Ganglion Cyst Causes, Symptoms And Treatment

by Administrator 24. April 2017 10:23

A Ganglion Cyst is a fluid filled sac that looks like a tumor above the wrist. The cyst may appear, disappear or quickly change its shape and size. In some cases the lump may become painful and interfere with the functioning of wrist joint. They can be formed in either side of wrist or at the base of the fingers.


  • Arthritis
  • Gymnasts who continuously put pressure on their wrists
  • Females between the age group of 40 -80
  • Trauma that causes tissue in the wrist to breakdown


  • Swelling that may appear over time or suddenly
  • Acute pain
  • Sense on weakness in the affected area
  • Tingling sensation


  • The doctor may physically examine the condition by applying pressure on the lump. This is done to evaluate the tenderness of the outgrowth. Some questions regarding the onset of the ganglion may also be asked to the patient. If the patient has been experiencing pain, he may suggest X-ray and a MRI Scan.
  • An X-ray may be carried out in order to rule out the probability of other conditions such as, bone tumor and Arthritis. An MRI may be conducted to visualize the fluid filled ganglion and the surrounding tissues.


Non-Surgical Treatment

  • Observation – Since the outgrowth is not cancerous, the doctor may ask the patient to wait for some time and see if there is reduction in pain and tumor’s appearance.
  • Immobilization - The doctor may advise the patients to wear splint or a wrist brace to limit the motion. This is suggested because excessive movement may aggravate the symptoms and cause the lump to grow, leading to more pressure over the nerves.
  • Aspiration – In case Ganglion Cyst causes immense pain in the wrist, the fluid may be drained off.  The doctor may puncture the cyst with a needle and withdraw the fluid.

Surgical Treatment –

The orthopedic surgeon may recommend a surgery if the non- surgical procedure doesn’t prove to be effective. He may perform an excision surgery to get rid of the cyst. The procedure involves removal of the lump along with joint capsule or tendon sheath that serves as the root of the ganglion. It is an outpatient surgery and the patient can return to home the same day. Some exercises may also be suggested to the patients in order to regain wrist’s mobility.

For more information regarding Ganglion Wrist’s treatment, contact Dr. Charles Neagle III. He is a fellowship trained orthopedic surgeon and is known for providing excellent treatment for hand, elbow and wrist related disorders. To request an appointment, call at (972) 492 – 1334.

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Scaphoid Fracture: Orthopedic Carrollton

by Administrator 27. March 2017 06:25

Scaphoid is one of the eight carpal bones and is present on the thumb side of the wrist. It is responsible for motion as well as stability of the wrist joint. A sudden blow to the wrist may cause this bone to break and the condition is referred to as Scaphoid Fracture.

Types of Scaphoid Fractures -

  • Non-Displaced Fracture - Minor fracture in which the bones have not moved from their original position.
  • Displaced Fracture - Bones misalign and gap may be seen. Overlapping of bones may also be witnessed in certain cases.

Causes -

  • Falling with an outstretched hand , with weight landing on the palm
  • While playing sports or during a vehicle collision

Symptoms -

  • Pain and swelling on the thumb side of the wrist
  • Minor affliction that feels like a sprain
  • Tenderness over the scaphoid

Diagnosis -

The doctor may look for symptoms such as swelling, bruising, loss of motion etc. To have a clear opinion about a scaphoid fracture, he may recommend the following imaging tests:

  • X-Ray tests – This test may help to visualize the extent of damage caused by a fracture.
  • MRI Scan  - It provides a clearer view of the tissue damage. A minor Scaphoid Fracture may sometimes become visible via an MRI scan than an X-ray.
  • CT-Scan - This test can show whether the bones have been displaced or not. Result of the CT scan may be used to decide the treatment plan.

Treatment -

Non Surgical Treatment
Depending upon the position of the fracture, the doctor may ask patients to wear casts or splints. If the fracture is near the thumb, it may heal within one or two weeks. Thhe blood supply is less in the area closer to the wrist,  if the fracture occurs at this position, it may take a longer duration to heal.

Surgical Treatment

  • Reduction – In this surgery, the orthopedic surgeon may try to manipulate the damaged bone with direct manipulation. He may give anesthesia to the patient and make a small incision at the affected area.
  • Internal Fixation – The surgeon may make an incision at the front or back surface of the wrist. He may use metal plates, screws and wires to reposition the displaced bone.
  • Bone Graft – A bone graft may be taken from patient's forearm or thigh bone and placed along the damaged bone. This graft acts as a support on which the broken bone regrows and heals.

Dr. Neagle is a board certified hand surgeon serving patients across Carrollton, TX. For treatment of Scaphoid Fracture, schedule an appointment by calling at (972) 492 – 1334.

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Orthopedic Treatment For Wrist Fracture

by Administrator 26. October 2016 08:27

The wrist is the joint that connects the hand to the arm. It comprises of eight smalls sized bones which are linked to the radius and the ulna (two bones in the forearm). Break or cracking any of these bones is medically termed as a wrist fracture. The radius is most likely to break in this joint. Wrist fractures can be classified as stable and unstable fractures.

  • Unstable Fracture- the bone may break into two or more pieces and even after these pieces have been put back in their anatomical place with a cast to secure them, these may again slip out. It makes the joint pretty unstable and difficult to manage
  • Stable Fracture- the broken pieces of bones do not move out of their place and can be easily treated with a simple cast

Some fractures may be so severe that a piece of the broken bone may cut through the skin and cause a wound. Such injuries (also known as open fractures) pose a high risk of infections and take a lot of time to heal.


  • Falling on an outstretched hand may cause the wrist to break
  • Vehicular accidents may severely impact the wrist joint as high force is applied against the hand
  • People suffering from osteoporosis tend to develop weak bones and supporting soft tissue structures. They are at a higher risk of fractures


  • Pain around the wrist, hand, fingers and forearm especially when moved
  • Swelling may occur immediately after the injury
  • Tenderness and redness around the wrist or lower arm
  • Loss of motion in the hand, fingers and lower arm
    Numbness may be experienced
  • Visibly deformed wrist


  • The doctor will conduct a thorough physical check of the injured hand to assess the severity of injury
  • X-ray imaging is required to study the location of the broken bone and the ones around it
  • MRI and CT scan reveal soft tissue and nerve injuries besides minor cracks in the bones
  • Assessment of the mode of injury, patient’s medical history, lifestyle, age and overall health condition is made
  • The doctor will also check for neurovascular damages and loss of sensation in the injured hand


  • Minor fractures and dislocations can be treated by wearing a soft splint for a few weeks. It helps in pain relief as well as aligns the broken bones
  • In case of major fractures (unstable), immobilization using a cast is recommended
  • Pain killers and anti inflammatory medicines may be given
  • Manual reduction may be an option if a bone has been partially displaced or broken
  • Camera guided arthroscopic surgery may be conducted to reposition the broken bone and it may be fixed internally using metal screws and wires
  • Bone graft is a surgical process that is conducted if there are spaces created between the bones once they have been realigned
  • Physical therapy is highly recommended post treatment to prevent loss of sensation of function in the hand

Patients in Carrollton, TX, can visit Dr. Neagle for treatment of various orthopedic conditions of the hand and wrist. To schedule an appointment, call at (972) 492 – 1334.

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Cubital Tunnel Syndrome: Causes, Symptoms And Treatment

by Administrator 27. April 2016 12:45

Cubital Tunnel Syndrome is a condition characterized by damage to the ulnar nerve in the elbow. The ulnar nerve is the most unprotected nerve in the body and does not have any muscle or bone covering, making it prone to injuries. The nerve originates from the cervical spine (C8-T1 nerve roots). It then forms the part of “Brachial Plexus”. It enters the hand providing sensation to the little finger and adjacent half of the ring finger. 

Cubital Tunnel Syndrome occurs when the ulnar nerve is damaged from where it passes through a shallow groove on the inner side of the elbow. 


  • Pressure: As the ulnar nerve lacks any protective padding, even a slight pressure, for example- prolonged leaning on the arm rest or a sudden blow to the elbow; may cause a tingling sensation in the ring and little finger-commonly referred to as 'fall asleep'.
  • Stretching: Bending the elbow for a long period of time, such as during sleep, may result in stretching of the ulnar nerve.
  • Anatomy: The ulnar nerve may snap out of its place due to repetitive elbow movements. Repetitive snapping can lead to thickening of the soft tissue and affect the functioning of the nerve.


  • Pain in the elbow and fingers extending up to the finger tips
  • Loss of sensation/ numbness 
  • Weakness in the little and ring finger
  • Decrease in gripping power
  • The ability to pinch the thumb and little finger may decrease
  • Muscle wasting of the hand
  • Claw-like hand deformity


  • An orthopedic doctor may review the frequency, duration and severity of the symptoms experienced by the patient. 
  • He may also conduct Nerve Conduction Velocity (NCV) test to measure the ability of the nerve to transmit the sensory or motor signals.
  • EMG or Electromyography may also help in determining the severity of the condition.


  • The doctor may advise the patient to avoid leaning on the elbow to prevent worsening of the condition.
  • He may also suggest to wear splints to support the arm and elbow, particularly at night.
  • Performing certain exercises to strengthen the muscles of the arm and hand
  • In severe cases of Cubital Tunnel Syndrome, surgery may be needed to relieve the pressure on the nerve.
  • Physiotherapy may be required to boost recovery after the surgery.

Dr. Neagle is a renowned hand surgeon in Carrollton, TX providing treatment for Cubital Tunnel Syndrome and various other orthopedic conditions. To schedule an appointment with the surgeon, call at (972) 492 – 1334. 

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Wrist Sprain: Orthopedic Treatment In Carrollton

by Administrator 23. November 2015 12:59

Wrist sprain is a common sports injury caused by stretching of the ligaments beyond their normal range of motion. The ligaments that control the movement of the wrist joint may get injured or torn; thus, causing wrist sprain, which is a painful condition. Wrist sprain ranges from mild to severe and depending upon the severity of the injury, it can be categorized as:

  • Grade I: It is a minor sprain in which the ligament is stretched without causing any tears.
  • Grade II: In this, the ligaments are partially torn, leading to loss of function.
  • Grade III: It occurs when the ligaments are completely torn.


  • Falling on an outstretched hand
  • Sudden twisting of wrist due to excessive pressure
  • Injury during sports and other outdoor activities


  • Intense pain
  • Swelling in the wrist
  • Bruising
  • Discoloration of the skin around the affected area
  • Tenderness
  • Popping and tearing inside the wrist
  • Warmth and burning sensation


An orthopedic doctor may discuss your medical history and ask for any previous injuries to the wrist. He may physically examine the joint to find out the extent of damage to the ligaments and bones in the wrist joint. He may also recommend certain imaging tests such as X-rays, MRI or CT scan to confirm the diagnosis.


  • RICE therapy: The doctor may recommend you to follow the RICE therapy i.e. rest, ice packs, compression and elevation to reduce swelling as well as pain.
  • Medication: He may prescribe non-steroidal anti-inflammatory medicines to offer relief from pain and inflammation.
  • Immobilization: To promote healing, it is essential that you keep the wrist immobile for at least 2 weeks. You may be recommended to wear a wrist splint to reduce stiffness and avoid putting stress on the affected ligaments.
  • Stretching exercises: Performing light stretching exercises may help to regain strength and mobility of the wrist joint.
  • Surgery: In case of a grade III sprain, surgery may be required to reconnect the torn ligaments to the bone.


After surgery, you will have to undergo a rehabilitation program depending upon the severity of the sprain. The exercises will help to strengthen the wrist muscles and restore the functionality of the joint.

For complete treatment of wrist sprain, visit Dr. Neagle in Carrollton, TX. To schedule an appointment with the wrist surgeon, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Risk Factors For Wrist Pain

by Administrator 18. September 2015 13:41

The wrist joint comprises of bones connected with various ligaments, tissues and tendons. An injury or trauma to any of these structures can cause wrist pain. The condition can lead to difficulty in lifting objects, visible deformity, stiffness, numbness, reduced range of motion, swelling, numbness and bruising. Wrist pain is usually treated with medication, rest and ice packs. By following certain precautions and taking regular breaks, one can prevent wrist pain. However, certain lifestyle, genetic, age related and occupational risk factors increase the probability of suffering from the condition.   

Here are some risk factors of wrist pain:

  • Sports: Sports activities such as bowling, golf, gymnastics, tennis, racquetball, handball etc. that involve repetitive movements of the wrist increase the risk of experiencing pain. It is imperative to follow the right technique, stance and sports equipment to protect the wrist from any injury or stress.
  • Repetitive Work: Activities involving repetitive motion of the hand and wrist such as typing, knitting, driving for long hours can lead to wrist pain. It is advisable to wear a wristband if you are in occupation that requires constantly working on a computer.
  • Medical Conditions: Diabetes, obesity, Rheumatoid Arthritis, Hypothyroidism, pregnancy or menopause can increase the risk of develop Carpal Tunnel Syndrome which causes wrist pain. It is advisable to seek proper treatment for these conditions to prevent wrist pain.
  • Increasing Age: Elderly people are prone to suffer from conditions such as Osteoporosis, which may lead to wrist pain. Seniors should avoid falls and slips to prevent a wrist injury.
  • Lifting Weights: Heavy weight lifting can put pressure on the wrist and cause pain. Improper lifting technique and not wearing the proper equipment can also lead to wrist pain.
  • Injuries/Trauma: Any injury, direct impact or fall can cause wrist pain. The intensity of pain varies with the nature of injury. Severe damage to the wrist can cause recurring pain, which must be treated in time.
  • Other Factors: Certain driving and sleeping positions can also contribute to wrist pain. Using only your thumb and index finger to hold objects can also put strain on the wrist and cause pain.

For treatment of wrist pain, you can visit Dr. Neagle. To schedule an appointment with the hand and wrist specialist in Carrollton, TX, call at (972) 492 – 1334.

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Risk Factors For Carpal Tunnel Syndrome

by Administrator 23. July 2015 06:40

Carpel Tunnel Syndrome is a medical condition that results due to the compression of the median nerve that runs through the wrist. The main symptoms of Carpel Tunnel Syndrome are pain and numbness in the thumb and fingers. The pain can also radiate up towards the arm and shoulder causing discomfort. Certain risk factors are associated with the condition, which may increase the chances of developing Carpel Tunnel Syndrome.

Some of these risk factors include:

  • Age: Carpel Tunnel Syndrome is more common among older people. Children are rarely diagnosed with the condition.
  • Sex: The condition is more prevalent among women as compared to men. It could be due to the smaller size of the carpel tunnel in women.
  • Changes in Hormones:  Hormonal changes during pregnancy can cause Carpel Tunnel Syndrome in women. However, the symptoms start to fade away with delivery and the patient may not require any specific medical treatment. Women undergoing menopausal phase are also prone to the condition.
  • Overweight:  Being overweight also makes one susceptible to Carpel Tunnel Syndrome. By remaining physically fit and active, one can prevent the condition.
  • Anatomical Factors: People who have small carpel tunnels are more likely to suffer from the problem. Wrist fracture or dislocation, that alters the structure of carpet tunnel and reduces the space, also puts pressure on the median nerve; thus leading to Carpel Tunnel Syndrome.
  • Inflammatory Conditions: Some conditions that are characterized by inflammation may affect the tendons in the wrist and exert pressure on median nerve.
  • Medical Conditions: Certain chronic illnesses such as Diabetes, Hypothyroidism, Rheumatoid Arthritis and Osteoarthritis may increase the risk of nerve damage.
  • Smoking and Alcohol Consumption: Smoking and alcohol intake are associated with Carpel Tunnel Syndrome. Smoking slows down the blood flow and worsens the symptoms.
  • Occupational Factors: Occupations that require repeated use of hands and wrists aggravate the symptoms of Carpel Tunnel Syndrome. Typing, data entry jobs, carpentry works, industrial jobs, cooking, knitting, sewing, needlework, and using power tools can cause the condition
  • Psychological Factors: Certain psychological factors such as low job satisfaction and stress contribute to Carpel Tunnel Syndrome.
  • Physical Characteristics: The condition is prone to people with square or palm shaped wrists and poor upper back strength.
  • Other Factors: Poor nutrition, high cholesterol and previous wrist injuries also enhance the chances of Carpal Tunnel Syndrome.

By taking certain precautions and preventive measures, one can avoid the condition.

Dr. Neagle at OrthoTexas, Carrollton, provides complete diagnosis and treatment for Carpel Tunnel Syndrome. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Wrist Pain: Orthopedic Treatment In Carrollton, TX

by Administrator 18. June 2015 05:22

Wrist consists of ends of the Radius and the Ulna, 8 carpal bones and parts of 5 metacarpal bones. It also includes various muscles, tendons and ligaments. An injury or stress to any of these structures can cause discomfort or pain in the wrist. Wrist pain is a common problem and can occur to anyone at any age, but people who are more active in sports or have jobs related to lifting heavy objects are susceptible to this problem.


  • Sprains and strains: Injuries like sprains or strains to the muscles of the wrist can cause severe pain and inability in moving the joint. They can be caused by sudden application of force on the joint or due to accidents like falling on an outstretched hand.
  • Overuse and stress: Repetitive activities including the wrist can overstress the joint. Prolonged hours of writing or leaning on the wrist while sitting can overstrain the joint and cause pain.
  • Fractures: Severe accidents can cause injuries like fractures which can lead to sharp pain in the wrist. Such injuries may also result in stiffness and reduce the movement the joint.
  • Arthritis: It occurs with overuse of the joint and is a major cause of pain, swelling and stiffness in the wrist joint.
  • Other conditions: Other health conditions like Carpal Tunnel Syndrome, Gout, Ganglion Cysts, Kienbock's Disease, Pseudogout etc. can also cause pain and discomfort in the wrist joint.


  • Sharp pain
  • Swelling in the joint or fingers
  • Warm sensation around the site of pain
  • Numbness and tingling feeling
  • Weakness
  • Inability to move the wrist
  • Pain increases during activities like gripping


The orthopedic doctor may diagnose wrist pain by asking the patient about his medical history. He may inquire about onset of pain and factors that affect its severity. The doctor may also examine the wrist by bending and moving it. He may also order certain imaging tests like X-rays, MRI scans or CT scans to confirm the diagnosis and rule out other possible causes of pain.


  • Rest: The doctor may suggest the patient to rest the affected joint. The patient may also be asked to wear a cast to restrict the movement of hand and wrist.
  • Exercise: Exercising can help to reduce tenderness, swelling and stiffness in the joint. It can also build muscle strength and decrease pain in the wrist.
  • Ice and heat: The doctor may advise the patient to apply heat or ice packs to reduce inflammation in the joint. This may soothe the constricted nerves and reduce pain.
  • Medications: The doctor may also prescribe some anti-inflammatory medications to minimize pain and inflammation.

In severe cases of, surgery may also be recommended in order to treat the condition that is causing the wrist pain.

Dr. Neagle in Carrollton, TX, provides complete diagnosis and treatment for various wrist conditions. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Orthopedic Treatment For Trigger Finger

by Administrator 21. May 2015 10:21

Trigger Finger, also known as Stenosing Tenosynovitis, occurs due to inflammation that narrows the space within the sheath surrounding the tendon in the affected finger. It involves the catching, snapping or locking of the concerned fingers flexor tendon. It is a painful disorder and the finger may become locked in a bent position.


  • Repeated movement
  • Prolonged firm grasp
  • Rheumatoid Arthritis
  • Gout
  • Local trauma to the palm or base of the finger


  • Sore finger
  • Lump in the hand
  • Pain in the palm
  • Inability to straighten the finger
  • Finger stiffness, particularly in the morning
  • A popping or clicking sensation as you move your finger
  • Finger locking in a bent position, which suddenly pops straight

Risk Factors:

  • More common in women than men
  • Occurs more frequently in people between the age of 40 to 60
  • Occupation involving repetitive movement of the hand
  • Diabetes


  • Physical examination: The orthopedic doctor may diagnose Trigger Finger by performing a physical examination. He may check for the presence of nodules in and around the finger. The finger is examined to determine areas of pain, severity of pain, smoothness of motion and evidence of locking.
  • Imaging Tests: The orthopedic doctor may recommend imaging tests such as an X-ray to determine the extent of the condition.
  • Medical history: The orthopedic doctor may inquire about the medical background of the patient and ask questions about the symptoms. The questions may include:
  1. What all symptoms are you experiencing?
  2. How long have you been experiencing these symptoms?
  3. Are the symptoms continuous or they seem to come and go?
  4. Does anything seem to make your symptoms better or worse?
  5. Are your symptoms better at any particular time of the day?
  6. Do you perform repetitive tasks daily?
  7. Have you recently had an injury to your hand?

The orthopedic surgeon devises a treatment plan after determining the cause and severity of the condition.


Non-surgical treatment

  • Rest: Giving the hand rest and avoiding any repetitive movements.
  • Ice or heat therapy:  The doctor may advise using ice or heat packs.
  • Medications: The doctor may prescribe anti-inflammatory medications to reduce inflammation and pain.
  • Use of splinters: Wearing a splint assists in keeping the finger in straight position.

Surgical Treatment

The doctor may recommend surgery if the non-surgical treatment do not offer relief. This is followed by post-surgical care and the doctor may prescribe physiotherapy to assist with healing and ensure flexibility in the finger. The patient must visit the orthopedic surgeon for regular follow up.

For complete treatment of Trigger Finger, consult Dr. Neagle in Carrollton, TX. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Orthopedic Treatment For Wrist Osteoarthritis

by Administrator 21. April 2015 10:12

Osteoarthritis is one of the most common types of arthritis that affects many people in the US. Arthritis of wrist is a painful condition that makes it difficult to carry out daily activities. Osteoarthritis is a degenerative arthritis that causes the joint to break down over time, as it affects the smooth articular cartilage that covers the bones. The degeneration causes inflammation, weakness, stiffness and pain in the joints.


  • Wear and tear in the wrist
  • Hereditary condition
  • Traumatic injury
  • Wrist fracture
  • Wrist sprain
  • Kienbock’s disease


  • Swelling
  • Pain that interferes with sleep
  • Weakness
  • Inflammation
  • Bruising
  • Restricted motion
  • Stiffness in the knuckle joints
  • Wrist feels tight and feels like it is filled with fluid


In order to diagnose Osteoarthritis, the orthopedic surgeon may physically examine the affected joint to look for tenderness, swelling and visible deformity. He may also recommend certain imaging tests to identify the type and severity of Oesteoarthritis. The surgeon decides the line of treatment once the exact cause of the arthritis is determined.


Osteoarthritis of wrist is treated non-surgically or surgically depending upon the cause, extent of injury and the symptoms.

Non-surgical treatment

The orthopedic surgeon uses different types of therapies to offer relief from pain and swelling. You may need to modify your activities to reduce the pain. The physician may recommend you to keep your wrist immobile and use splint to protect the wrist and keep it stable. The orthopedic doctor may prescribe certain medications such as non-steroidal anti-inflammatory medicines to ease pain and swelling. He or she may also prescribe some exercise programs to improve the range of motion in the wrist.

The exercises must be performed under the supervision of a physiotherapist.

Surgical treatment

In case the non-surgical methods do not prove to be effective and pain becomes unbearable, the surgeon may recommend surgery to restore the hand and wrist functioning. The surgical treatment involves removing the arthritic bones and the carpel bones are fused together to make into one bone, in case you are suffering from advanced osteoarthritis that affects the entire wrist. Usually the damaged joint is surgically replaced with prosthesis to recover wrist movement. The fusion may be partial or complete depending on the requirement. This surgery requires a rehabilitation process during which the patient may be prescribed some strengthening and stretching exercises, which will help restore the movement in the wrist.

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