Hand and Wrist Pain in Bicyclists

Mountain bikes are still the rage. But their handlebars can trigger hand and wrist injuries such as "handlebar palsy," a painful inflammation of the ulnar nerve that runs from your arm into your hand. Formally known as ulnar neuropathy, "handlebar palsy" can cause numbness, tingling, and pain in the arm, hand, wrist, and little finger.

Bicyclists are especially prone to this condition because of the repeated shocks and bouncing that can occur while holding the handlebars when riding. Other activities that involve stress on the hands and wrists may also irritate the ulnar nerve and cause ulnar neuropathy.

Treatment for this condition may involve anti-inflammatory medications, wrist splints, or therapeutic exercises. But prevention is the best medicine, and PM&R physicians suggest the following tips to avoid this painful problem:

• Make sure your bike fits. When purchasing a bike, see that you are properly measured. Serious biking enthusiasts should consider consulting a professional who can advise on appropriate fitting techniques.

• Padding is key. Padded gloves and handlebars cut back on stress and possible injuries.

• Sit right. Sitting in a more upright position puts less weight and pressure on hands and wrists.

• Rest up. Rest periods while biking long distances and between bike trips are recommended. Changing hand position on the handlebars frequently when biking can also help reduce the risk of injury.

• See a doctor with any injuries. PM&R physicians can recommend the right balance of exercise, padding, and bracing to help avoid chronic injuries.