topic three- intervention

S- approximately 30 yr old female with RSI in her wrist. She had been having acupuncture and massage to treat it previously however was still experiencing pain on wrist extension especially when putting weight through her wrist/ and overpressure.
T-I was aiming to decrease her pain and 'free up' her movement
A- As I could not do acupuncture on the patient's forearm I decided to do mobilisation of her wrist joint and of the carpal bones instead in combination with massage of her wrist extensors. I also noted that she had not yet tried using anti-inflammatory cream to do self massage so I decided to use it for the treatment to assess if there would be a change in her pain in these muscles.
R- the patients wrist extension was pain free even with overpressure after treatment! She also reported her wrist felt less stiff.
E/S- There was a good repsonse from using the anti-inflammatory cream and the patient was happy with her movement after the mobilisations. I was happy thatI chose to do the mobilisations and encourage the use of the cream. I think it was good that I tried to use a combination of things to improve her outcome. However I was unsure about doing the mobilisations at first as they caused pain initially which then eased.