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-Sample return to sport plan - onceasymptomatic, with no residual painor tenderness on movements of thewrist, return to sport with 3-5repetitions of slow tumbling movessuch as walkovers and handstands andgradual increase in repetitions – oncethe athlete can do 10-15 reps, add 3-5repetitions of faster tumbling moves.-Splints to prevent excessive wristbending may be neededCapsulitis would have similarsymptoms to the pain of the stressfracture, possibly with swelling. Treatas above.Dorsal wrist gangliaThis is more common amonggymnasts than other athletes.Presenting as small, tender masses onthe wrist, the symptoms may betreated by immobilization and non –steroid anti-inflammatories.ConclusionPain is a response of the body thatoften has a protective role. Damagedtissue releases chemicals that causepain, additionally causing surroundingtissues to vasodilate (the fluid carryingvessels open wider). That brings morefluid to the area, some of which leaksthrough torn tissue causing swelling.Pain, when stretching muscles, is adefence mechanism so that we don’ttear them. However, we can slowlywork into the border of pain asmuscles can adapt by creating morelength. There is little adaptivepotential to joint pain. Sometimesstretching the capsule of a joint issometimes acceptable, but couldpotentially lead to hypermobility orinstability.Listen to pain.From the list above it is obvious thatthere are many wrist problems thatmay arise and that some are quiteserious. Know your gymnast, listen toher complaints, modify her training,and if symptoms persist for a coupleweeks, look to a physician forguidance.BibliographyGabel Gerard T. MD: Hand and Wrist Injuries, Gymnastic wrist injuries. Clinics inSports Medicine, Vol. 17, Number 3, July 1998.Zataruk Merrilee N. MD, FRCPC: Pediatric and Adolescent sports injuries, TheYoung Gymnast. Clinics in Sports Medicine, Vol. 19, Number 4, October 2000Gym Coach Quarterly Page 15 November 2004