Neck - trapezius tension ... wrist induced?

[alophysio]

Sounds very interesting odd socks - i wish all my patients had your inquisitive nature!

Maybe it is a ganglion or a growth on the nerve and the nerve conduction has been altered etc etc. Or it is on the dorsal side so when in extension going into flexion, it blocks the movement but when in flexion going into extension, it is out of the way...

Get an ultrasound of the area to make sure...

Good observation though - makes me think it is more local in the wrist...

[Odd Socks]

Hello again....

I've now seen a physio 4 times. Not sure we've found root of problem - things aren't really any better yet. FWIW (if anyone's interested) she concluded:

1. Bad neck posture i.e. head and neck too far forward could be contributing. Told me to tuck chin in and pull neck back. Gave some exercises e.g. sitting back to wall, and moving back of head up wall.

2. Median nerve a bit constricted; gave nerve glide: palm flat on wall to the side at shoulder height and rotate backwards until fingers pointing down. (Can do that now).

3. Pain in wrist probably rough bones rubbing after a fracture at base of thumb. Applied some ultrasound, and recommended rubbing and manipulation to free up.

4. Root of problem likely the shortening of soft tissue on ulna side of hand and wrist; neck tension being caused by controlling this. Recommended stretching wrist in radial deviation.

So...

Q: Based on her hypothesis that basically the soft tissues on the ulna side are behaving like a piece of string going up the outside that's too short and pulling my elbow straight as I do radial deviation, what's the best way of stretching this? Specifically, what's the most intensive stretching I can safely do? E.g. hold it in radial deviation (active or passive?) for how long, how many reps at a time, and per day? But could I strap it up, and leave it in full radial deviation for a whole day at a time/over night? Note: range of movement isn't actually restricted neither is it painful in pure radial deviation, it's just pulls more against this movement.