urgent assessment after a fall or blow if the wrist is misshapen, you cannot move it or grip, pain is severe, or swelling is substantial. Get prompt help for numbness, weakness, or fingers that become cold, pale or blue. If symptoms are not improving, an examination may be needed to distinguish a sprain from a fracture or another injury.

Ask whether you need an X-ray, how long to use a support, which movements are safe, and when to begin strengthening. Ask what symptoms should bring you back for review.