{"id":11539,"date":"2022-11-17T20:37:20","date_gmt":"2022-11-17T20:37:20","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?p=11539"},"modified":"2022-12-08T15:31:58","modified_gmt":"2022-12-08T15:31:58","slug":"personal-wellbeing-protecting-your-wrists-in-veterinary-practice","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/personal-wellbeing\/protecting-your-wrists-in-veterinary-practice\/","title":{"rendered":"Protecting Your Wrists in Veterinary Practice"},"content":{"rendered":"<p class=\"p1\">Aristotle stated, \u201cThe hand is the tool of tools,\u201d and a veterinary nurse\u2019s hands are precious tools within the veterinary practice. From gripping instruments to restraining patients and from performing venipuncture to typing medical records, our hands undergo continuous stress. Overuse injuries of the hands and wrists can contribute to chronic discomfort, which can impact your life both in and out of the hospital. However, simple modifications to daily tasks as well as intentional stretching and strengthening movements may serve as an effective way to prevent injury.<\/p>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#606060;border-radius:3px;\"><div class=\"su-box-title\" style=\"background-color:#939393;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">Benefits of Intentional Movement<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">The <a href=\"https:\/\/todaysveterinarynurse.com\/column\/movement-is-medicine\/\">\u201cMovement Is Medicine\u201d series<\/a> will focus on common areas of discomfort for veterinary nurses in the workplace. Although this series will primarily discuss how intentional movement can protect your body on the job, it\u2019s important to note that physical activity can also boost mood, elevate confidence, improve focus, increase energy, reduce stress, and improve quality of life.<sup>1<\/sup><\/p>\n<p>Adults should engage in at least 150 minutes of moderate-intensity aerobic activity plus 2 days of strength training each week.<sup>2<\/sup> This might feel like an inconvenience\u2014the last thing on your mind after a long shift\u2014but think of it as an exercise prescription. You would want your clients to comply with prescribed recommendations, so aim to hold yourself accountable for 30- to 45-minute sessions 5\u00a0times each week. The key to adding fitness to your routine is to discover a modality of movement that you enjoy. <\/div><\/div>\n<h2 class=\"p3\">Why Do My Wrists Hurt?<\/h2>\n<p class=\"p4\"><span class=\"s1\">Wrist and hand pain can result from various sources, including acute sprains, soft tissue cysts, tendonitis, nerve compression, and fracture. However, it\u2019s possible that pain could be a result of overuse or awkward postures, which are common in the veterinary practice. The AVMA veterinary ergonomic guidelines include extended periods of wrist angles over 30\u00b0 as a risk factor for musculoskeletal injury.<sup>3<\/sup> Veterinary nursing tasks that can result in awkward positioning of the wrists and hands include dental prophylaxis, grooming, animal handling, cleaning, suturing, and computer work, among many others. Unfortunately, similar prolonged postures have been linked with twice the risk of developing carpal tunnel syndrome, as they contribute to increased pressure on the median nerve.<sup>4<\/sup> Sometimes referred to as \u201cBlackberry thumb,\u201d de Quervain\u2019s tenosynovitis is a hand condition characterized by pain and swelling near the base of the thumb.<sup>5<\/sup> It was long believed this syndrome was caused by repeated strain on the wrist or thumbs, such as using one\u2019s phone, as the name suggests. Duties performed by veterinary nurses may put similar strain on the tendons of the thumb. While experts now suggest that there is no direct relationship between occupational factors and de\u00a0Quervain\u2019s syndrome, it is possible that repetitive motions could exacerbate symptoms.<sup>6<\/sup> <\/span><\/p>\n<div class=\"su-youtube su-u-responsive-media-yes\"><iframe width=\"600\" height=\"400\" src=\"https:\/\/www.youtube.com\/embed\/9q9nraLWf4o?\" frameborder=\"0\" allowfullscreen allow=\"autoplay; encrypted-media; picture-in-picture\" title=\"\"><\/iframe><\/div>\n<h2 class=\"p3\">Strength Training Exercise<\/h2>\n<p class=\"p4\"><span class=\"s1\">With so much time spent in a gripped position through daily tasks, it is important to strengthen the opposing muscles to address possible imbalance. The use of an ordinary rubber band can provide resistance to facilitate this movement. <\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Be sure to confirm with a healthcare professional that these exercises are appropriate for you before attempting them and seek medical attention should you experience pain or discomfort during execution. <\/span><\/p>\n<h3 class=\"p5\">Finger Extension With Rubber Band<\/h3>\n<ul>\n<li class=\"p6\"><span class=\"s1\">Place a rubber band around the tips of all 5 fingers of one hand. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Working against the resistance of the band, spread your fingers to open your hand. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Once your fingers are extended to your range of motion, pause for 2 to 3 seconds. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Slowly return to the starting position. <\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Complete 10 to 15 repetitions then repeat on the other hand. <\/span><\/li>\n<\/ul>\n<div id=\"attachment_11452\" style=\"width: 160px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1.png\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-11452\" class=\" wp-image-11452\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1.png\" alt=\"\" width=\"150\" height=\"415\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1.png 701w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1-108x300.png 108w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1-370x1024.png 370w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_VTSDerm_Fig1-555x1536.png 555w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-11452\" class=\"wp-caption-text\">Finger Extension With Rubber Band: Once your fingers reach their range of motion, pause for 2 to 3 seconds. Illustration: Remie Geoffroi<\/p><\/div>\n<p class=\"p8\"><span class=\"s1\"><b>Regression: <\/b>Reduce your range of motion. <\/span><\/p>\n<p class=\"p4\"><span class=\"s1\"><b>Progression<\/b>: Increase the resistance of the rubber band.<\/span><\/p>\n<h2 class=\"p3\">Stretching Movements<\/h2>\n<p class=\"p4\"><span class=\"s1\">Improved wrist mobility can contribute to injury prevention.<sup>7<\/sup> Perform these stretching movements every day before beginning your shift or as needed while completing work tasks. Discontinue immediately if you feel pain at any point while performing these stretches. <\/span><\/p>\n<h3 class=\"p5\">Wrist Flexors Stretch<\/h3>\n<ul>\n<li class=\"p6\"><span class=\"s1\">Extend your arm in front of you with the palm facing up. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Gently bend your wrist, guiding your fingers downward and toward you using the opposite hand. <\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Hold for 20 to 30 seconds then repeat on the other side. Complete 2 to 3 times each. <\/span><\/li>\n<\/ul>\n<p class=\"p4\"><span class=\"s1\"><b>Regression<\/b>: Slightly bend your elbow as you complete the movement.<\/span><\/p>\n<div id=\"attachment_11540\" style=\"width: 460px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1.png\"><img decoding=\"async\" aria-describedby=\"caption-attachment-11540\" class=\" wp-image-11540\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1.png\" alt=\"\" width=\"450\" height=\"297\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1.png 1537w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1-300x198.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1-1024x676.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig2-1-768x507.png 768w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a><p id=\"caption-attachment-11540\" class=\"wp-caption-text\">Wrist Flexors Stretch: Slightly bend your elbow while you complete the movement for a regression option. Illustration: Remie Geoffroi<\/p><\/div>\n<h3 class=\"p5\">Wrist Extensors Stretch<\/h3>\n<ul>\n<li class=\"p6\"><span class=\"s1\">Extend your arm in front of you with the palm facing down. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Gently bend your wrist, guiding your fingers downward and toward you using the opposite hand. <\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Hold for 20 to 30 seconds then repeat on the other side. Complete 2 to 3 times each. <\/span><\/li>\n<\/ul>\n<p><b>Regression<\/b>: Bend your elbow slightly during the stretch.<\/p>\n<div id=\"attachment_11541\" style=\"width: 461px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3.png\"><img decoding=\"async\" aria-describedby=\"caption-attachment-11541\" class=\" wp-image-11541\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3.png\" alt=\"\" width=\"451\" height=\"280\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3.png 1537w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3-300x186.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3-1024x636.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig3-768x477.png 768w\" sizes=\"(max-width: 451px) 100vw, 451px\" \/><\/a><p id=\"caption-attachment-11541\" class=\"wp-caption-text\">Wrist Extensors Stretch: Gently bend your wrist during this movement to avoid causing any pain. Illustration: Remie Geoffroi<\/p><\/div>\n<h3 class=\"p5\">Palm Press Stretch<\/h3>\n<ul>\n<li class=\"p6\"><span class=\"s1\">Bring your palms together in front of you with fingers pointing upward. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Press your hands against each other and guide them close to your chest. <\/span><\/li>\n<li class=\"p6\"><span class=\"s1\">Gently bring your hands downward, feeling a stretch in your forearms. <\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Hold for 10 seconds. Complete 2 to 3\u00a0times.<\/span><\/li>\n<\/ul>\n<div id=\"attachment_11542\" style=\"width: 160px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11542\" class=\" wp-image-11542\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4.png\" alt=\"\" width=\"150\" height=\"386\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4.png 754w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4-117x300.png 117w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4-398x1024.png 398w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2022\/11\/Lookman_TVNWinter23_Wrists_Fig4-597x1536.png 597w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-11542\" class=\"wp-caption-text\">Palm Press Stretch: Aim to feel the stretch in your forearm as you move your palms downward during this stretch. Illustration: Remie Geoffroi<\/p><\/div>\n<h2>Special Considerations in the Veterinary Practice<\/h2>\n<p class=\"p4\"><span class=\"s1\">While strengthening and stretching can help prevent injuries, some tasks that leave your wrists and hands vulnerable to harm are unavoidable in the veterinary setting. Aim to implement these intentional changes while on the job to protect yourself. <\/span><\/p>\n<ul>\n<li class=\"p6\"><span class=\"s1\"><b>Avoid scruffing cats.<\/b> Many veterinary nurses and entire practices have chosen to replace manual or clip scruffing with gentler forms of restraint whenever possible. Not only do many cats respond negatively to these tight gripping methods, but the posture can negatively impact you, as sustained gripping is a suggested risk factor in the development of carpal tunnel syndrome.<sup>8,9<\/sup> Instead, the use of towel wraps or chemical restraint may be more appropriate alternatives.<sup>10<\/sup><\/span><\/li>\n<li class=\"p6\"><span class=\"s1\"><b>Use keyboard wrist rests.<\/b> While sitting at a computer, your wrists should remain in a neutral position in line with the forearms.<sup>11<\/sup> The use of wrist supports to elevate the wrists and\/or arms can help achieve this desired posture. Practices can install ergonomic keyboards or cushioned rests at shared computers throughout the hospital. In a pinch, a rolled towel will accomplish the same effect. <\/span><\/li>\n<li class=\"p7\"><span class=\"s1\"><b>Take frequent breaks.<\/b> If you are completing a task involving gripping or awkward wrist angles (e.g., dental prophylaxis) for extended periods of time, it\u2019s critical to take frequent breaks. If possible, alternate with a partner to give your hands a rest or pause to perform wrist flexor and extensor stretches before continuing ongoing tasks. <\/span><\/li>\n<\/ul>\n<h2>Handy Tips to Protect Your Hands and Wrists<\/h2>\n<p class=\"p4\"><span class=\"s1\">Whether you\u2019re in the hospital setting or at home, you rely heavily on the use of your hands. A wrist injury can cause long-term discomfort. Take precautions to protect your hands and wrists from overuse and awkward postures within the veterinary workplace to improve your quality of life. With these tips, you can continue your daily activities pain-free.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guard your hands and wrists from overuse and awkward postures within the veterinary setting.<\/p>\n","protected":false},"author":236,"featured_media":8736,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[235],"tags":[],"class_list":["post-11539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-winter-2023","column-movement-is-medicine","clinical_topics-personal-wellbeing"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Protecting Your Wrists in Veterinary Practice | Today&#039;s Veterinary 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