Physical Therapy Nest

Edema is typically diagnosed through:

• Medical history review (recent injury, surgery, or underlying medical condition).

• Physical exam to assess visible swelling, skin texture, and mobility limits.

• Functional testing for grip strength and hand motion.

• Circumferential or volumetric measurements to track fluid reduction.

• Imaging (X-ray, MRI, ultrasound) may be used if another condition is suspected.

Physical therapy focuses on reducing swelling while restoring mobility and strength. Treatments may include:

• Manual lymphatic drainage and soft tissue massage to promote fluid movement

• Compression wraps or sleeves to control swelling

• Elevation techniques to help fluid drain from the hand and wrist

• Active and passive range of motion exercises to prevent stiffness

• Strengthening exercises for grip and forearm support once swelling decreases

• Modalities such as cold therapy, electrical stimulation, or contrast baths

• Education on home strategies to manage and reduce swelling

Signs and symptoms of hand or wrist swelling may include:

• Puffiness or enlargement of the hand or wrist

• Stiffness and reduced finger or wrist mobility

• Pain or discomfort with movement or touch

• Skin that feels tight, shiny, or warm

• Difficulty gripping, writing, or performing fine motor tasks

• Persistent swelling that does not improve with rest

To minimize swelling and prevent long-term complications:

• Elevate the hand above heart level after injury or surgery

• Use cold therapy during the first 48 hours post-injury

• Wear compression wraps or gloves as recommended

• Perform regular gentle exercises to keep joints moving

• Avoid prolonged immobility or keeping the hand dependent (hanging down)

• Follow post-surgical rehab protocols closely