Comprehensive prolotherapy for wrist

The wrist joint is biomechanically connected to the elbow joint through the radius and ulna bones. Therefore, it is important to examine the elbow in patients with chronic wrist complaints. Detailed history taking, including the trauma mechanism, occupation, and daily activities, is essential. Physicians should perform a physical examination to identify the specific ligaments that are injured, leading to instability and pain in the wrist. Ultrasound is a valuable tool for confirming the lesion, identifying the location of instability, and detecting possible TFCC (Triangular Fibrocartilage Complex) injuries using both static and dynamic techniques. Most importantly, it can be used to guide injections for prolotherapy.