Gymnast's Wrist | Symptoms & Causes
What are the symptoms of gymnast’s wrist?
While it’s not unusual to feel sore after a gymnastics practice, wrist pain that persists from practice to practice should be examined by an orthopedic or sports medicine clinician.
Gymnast’s wrist begins as pain on the thumb side of the wrist. Symptoms tend to develop over time and may include:
- Wrist tenderness
- Decreased wrist range of motion
- Wrist pain when bearing weight or when the wrist is extended (bent backward)
- Swelling and inflammation
- Decreased grip strength
What causes gymnast’s wrist?
Any number of gymnastics skills, such as back or front handsprings and vaulting, put the wrists under one to two-and-a-half times an athlete’s body weight (depending on the skill). The repeated impact of practicing high-impact skills over and over can cause a child’s growth plate to become injured.
Gymnast's Wrist | Diagnosis & Treatments
How is gymnast’s wrist treated?
When caught early, gymnast’s wrist can heal with complete rest and immobilization for four to six weeks. Your child’s clinician may put your child’s arm in a cast or splint to stabilize their wrist during this period.
More severe cases of gymnast’s wrist require longer rest periods or even surgery to rebalance the alignment of the wrist.
How soon can a gymnast return to gymnastics after treatment?
Once your child’s wrist is no longer tender to the touch or painful when bearing weight or hanging from a pull-up bar, they can begin physical therapy to rebuild wrist strength and mobility.
To help gymnasts safely return to gymnastics after recovering from gymnast’s wrist, experts in gymnastics medicine at Boston Children’s Hospital have developed a return-to-gymnastics protocol for athletes recovering from gymnastics injuries. The protocol helps gymnasts gradually rebuild strength in their wrists, arms, and shoulders to protect against future injury.
Your child’s clinician may recommend the use of wrist guards during recovery. However, it’s important to know that wrist guards do not prevent gymnast’s wrist and should only be used if recommended by a clinician who understands gymnastics and gymnastics injuries.
Is it possible to prevent gymnast’s wrist?
Yes. Proper technique and targeted exercises to strengthen the upper body can reduce the impact of gymnastics on the wrists.
Focusing on sleep, hydration, proper nutrition, and managing stress can also reduce the chance of injury in gymnastics.
Pay extra attention to wrist pain and consider reducing the number of hours per week your child practices when they’re going through a period of rapid growth.
Most importantly, have your child take a break and seek care if their wrists remain continually sore from practice to practice.
Learn more about this on our sports injury prevention website.
How Boston Children’s Hospital approaches gymnast’s wrist
Boston Children’s Sports Medicine Division has the country’s first and only Gymnastics Medicine Clinic, a sport-specific clinic for the diagnosis, treatment, and prevention of gymnastics injuries.
Our sports medicine team includes physicians, orthopedic surgeons, physician assistants, nurse practitioners, physical therapists, podiatrists, athletic trainers, sports psychologists, dietitians, and many others who collaborate in every aspect of our patients’ care and recovery.
We also work closely with The Micheli Center for Sports Injury Prevention, part of the Sports Medicine Division. Through research and clinical training, The Micheli Center offers practical strategies to help injured athletes return to play stronger and healthier.