Exercises

Wrist & Hand · The wrist and hand pack more small joints, tendons, and nerves into a small space than almost any other body region, enabling fine motor control at the cost of frequent overuse injury.

Exercise for wrist and hand conditions varies significantly by diagnosis, ranging from gentle nerve gliding techniques for carpal tunnel syndrome to progressive tendon loading for tenosynovitis.

Because fine motor control is central to hand function, exercise programs often include both general strengthening and task-specific practice relevant to the individual's daily or occupational demands.

Typical exercise menu

Diagram of a median nerve gliding exercise sequence for the wrist

Median nerve glide

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2 × 5–10 slow repetitions

Move the wrist and fingers through a sequence of positions that gently glides the median nerve, stopping short of any tingling.

Person stretching the wrist in flexion and extension

Wrist flexor/extensor stretch

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2 × 3 each direction, held 20–30s

With the elbow straight, gently bend the wrist forward and back using the opposite hand for a mild stretch.

Diagram of tendon gliding hand positions

Tendon gliding exercises

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2 × 10 through the sequence

Move the fingers through a series of hook, fist, straight, and tabletop positions to glide the flexor tendons through their sheaths.

Person gently stretching the thumb tendon

Thumb IP extension stretch

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2 × 5, held 15–20s

Gently extend the thumb's tip joint using the opposite hand to stretch the thumb-side tendons.

Putty or ball squeeze

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3 × 10–15

Squeeze a soft therapy putty or stress ball through a full close, holding briefly before releasing.

Wrist curl with light weight

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3 × 12

Using a light dumbbell, curl the wrist upward through a comfortable range and lower with control.

Finger extension with band

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3 × 12

With a light rubber band around the fingers and thumb, spread the fingers apart against the band's resistance.

Pinch strengthening

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3 × 10

Pinch a small weighted object or pinch gauge between the thumb and fingers, holding briefly before releasing.

Exercise choice generally follows the specific diagnosis — nerve gliding for compression syndromes, tendon-specific loading for tenosynovitis, and general strengthening for post-injury or degenerative conditions.

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