What is wrist effusion?

Wrist effusion is a common disease. Some people do not pay attention to maintenance, or use their wrists for a long time due to work, which can easily lead to wrist injuries. If wrist injuries are not treated in time, many complications will occur, especially after catching a cold, which will lead to inflammation in the wrist joint and indirectly cause effusion. What is wrist effusion?

What is wrist effusion?

The most common cause of fluid accumulation in the wrist joint is arthritis, which may be caused by injury or a manifestation of rheumatoid arthritis. If the swelling is still obvious during this period, it is best not to use a hot water bottle at this time, as it may aggravate the condition.

How to treat joint effusion

1. Massage therapy

(1) Pushing and kneading method: The patient lies on his back and kneads the knees from top to bottom along the tendons repeatedly for 1 to 2 minutes. (2) Extension and flexion of the knee: The patient's position is the same as above, with muscles relaxed. The doctor first gently flexes and extends the knee joint back and forth in a small range, and finally tries to fully flex the knee joint, and then straightens the affected limb. (3) Scraping and dividing tendons: The patient lies on his back and uses the flexed knuckle of one thumb to place it on the inside of the painful point above and below the patella. The other palm is placed on the flexed thumb and the arm strength is used to push the thumb outward to scrape several times. (4) When there is joint effusion, you can use hammering, pounding, and patting methods alternately. The punch is a solid fist, and the strike is an empty fist. Hit the soft tissue around the patella and the extensor side of the thigh. Flex and extend the calf 20 to 30 times each. The strike is a solid fist, and use the arm strength of both fists to press down on the same part as above, and repeat 1 to 2 times. Instead of using your fist to pat the popliteal fossa, use your palm to pat and use the strength of your wrist to bounce the ball.

2. Piercing therapy

When there is a lot of joint effusion and tension is high, joint puncture can be performed to completely drain the effusion and blood, and sodium hyaluronate, which is the main component of synovial fluid, can be injected into the joint cavity. Studies have shown that various pathological changes in arthritis are closely related to its reduction and changes in physical and chemical properties. The injection of sodium hyaluronate has the following effects: covering the surface of articular cartilage, which can protect the articular cartilage and prevent or delay further degeneration; protecting the synovial membrane of the joint, removing pain-causing substances, and significantly reducing pain; improving the contracture state of the joint and increasing the mobility of the joint; and improving the synovial fluid of the degenerative joint.

3. Medication

In the acute phase of synovial injury and blood stasis, the treatment is mainly to disperse blood stasis, promote blood circulation and reduce swelling. Panax notoginseng powder can be taken orally. Chronic retention of water and dampness, and weakened muscles and tendons can be treated by dispelling wind and dampness, and strengthening muscles and tendons. Take Qianghuo Shengshi Decoction with modifications internally, and apply Gou Pi Gao externally. If the cold evil is more severe, you can also dispel the cold, wind and dampness, and use Wutou Decoction.

4. Immobilization and exercise therapy

In the early stage, you should rest in bed, elevate the affected limb, apply pressure with an elastic bandage, and prohibit weight bearing. During the treatment, quadriceps contraction and relaxation exercises can be performed, and in the later stage, knee flexion and extension exercises should be strengthened. This has a positive effect on eliminating joint effusion, preventing quadriceps atrophy, preventing recurrent synovitis, and restoring knee flexion and extension function.