Dorsal wrist impingement

Dorsal wrist impingement (also known as dorsal capsulitis) is a condition involving irritation and inflammation of the soft tissues at the back of the wrist. The joint capsule, which surrounds and supports the wrist joint, can become thickened and inflamed, causing it to be pinched when the wrist is bent backwards (extension). This commonly results in pain over the central back aspect of the wrist, particularly during activities that place weight through the hands, such as push-ups, yoga poses or pushing up from a chair.

The condition is often associated with repetitive wrist extension, previous wrist injuries or activities that place repeated stress through the wrist joint. Typical symptoms include a sharp or aching pain on the back of the wrist that is aggravated by extension, along with tenderness, stiffness and occasionally mild swelling. Many people notice discomfort during sporting activities, gym exercises, manual work or other tasks that repeatedly load the wrist in an extended position.

Management focuses on reducing irritation of the inflamed tissues and gradually restoring normal wrist function. This may include modifying aggravating activities, temporary bracing or taping, anti-inflammatory strategies, and a structured rehabilitation program to improve wrist mobility, strength and load tolerance. Most cases respond well to conservative treatment, with only persistent or severe cases requiring injection therapy or surgical intervention.