Olympic gold medallist Abhinav Bindra became the fourth Indian shooter to carry the tri-colour during the opening ceremony of a multi-discipline sporting event on Sunday when he led the Indian contingent out during the Commonwealth Games opening ceremony.Bindra was, on Thursday, nominated as the country’s flag-bearer for the ceremony. The ace shooter led a 619-member strong contingent at the refurbished Jawaharlal Nehru Stadium.”It’s a great honour and a dream come true,” Bindra had said after being named the flag bearer of the Indian contingent.Dr. Karni Singh (1982 Asian Games), Jaspal Rana (1998 Commonwealth Games) and Rajyavardhan Singh Rathore (CWG 2006) are the other Indian shooters to have carried the tri-colour.Incidentally, Bindra was just 15 when he made his maiden appearance in a multi-sport event, in the 1998 Commonwealth Games in Kuala Lumpur.–with PTI inputs
DefinitionWrist pain is any pain or discomfort in the wrist.Alternative NamesPain – wristCausesCarpal tunnel syndrome: A common cause of wrist pain is carpal tunnel syndrome. You may feel aching, burning, numbness, or tingling in your palm, wrist, thumb, or fingers. The thumb muscle can become weak, making it difficult to grasp things. Pain may extend up to your elbow.Carpal tunnel syndrome occurs when the median nerve gets compressed at the wrist because of swelling. This is the nerve in the wrist that allows feeling and movement to parts of the hand. Swelling can occur if you:Do repetitive movements with your wrist, such as typing on a computer keyboard, using a computer mouse, playing racquetball or handball, sewing, painting, writing, or using a vibrating toolAre pregnant, menopausal, or overweightHave diabetes, premenstrual syndrome, an underactive thyroid, or rheumatoid arthritisInjury: Wrist pain with bruising and swelling is often a sign of an injury. Signs of a possible broken bone include deformed joints and inability to move the wrist, hand, or a finger. Other common injuries include sprain, strain, tendinitis, and bursitis.Arthritis: Arthritis is another common cause of wrist pain, swelling, and stiffness. There are many types of arthritis:Osteoarthritis occurs with age and overuse.Rheumatoid arthritis generally affects both wrists.Psoriatic arthritis accompanies psoriasis.Infectious arthritis is a medical emergency. Signs of an infection include redness and warmth of the wrist, fever above 100F, and recent illness.Other CausesGout: This occurs when your body produces too much uric acid, a waste product. It forms crystals in the joints, rather than being excreted in the urine.Pseudogout: This occurs when calcium deposits in the joints, causing pain, redness, and swelling. The wrists and knees are most often affected.Home CareadvertisementFor carpal tunnel syndrome, you may need to make adjustments to your work habits and environment:Make sure that your keyboard is low enough that your wrists are not bending upward while you type.Take plenty of breaks from activities that aggravate the pain. When typing, stop often to rest the hands, if only for a moment. Rest your hands on their sides, not the wrists.An occupational therapist can show you ways to ease pain and swelling and stop the syndrome from coming back.Over-the-counter pain medications, such as ibuprofen or naproxen, can relieve pain and swelling.Various, typing pads, split keyboards, and wrist splints (braces) are designed to relieve wrist pain. These may help symptoms. Try a few different kinds to see if any help.You may only need to wear a wrist splint at night while you sleep. This helps reduce the swelling. If this does not help, you may need to wear the splint during the day as well.Apply warm or cold compresses a few times during the day.For a recent injury:Rest your wrist. Keep it elevated.Apply ice to the tender and swollen area.Take over-the-counter pain medication, such as ibuprofen or acetaminophen.Wear a splint for several days. Wrist splints can be purchased at many drugstores and medical supply stores.For non-infectious arthritis:Do flexibility and strengthening exercises every day. Work with a physical therapist to learn the best and safest exercises for your wrist.Try the exercises after a hot bath or shower so that your wrist is warmed up and less stiff.Do notdo exercises when your wrist is inflamed.Make sure that you also rest the joint. Both rest and exercise are important when you have arthritis.When to Contact a Medical ProfessionalGet emergency care if:You are unable to move your wrist, hand or a finger.Your wrist, hand, or fingers are misshapen.You are bleeding significantly.Call your doctor right away if:You have a fever over 100F.You have a rash.You have swelling and redness of your wrist and you have had a recent illness (like a virus or other infection).Call your doctor for an appointment if:You have swelling, redness or stiffness in one or both wrists.You have numbness, tingling, or weakness in the wrist, hand, or fingers with pain.You have lost any muscle mass in the wrist, hand, or fingers.You have been following self-care treatments for two weeks, but still have pain.What to Expect at Your Office VisitYour health care provider will perform a physical exam, and ask about your symptoms and history, such as:When did the wrist pain begin?Did it occur suddenly and severely or gradually and mildly?Is the pain constant, or does it come and go?Is the pain worse in the morning or at night?Does it go away without self-care?Is the pain sharp, throbbing, or burning? Is there numbness or tingling in any of your fingers?Where exactly is the pain? Is it in both wrists? Does it extend into the fingers?Does the pain occur only with certain movements or positions?Does the pain prevent normal use of the wrist, hand, or arm?Is the pain worse with movement?What helps it? Is it better with immobilization to prevent movement? Does splinting the wrist or applying heat help?Do any medicines help?Is there joint pain elsewhere?Is there pain elsewhere, such as the neck?What medications are you taking?Have you had any recent injuries or illnesses?Are you involved in activities requiring repetitious hand and wrist movements, such as sewing, knitting, computer keyboard use?X-rays may be taken. If your health care provider thinks that you have an infection, gout, or pseudogout, fluid may be removed from the joint to examine under a microscope.advertisementAnti-inflammatory medicines may be prescribed. Injection with a steroid medicine may be done. Surgery may be needed to treat some conditions.PreventionTo prevent carpal tunnel syndrome:Adjust your keyboard so that you do not have to bend your wrist upward while typing.Take frequent breaks from activities that require wrist movement.Work with an occupational therapist.To prevent gout attacks:Limit alcohol.Lose weight if you are overweight.Drink plenty of water.Eat lower amounts of liver, anchovies, sardines, and herring.Your doctor may prescribe medication.ReferencesShebab R. Evaluation and diagnosis of wrist pain: a case-based approach. Am Fam Physician. 2013;87:568-573.Swigart CR. Hand and wrist pain. In: Firestein GS, Budd RC, GabrielSE, et al., eds. Kellys Textbook of Rheumatology. 9th ed. Philadelphia, Pa: Elsevier Saunders; 2012:chap 50.Review Date:4/16/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial Team.
PHILADELPHIA — Bartolo Colon moved into an elite club on Aug. 8.Colon pitched eight innings for his 200th career victory, Travis d’Arnaud homered and the New York Mets held on for a 5-4 victory over the Philadelphia Phillies.Daniel Murphy recorded his fifth straight multihit game with two singles for the Mets, who have won 10 of their last 11 games in Philadelphia. New York has outscored Philadelphia 63-32 during those contests.Marlon Byrd homered, Grady Sizemore drove in two runs and hot-hitting Ben Revere had two of the Phillies’ nine hits. Revere is batting a major league-best .388 since June 26.The 41-year-old Colon joined Pedro Martinez and Juan Marichal as the only Dominican-born pitchers to reach 200 victories. “I’m really happy to be in that category,” Colon said through an interpreter. “I’m expecting a call from those guys.”He gave up one run and six hits, struck out six and walked none.“It’s amazing that he’s still able to perform like he does,” Mets Manager Terry Collins said. “Two hundred wins, that’s a lot of wins.”Colon (11-9) didn’t allow a batter to reach second base except for Byrd, who led off the seventh with a drive over the wall in left for his 22nd homer. Colon departed after throwing 107 pitches.“He throws a lot of fastballs but he changes speeds with them making it difficult to gauge the velocity,” Phillies Manager Ryne Sandberg said.Philadelphia’s A.J. Burnett (6-12) surrendered 11 hits, tying a season high, resulting in five runs in his third consecutive loss. The right-hander struck out eight and walked two while falling to 0-4 with a 6.66 ERA in his last five starts.The Mets nearly blew it in the ninth, when Philadelphia scored three runs on three hits.Chase Utley doubled and Ryan Howard walked against left-hander Dana Eveland. Closer Jenrry Mejia relieved Eveland and Byrd singled to load the bases. Sizemore then lined a two-run double off the wall in right that trimmed New York’s lead to 5-3.“I was praying for the ball to stay in the ballpark,” Colon said. “Thanks to Mejia for doing his job and holding his composure on the mound.”Right fielder Curtis Granderson made a diving catch on Carlos Ruiz’s sinking liner to save at least one run for the first out. “That really saved us,” Collins said.After Cody Asche had a run-scoring groundout, Mejia struck out pinch-hitter Reid Brignac for his 17th save in 19 opportunities.The Mets got on the board in the fourth inning, with Juan Lagares, Wilmer Flores, Granderson and Murphy each driving in a run. D’Arnaud’s eighth homer in the fifth put New York ahead 5-0.The only spot where Colon struggled was the batter’s box, where the historically poor hitter went 0-for-4 with four strikeouts – two of which came on failed sacrifice attempts. A career .087 hitter entering the game, Colon’s average dipped to .043 with 28 strikeouts in 46 at-bats this season.Murphy is batting .456 in his last 13 games and upped his NL-leading hits total to 144.(AARON BRACY)TweetPinShare0 Shares