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Wrist pop from hand jamming?

Original Post
Pat Marrinan · · Unknown Hometown · Joined Oct 2019 · Points: 25

I know i know dont look for diagnosis on here but this seems specific enough maybe that I am wondering if anyone will recognize what happened?

Had my right hand high jammed in a constriction yesterday. Was placing gear with my left hand and most of my weight was hanging on my wrist wrist. I felt a slight pop on the ulnar side of my wrist. It didnt really hurt and I finished the route. At the base rolling my wrist it was ~1/10 pain. Climbed two more routes and basically forgot about it. Last night it was a bit sore before bed. Woke up today and it is a bit worse, ~3-4/10 when i move it, feels totally fine when not moving. 

Hoping some ice and a few days off heals it up and just a minor sprain, but wondering if anyone has ever had a similar situation? Thanks!

Gunkiemike · · Unknown Hometown · Joined Jul 2009 · Points: 3,687

I can't answer your question, but it sounds a lot like what happened to a partner of mine years ago. IDK that he ever figured out what it was.

Jake Jones · · Richmond, VA · Joined Jun 2021 · Points: 170

Hi Pat, I've actually had that happen, on multiple occasions.  It's a mild strain of the small bones and connective tissues in that ulnar region of your wrist.  Hand jamming, particularly jams that are bomber where you can wedge your hand above a constriction and "hang off your bones" can sometimes pull on those small bones and connective tissues in strange ways.  If you look at wrist anatomy, there's a small horn of bone on the end of the ulna, as well as the stacked wrist bones- the lunate and pisiform- which are the main components of your ulnocarpal joint, which is where you report the pain coming from.  What usually happens is that when you're jamming, those bones are pulled in directions that they normally are not, and those connective tissues get strained.  I've had several friends who also regularly climb cracks report the same kind of thing.  You may find that normal joint movement of your wrist isn't that painful, but with an open hand, if you relax it and pull your hand in a distal direction away from your wrist, you'll probably feel pain in the same area, though it might be sharper than the 3-4/10 you report.  If that's the case then in all likelihood it is kind of a general strain of those small bones and the connective tissues.  I would rest and ice, the things you'd normally do for a minor injury like this and go see a specialist if it gets worse and definitely no bomber constriction hand jams for a couple weeks, or until you're pain free.  I'm not a doctor, but I do love me some crack climbing and I'm definitely familiar with the minor annoyance of this type of injury.  Hope this helps, but please don't take anything I'm saying as true medical advice or gospel.  If it worsens, definitely have it checked out.

The Climbing SIG · · Unknown Hometown · Joined May 2023 · Points: 0

Hi Pat!

I'm sorry to hear about what happened to your wrist. Although it is difficult to assess what happened to your wrist online, a common injury that can occur on the ulnar side of the wrist in climbers is a TFCC injury. TFCC is a connective tissue complex on the ulnar side of your wrist that is responsible for stability.  I will attach an article from The Climbing Doctor blog about TFCC injuries for you to look over if it seems like it aligns with what you have going on. The blog is overseen by Dr. Jared Vagy a physical therapist who specializes in treating rock climbing injuries. The event that you described isn't the typical way for a TFCC injury to occur so the best thing to do would be to see a physical therapist or occupational therapist in your area. 

https://theclimbingdoctor.com/tfcc-injury-a-common-source-of-wrist-pain-in-climbers/ 

I hope this helps and I wish you the best in your return to the wall pain-free! Reach out with any questions or comments you have!

Pat Marrinan · · Unknown Hometown · Joined Oct 2019 · Points: 25

Thanks for the comments! Great article on the TFCC, I thankfully think I can rule that out. It is feeling better already just from icing and now two days off climbing so hopefully it keeps healing up!

Guideline #1: Don't be a jerk.

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