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View Full Version : Opinions on ulnar wrist pain


Burt Turkoglu
07-21-2007, 10:18 AM
I developed wrist pain a couple of months ago on the ulnar side.....I had the symptoms of others who posted that had this problem (pain on the forehand stroke and forehand volley, hurts to turn a key or doorknob)....the pain was always the worst when I would start playing and get somewhat less painful as I played on....but after reading some of the post here, I decided to stop for a while....after a couple of weeks, I had no pain twisting a doorknob, pronating, supinating, etc......but I had read an old post here that the test is to put your open hand underneath a desk palm up and to push upwards firmly.....if there is pain, you still have a problem......I had pain doing this....I went out and played anyway.....seemed to be okay at first but the pain started coming back....pushing up from underneath the desk, the pain was definately worse. After a few days of playing, I decided to quit again.....I bought 2 wrist splints....one for work and one for sleep and rest. I feel the night brace has really helped me as I curl my wrist and fingers while I sleep. This is not conducive to healing. It's been 2 weeks since I started splinting. I've been without pain for a week now doing stretches and exercises. I pushed up from underneath the desk firmly this morning and to my surprize......no pain. I'm dying to go out and hit again. When I originally hurt it, I was using Luxilon Timo(mains) and Gamma Pro Plus(crosses). While rehabilitating, I restrung it up with an all natural gut job. I also had a few grams of lead at 3 and 9 o'clock whick I have pulled off. My racket is 1 pt. head heavy.....28" long (I choke up an inch except when serving). It is an old Wilson 6.2 Skunk (which I love). Should I give it a go without serving? (forceful pronation involved) And then ad serving when I'm sure there's no pain? (I have a wicked sidespin underhand serve....but that involves supination) Should I go out and just hit volleys only and add strokes if I have no pain. Or should I wait a while longer to be sure?

jaredknight
07-21-2007, 04:07 PM
i'm not even going to read all of this take an advil and stop being a *****

Burt Turkoglu
07-21-2007, 09:36 PM
.....er.....thanks for the kind advice....quite a class act....

Marius_Hancu
07-22-2007, 04:12 AM
I'd say change to a Volkl. 6.2 may be quite stiff (know its stiffness??)

Nat gut is good.

Go to a GOOD coach to evaluate your FH, you're probably using too much windshield wipering, too much wrist. Block your wrist during contact, drop less the racquet head. Heck, spend some money on this, it's your wrist.

check my signature here:

Great fitness sites
http://tt.tennis-warehouse.com/showthread.php?t=15571

esp the Wrist Pain section
see the article from the French Federation on ulnar pain.

Burt Turkoglu
07-22-2007, 09:04 PM
thanx Marius....I'm thinking of going to a 2 handed forehand when I start back ala Tennis Mastery....should that help? Actually, I hit very few groundstrokes when I play (I play dubs only these days)....I come in on all serves and most returns. I don't think the 6.2 is very stiff. It is mostly fiberglass and some carbon. Only problem is....it's even balanced.

Marius_Hancu
07-23-2007, 02:19 PM
thanx Marius....I'm thinking of going to a 2 handed forehand when I start back ala Tennis Mastery....should that help? Actually, I hit very few groundstrokes when I play (I play dubs only these days)....I come in on all serves and most returns. I don't think the 6.2 is very stiff. It is mostly fiberglass and some carbon. Only problem is....it's even balanced.

Yes, they're not that stiff (63 or so), but they're too LIGHT and HEAD HEAVY, not balanced:

http://www.tennis-warehouse.com/Reviews/H62/H62Review.html

Weight 9.8 ounces 278 grams
Balance Point 14.375 inches
37 centimeters 6 pts Head Heavy

Weight 9.6 ounces 272 grams
Balance Point 14.5 inches
37 centimeters 6 pts Head Heavy

Perhaps a 2HFH could help, but it all depends on how much you'll be using your problem hand.

I'd say change the racquet.
This follows the recommendations of the doctors of the French Federation (see above).
Such a racquet isn't even recommended for doubles, being head-heavy.
Get a Volkl, they're very versatile.

Burt Turkoglu
07-23-2007, 08:53 PM
Yes, they're not that stiff (63 or so), but they're too LIGHT and HEAD HEAVY, not balanced:

http://www.tennis-warehouse.com/Reviews/H62/H62Review.html

Weight 9.8 ounces 278 grams
Balance Point 14.375 inches
37 centimeters 6 pts Head Heavy

Weight 9.6 ounces 272 grams
Balance Point 14.5 inches
37 centimeters 6 pts Head Heavy

Perhaps a 2HFH could help, but it all depends on how much you'll be using your problem hand.

I'd say change the racquet.
This follows the recommendations of the doctors of the French Federation (see above).
Such a racquet isn't even recommended for doubles, being head-heavy.
Get a Volkl, they're very versatile.

I'll consider it....I do own a couple of C-10's.....anyway, that is not my racket....that's the HYPER hammer....much stiffer than mine....I measured my racket....it's even balanced due to a leather grip and it's 11.4 oz.....thanx for your advice Marius....good stuff.

slewisoh
07-23-2007, 09:59 PM
Pain while turning a knob or car key is often associated with TFCC tears. Is your pain slightly above the ulnar head, toward the hand?

The hand specialists I saw (three of them) all said that TFCC tears most commonly result from falls. In other cases where there is intermittent or recurring pain, a structural issue is usually the cause. So while you may be able to manage away the pain by using more arm friendly racquets, the underlying issue will eventually win out.

Arthritis and bone spurs on the ulnar head can cause tears of surrounding soft tissue, as can an ulna that is too long. An xray taken in "neutral position" will show the length of the ulna relative to the radius. A hand specialist will quickly see things that a general orthopoedic doc isn't trained to even look for.

I know I have been beating a dead horse with regard to this issue, but you really need to see a hand specialist to rule out an underlying issue. And the advice given here regarding arm friendly racquets is invaluable...I switched from a Hyper Hammer to a Volkl Cat8 with soft strings and played 6 months without pain - and I had two torn ligaments! Now that's an arm friendly racquet. ;)

Marius_Hancu
07-24-2007, 04:59 AM
You need to see a HAND orthopedic surgeon. It may be a tough nut to crack.

A Futures youngster I helped went to several doctors without solutions for his wrist problems.

Finally he found a very good hand surgeon who after several MRIs & Xrays, found that one of the bones in the wrist had developed a spur and was brushing on another.

After surgery, he's fine (6 month rehab, though).

topsltennis
07-24-2007, 11:50 AM
I have responded on these threads numerous times because I have been dealing with something for over a year- any ideas on why my pain would be worse some days than others? I also do have pain when turning keys, doorknobs, etc. or when doing a pushing up motion with that wrist.

slewisoh
07-24-2007, 02:44 PM
I have responded on these threads numerous times because I have been dealing with something for over a year- any ideas on why my pain would be worse some days than others? I also do have pain when turning keys, doorknobs, etc. or when doing a pushing up motion with that wrist.

I maintain that if you are having recurring pain you must see a hand specialist to rule out an underlying issue. My ulnar head was removed in January - there is a chance that a less radical procedure could have been performed if I had addressed the situation earlier with a hand specialist. Instead, I accepted a rather shaky tendinitis diagnosis from a general orthopod.

My surgery was extensive and the recovery has been slow. If tennis is your livelihood, it would be in your best interest to intervene while the issue is minor.

Burt Turkoglu
07-24-2007, 09:43 PM
Alright....now you're starting to scare me....lol....Slewisoh, I have read some of your past posts and I do commiserate with you.....I hope it all works out for the best for you....I am at the beginning stages here and I hope I don't have a problem like you had.....if, after taking the time off and I have the same issue.....then, seeing a hand specialist will be my next step......today....my wrist feels great.....yesterday, I hit just volleys (mostly backhand) for about a half an hour (ball machine)....I did hit a few 2-handed shots....so far so good....no pain....by the way, I added about an ounce to the handle of my racket which has moved the balance point to 4 pts. head light and 12.2 ounces....good idea or bad??????

slewisoh
07-24-2007, 10:10 PM
Alright....now you're starting to scare me....lol....Slewisoh, I have read some of your past posts and I do commiserate with you.....I hope it all works out for the best for you....I am at the beginning stages here and I hope I don't have a problem like you had.....if, after taking the time off and I have the same issue.....then, seeing a hand specialist will be my next step......today....my wrist feels great.....yesterday, I hit just volleys (mostly backhand) for about a half an hour (ball machine)....I did hit a few 2-handed shots....so far so good....no pain....by the way, I added about an ounce to the handle of my racket which has moved the balance point to 4 pts. head light and 12.2 ounces....good idea or bad??????

Sorry, I'm not trying to scare anyone. And I don't think most people end up in my situation. Sometimes people do have legitimate short-term injuries that heal up and never recur. But there are a lot of folks out there who have long term pain and think they are always one step away from pain-free tennis. Softer string, lower tension, more weight...

Just don't want to be well so badly that you ignore your body.

In theory, your wrist and elbow should benefit from heavier racquets that are head light. Just make sure you can safely manage the weight. Being a woman, I had to modify the "men's rules" regarding optimum weight. There was a point (I think when swingweight exceeded 325) where I started to have pain in my shoulder. So use the info provided as a guideline, but allow your body to set the limits.

Hope you come along just fine!

MacKenzie
07-24-2007, 10:20 PM
Take it someone who's a senior. Osteoarthritis does "rear it's ugly head" due to wear and tear and aging. I played singles with men and hard lady hitters for many, many years. :smile: Now I'm paying. I'd do it all over again if I had to. :grin:

cirish
07-27-2007, 06:51 PM
I am a teaching pro and can't quite pinpoint whether the pain is due to feeding, vibration from my gas powered trimmer or another cause. I am currently wearing a splint and have been extremely limited in my activity. While the anti-inflammatory the doc gave me, dropped the swelling it does nothing to cure the problem. I find the pain to be most pronounced when getting up from a sitting position or pushing off the mattress to get out of bed. I tried the Volkl V1 for the problem, but I don't think this is tennis elbow. Found the V1 to be way too powerful, all forehands flew long. To verify this, I had three other pros hit with it and all had the same results. I finally got an appointment with an orthopod for next week. Hopefully it won't require surgery,but at this point I'm desperate. Topsl pro, do you happen to know D. Brandt?

Burt Turkoglu
08-17-2007, 08:05 PM
Update.....okay, I do believe I beat this thing....thought it might have been a TFCC injury.....I took off about 3 weeks, used a day and night splint, switched to a racket that didn't vibrate as much, switched to gut, switched from leather to a soft synthetic grip....I felt much improved when I started playing again but something didn't feel right in the wrist still....on the ulnar side was feeling a little pain on forehand volleys again....so I took off a week. It was then that I realized my volley grip had migrated toward the eastern forehand grip (in college I used the continental grip then took off 15 yrs. from playing). So I switched back to the continental grip and after a week and a half my wrist feels great. Really popping the forehand volley again with no pain. Those that are having ulnar pain might want to check their grip. Continental for the volley and no wiper forehand (western and semi) if you have ulnar pain for forehands.

Marius_Hancu
08-18-2007, 12:06 AM
I am a teaching pro and can't quite pinpoint whether the pain is due to feeding

should feed with a continental grip if you have probs ...
reduce wiper FH in your shot production
reduce any activity that bends back the wrist

Marius_Hancu
08-18-2007, 12:21 AM
This important article has changed URL:

CLINICAL ASPECTS OF EXTENSOR CARPI ULNARIS (ECU) INJURIES IN THE PROFESSIONAL TENNIS PLAYER
B. Montalvan, J. Parier, J.P. Cousteau, D. le Viet, French Tennis Federation, Paris
http://www.stms.nl/index.php?option=com_content&task=view&id=787&Itemid=263

Marius_Hancu
08-18-2007, 12:24 AM
For those interested in TFCC and ulnar articles, go to
http://www.stms.nl/
and do a STMS Search (top left corner)
with:
ulnar

Some of the articles require login/registration to read in full, some not, e.g.
Diagnosis and Treatment of TFCC Injuries in Tennis Players
Michael R. Redler
http://www.stms.nl/index.php?option=com_content&task=view&id=447&Itemid=159

Some may want to contact the author, who seems to be an expert:

Michael R. Redler, MD, is a partner with the OSM Center, Trumbull (CT), USA.
He is Head Team Physician at Sacred Heart University, Head Team Physician for The Bridgeport Bluefish professional minor league baseball team, Orthopaedic Consultant to Major League Lacrosse, and Assistant Clinical Professor at Sacred Heart University

Address for correspondence: Dr M.R. Redler, OSM Center, 888 White Plains Road Trumbull (CT), 06611 USA. E-mail: mredlermd AT aol.com

He seems to be with this orthopedic center:
http://www.osmcenter.com

Marius_Hancu
08-18-2007, 12:34 AM
An article written by docs associated with the Spanish Federation is here:

Ulnar Sided Wrist Pain
http://www.stms.nl/index.php?option=com_content&task=view&id=445&Itemid=159

Burt Turkoglu
08-18-2007, 07:46 PM
....great stuff Marius....especially the Spanish Federation link....thanx

jon44
08-20-2007, 05:22 PM
Seems like a lot of us our dealing with ulnar sided pain on the wrist....

The French Federation paper mentions that playing with a support for your extensor carpi ulnaris (ECU) can be very helpful. Does anyone have any idea what such a brace looks like?