Our ongoing injury management and recovery series focuses on common injuries, their causes, symptoms, and treatments. Today, we’re diving into Skier’s Thumb. We’ll explore what it is, how it occurs, and strategies for managing it effectively. Whether you aim to stay active, recover fully, or prevent future injuries, this guide is here to help.
What is Skier’s Thumb?
Skier’s Thumb is an acute injury to the ulnar collateral ligament (UCL) of the thumb, caused by excessive sideways and backward bending. This ligament, located at the base of the thumb, plays a crucial role in stabilising the joint. The injury typically occurs when the thumb is forcefully pulled away from the hand, causing the ligament to stretch or tear. Skier’s Thumb can range from mild (slight stretching) to moderate (partial tear) and severe (complete rupture), which may require medical intervention.
What Causes Skier’s Thumb?
As the name suggests, Skier’s Thumb is common among skiers who fall while holding onto a ski pole. However, this injury can also occur in other sports and activities that involve sudden impact or excessive force on the thumb, such as basketball, football, or a direct fall onto an outstretched hand. Additional risk factors include poor grip strength, inadequate protective gear, and previous thumb injuries.
Signs and Symptoms
Common symptoms of Skier’s Thumb include but are not limited to:
• Pain and tenderness at the base of the thumb, near the web space
• Swelling and bruising around the thumb joint
• Weakness or difficulty gripping objects
• Instability in the thumb joint, particularly when pinching or grasping
• Possible deformity in severe cases
Managing Skier’s Thumb
Recovery from Skier’s Thumb involves rest, targeted care, and progressive rehabilitation. Here are some key strategies to support a smooth recovery:
Rest and Pain Management:
• Activity Modification: Avoid using the injured thumb and minimise activities that require gripping and pinching.
• Ice: Apply ice packs for 15-20 minutes every 2-3 hours to reduce swelling and pain.
• Immobilisation: Use a thumb brace or splint to support the joint and prevent further injury. Depending on the severity of the injury, immobilisation can range from 10 days to 6 weeks.
Gentle Mobility Exercise
The primary goal of rehabilitation is to improve function. Mobility exercises are an effective means to increase your wrist range of motion and flexibility.
Wrist Hinge: Raise both arms to your sides with elbows tucked in. Keep your palms facing each other and make fists with thumbs on top. Bend your wrists down, then up. Gently move your wrist up and down, within tolerance.
Thumb Strengthening Exercise
This exercise helps improve finger dexterity and strength.
Thumb Strengthening: Use your thumb and all other fingers to pick up small objects, including coins, pencils, and paper clips, one at a time. Repeat the exercise for around five minutes.
Strengthening Exercise
This exercise specifically targets building strength and endurance in the thumb.
Wrist and Hand Ball Squeeze: Take a soft rubber ball and place it in the palm of your hand. Slowly squeeze the ball for 3 seconds and release it. Attempt 1-2 sets of 15 repetitions.
Gradual Return to Activity
Once the pain subsides, gradually reintroduce hand-dependent activities. Start with light tasks, increase intensity slowly, and avoid reinjury.
Prevention Strategies
Reducing the risk of Skier’s Thumb involves proactive measures:
• Use Proper Equipment: If skiing, use poles with straps designed to minimise thumb injuries.
• Strengthen Hand Muscles: Perform grip-strengthening exercises.
• Proper Warm-Up: Engage in hand and wrist mobility exercises before starting your sport.
• Practice Safe Falls: Learn how to fall safely in your sport to avoid landing on your wrists or hands.
Conclusion
Recovering from Skier’s Thumb requires patience and a structured rehabilitation plan. Prioritising rest, engaging in progressive exercises, and taking preventive measures will help restore thumb function and reduce the risk of future injuries. By listening to your body and seeking professional guidance when needed, you can safely return to your daily activities and sports with confidence
