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Self-Care for Wrist & Hand Pain: Acupressure & Fascial Manipulation


A Man Holding His Wrist

When patients ask how to speed up recovery from wrist and hand pain, including conditions like carpal tunnel syndrome, I often reply, “Yes, there’s more you can do!” In addition to prescribed treatments and exercises, two powerful methods can help: Traditional Chinese Medicine (TCM) and Fascial Manipulation.


TCM draws on centuries of expertise by utilizing specific acupuncture points that are proven to relieve wrist and hand pain, as well as improve overall healing. Fascial Manipulation complements this by addressing not only these points but also the surrounding tissues, focusing on improving mobility and function. This approach activates the nervous system, enhances circulation, and accelerates recovery. Both techniques are supported by scientific research and can be easily incorporated into your daily routine.


By integrating these techniques for wrist and hand pain, including carpal tunnel, you take an active role in your healing process—reducing inflammation, relieving discomfort, and promoting long-lasting recovery. This empowers you to complement professional treatments with effective, hands-on care that can accelerate your results and help you regain function faster.


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Fascia Image

The Role of Fascia in Acupressure and Healing for Wrist and Hand Pain


Research shows that many acupuncture points associated with wrist and hand pain are located along fascial thickenings, where connective tissue layers converge. Applying pressure to these points and addressing fascial restrictions in the surrounding wrist and hand area can unlock significant therapeutic benefits.


Fascia, a continuous network throughout the body, plays a crucial role in neurological and vascular functions. By releasing tension and improving mobility in the fascia around the wrist and hand, you restore proper blood flow and nerve function, which helps reduce inflammation and relieve pain. This approach not only targets specific acupuncture points but also treats the surrounding tissues, promoting a more comprehensive and long-lasting healing effect.


For example, studies on acupuncture show that applying pressure along fascial planes creates mechanical tension and signaling through the connective tissue, a concept called tensegrity. This means that treating specific points can have a ripple effect, benefiting both the wrist and hand, as well as distant areas connected by the fascial network. By working on both the acupuncture points and fascia in the wrist and hand, you can achieve more profound and lasting relief from pain, enhancing recovery and function.



 

Specific Acupuncture Points


Wrist and hand pain, whether from conditions like carpal tunnel syndrome, tendonitis, or arthritis, can greatly affect your daily life. Fortunately, acupressure combined with fascial manipulation offers a natural and effective way to relieve pain, reduce inflammation, and restore mobility. Key acupressure points such as PC 7, LI 5, TH 4, and SI 4 can be easily stimulated to support your healing process.


PC7 Acupuncture Point Image
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PC 7 (Pericardium 7)


Location: To find PC 7, look at the center of your wrist on the palm side. This point is located on the crease where your wrist bends, between two tendons—one is called the palmaris longus, and the other is the flexor carpi radialis. You can feel these tendons when you move your wrist slightly or make a fist. Make sure your wrist is relaxed and your palm is facing upward to easily find this spot.

Effects on Inflammation and Healing: PC 7 is particularly effective for treating wrist and hand pain, such as in carpal tunnel syndrome, tendonitis, and arthritis. Stimulating this point helps relieve discomfort and improve joint function, while also reducing inflammation in the surrounding tissues. PC 7 is also known to promote relaxation and reduce stress, which can be beneficial for managing pain associated with these conditions.

Self-Treatment: Apply firm but gentle pressure with your thumb or fingertips to PC 7, using circular motions for 1 to 3 minutes. Alternate between clockwise and counterclockwise rotations. You may also find it helpful to knead the tissues around the wrist to release tension and boost circulation. Self-treatment can be easily done, but assistance from a partner may provide more thorough pressure application.

Contraindications: Avoid applying pressure to PC 7 during pregnancy, especially in the first trimester, as this point may have strong effects on moving Qi (circulation and energy flow). If you have any concerns or pre-existing conditions, consult a healthcare provider before using this technique.


LI 5 (Large Intestine 5) Image
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LI 5 (Large Intestine 5)


Location: Location: To find LI 5, look at the thumb side of your wrist. This point is located between two tendons—one called the extensor pollicis longus and the other extensor pollicis brevis. To locate it, measure about one thumb's width up from the wrist crease on the back of your hand. Keep your wrist relaxed to feel the tendons more easily.

Effects on Inflammation and Healing: LI 5 is highly effective for relieving pain, swelling, and stiffness in the wrist and hand. It is commonly used to treat conditions like tendonitis, carpal tunnel syndrome, and arthritis. Stimulating this point can help reduce inflammation, improve mobility, and ease discomfort in the affected area.

Self-Treatment: Apply firm but gentle pressure to LI 5 with your thumb or fingertips, using circular motions for 1 to 3 minutes. Alternate between clockwise and counterclockwise movements to help release tension and improve circulation. You may also massage the surrounding area to further alleviate stiffness and promote healing.

Contraindications: Avoid applying pressure to LI 5 if there are local skin infections, open wounds, or fractures near the wrist, as this could worsen these conditions. Always consult a healthcare provider if you are unsure whether this technique is suitable for your condition.



TH 4 (Triple Heater 4) Image
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TH 4 (Triple Heater 4)


Location: To find TH 4, look at the back of your wrist. This point is located in the small dip between two tendons—the extensor digitorum communis and extensor digiti minimi muscles. Measure about one thumb's width above the crease where your wrist bends. Keep your wrist relaxed to easily feel the tendons and locate the point.

Effects on Inflammation and Healing: TH 4 is often used to relieve wrist pain, stiffness, and conditions like carpal tunnel syndrome. Stimulating this point can help improve joint mobility and reduce discomfort in the wrist and hand, making it a valuable option for those suffering from repetitive strain injuries.

Self-Treatment: Apply firm, gentle pressure to TH 4 using your thumb or fingertips, making small circular motions for 1 to 3 minutes. Alternating between clockwise and counterclockwise movements can help release tension and increase circulation. Massage the surrounding area for added relief and enhanced healing effects.

Contraindications: Avoid applying pressure to TH 4 if there are any skin infections, open wounds, or severe inflammation in the area. Use caution for individuals with blood clotting disorders, those taking anticoagulants, or during pregnancy. Always consult with a healthcare provider if you are unsure whether this technique is suitable for your condition.



SI 4 Image
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SI 4 (Small Intestine 4)


Location: To find SI 4, look at the pinky side of your hand. This point is located in the small dip between the base of the 5th metacarpal bone (the bone that leads to your pinky finger) and the triquetral bone (a small bone in the wrist). It’s easiest to locate when your hand is relaxed.

Effects on Inflammation and Healing: SI 4 is commonly used to relieve pain, stiffness, and inflammation in the wrist, hand, neck, shoulder, and arm. It is particularly effective for reducing swelling and discomfort in conditions associated with the Small Intestine meridian, which may manifest as inflammation or hyperactivity in these regions. Stimulating SI 4 helps promote healing and improve mobility in affected joints and muscles.

Self-Treatment: Apply firm but gentle pressure to SI 4 using your thumb or fingers, moving in circular motions for 1 to 3 minutes. Alternating between clockwise and counterclockwise motions can help release tension, reduce inflammation, and improve circulation in the wrist and hand. Massaging the surrounding area can enhance these effects.

Contraindications: While SI 4 has no major contraindications, avoid applying pressure to this point if there are local skin infections, open wounds, or severe sensitivity in the area to prevent further irritation. Always consult a healthcare provider if you are unsure whether this technique is appropriate for your condition.



 

Contraindications Overview for Wrist and Hand Pain


When using acupressure for wrist and hand pain, it's essential to be aware of potential contraindications, particularly if there are fractures, dislocations, or severe inflammation in the wrist or hand joints. Acupressure points like LI 5 and PC 7 should be applied with caution in cases of acute injury, such as tendonitis or carpal tunnel syndrome. Additionally, if there are skin infections or open wounds near the wrist or hand, avoid applying pressure to prevent further complications.


Caution and Safety Guidelines

When performing acupressure on the wrist and hand, avoid pressing too hard on sensitive areas like blood vessels or nerves. If you feel a pulse or experience sharp, radiating pain while applying pressure, adjust your technique to avoid compressing major vascular or nerve structures. Be mindful of any swelling, inflammation, or bruising in the area and avoid pressure if there's a risk of worsening the condition. If you are pregnant, steer clear of points that could potentially influence uterine activity. Always consult a healthcare provider if you have any pre-existing conditions or concerns about using acupressure safely.



 

Drummers Hands

Conclusion: Acupressure & Fascial Manipulation for Wrist and Hand Pain


In conclusion, applying acupressure to key points such as LI 5, PC 7, TH 4, and SI 4 can significantly reduce wrist and hand pain, stiffness, and tension. For the best results, acupressure works most effectively when combined with complementary treatments like fascial manipulation, osseous adjustments, and a personalized exercise program focused on improving mobility and strength. Daily acupressure can be an essential tool for managing symptoms between professional treatments, helping to reduce inflammation, improve circulation, and relieve muscle tension in the wrist and hand.


Maximizing Your Healing with Daily Acupressure

In some cultures, like in China, acupuncture or acupressure is practiced daily to maximize healing. In North America, treatments are more commonly scheduled once or twice a week. By incorporating daily acupressure on key points, you can maintain the therapeutic benefits and accelerate your recovery. Consistent self-care through daily acupressure ensures the healing process continues between sessions, resulting in more effective and sustained relief.


Final Note

While self-care is important, involving a friend or family member in your acupressure routine can further enhance the healing process. They can assist in reaching difficult spots, ensuring proper application of the techniques. Whether you perform acupressure on your own or with assistance, integrating these methods into your routine will support your body’s natural healing processes and provide long-term relief from wrist and hand pain.



 

References


  1. Abelson, B. J., & Abelson, K. T. (2010, June 1). Release Your Kinetic Chain with Exercises for the Shoulder to Hand.

  2. Abelson, B., Abelson, K., & Mylonas, E. (2018, February). A Practitioners Guide to Motion Specific Release, Functional, Successful, Easy to Implement Techniques for Musculoskeletal Injuries (1st edition). Rowan Tree Books.

  3. Bordoni, B., & Zanier, E. (2014). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 7, 299-310. doi: 10.2147/JMDH.S66724

  4. Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A Manual of Acupuncture. Journal of Chinese Medicine Publications.

  5. Kaptchuk, T. J. (2000). The Web That Has No Weaver: Understanding Chinese Medicine. McGraw-Hill Education.

  6. Langevin, H. M., & Yandow, J. A. (2002). Relationship of acupuncture points and meridians to connective tissue planes. The Anatomical Record, 269(6), 257-265. doi: 10.1002/ar.10185

  7. Maciocia, G. (2015). The Foundations of Chinese Medicine: A Comprehensive Text. Elsevier Health Sciences.

  8. Schleip, R., & Müller, D. G. (2013). Training principles for fascial connective tissues: Scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies, 17(1), 103-115. doi: 10.1016/j.jbmt.2012.06.007

  9. Stecco, C., & Hammer, W. I. (2018). Functional Atlas of the Human Fascial System. Elsevier Health Sciences.

  10. Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., ... & Linde, K. (2018). Acupuncture for chronic pain: Update of an individual patient data meta-analysis. The Journal of Pain, 19(5), 455-474. doi: 10.1016/j.jpain.2017.11.005

  11. Yang, M., Yang, J., Zuo, Z., Liao, X., Wen, Y., Fan, L., ... & Xia, J. (2016). The role of traditional Chinese medicine in the regulation of oxidative stress in treating coronary heart disease. Oxidative Medicine and Cellular Longevity, 2016. doi: 10.1155/2016/5691949

  12. Yu, X., & Ding, G. (2012). Acupuncture mechanisms: Anesthesia, analgesia and protection on organ functions. World Journal of Traditional Chinese Medicine, 1(1), 59-66. doi: 10.15806/j.issn.2311-8571.2012.0013



 

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DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.



 


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