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009 Painful Wrist - Is it Cycle Related?

Painful Wrist - Is it Cycle Related?

Performance and cycle induced overuse injuries are closely related. Most winners seldom escape overuse injury. In fact one cannot win without an injury. This is unfortunate because it can put top cyclists out of action for a few months. Do you complain about a sore wrist? Read on for inside information regarding this infrequent but important problem. The way the cyclist presents is with discomfort in the lower forearm or wrist, usually after cycle training or racing.

In most cases the diagnosis is made by clinical examination and x-rays. This is advisable via an orthopaedic surgeon. Other disciplines do not always have the finesse to diagnose pathology. One cannot just have physiotherapy without an accurate diagnosis. This is a critical issue and must not be neglected.

The anatomy of the wrist joint needs revision. What should you know about it?

The radio-carpal and inferior radio-ulnar is important components of the wrist joint. The range of movements differs at the two vectors.
Common disorders of the distal forearm causing pain
Injury to an old problem.
Pain in an old fracture site.
Early rheumatoid arthritis.
Overuse osteoarthritis (older cyclists).
Chondroma as a part of dyschondroplasia.
Giant-cell tumour ( osteoclastoma) of the lower end of the radius.


Ganglion (relatively common) and does well with orthopaedic excision. This may be of the simple dorsal or compound palmar variant.
Other tumours of soft tissues in the wrist region.
Acute frictional tenosynovitis ( paratendinitis crepitans).
Keinbocks disease ( osteochondritis of the lunate bone).

Tips: In most cyclists the problem is related to over use. Think about a ganglion or osteonecrosis of the lunate bone if you have had a previous wrist sprain. For minor problems, icing and a wrist wrap are of value in the short term.

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