Wrist Pain Doing Push-Ups? Here's What It Means and What to Do

Updated July 20261 minute read

Wrist pain during push-ups or planks usually comes from loading the wrist in full extension (bent back) under bodyweight, which stresses the joint, ligaments, and — on the pinky side — the TFCC. It's commonly an overload or tolerance issue rather than serious damage. Modifying the position, building wrist tolerance gradually, and strengthening usually fix it. Pain after a fall, or with locking or instability, deserves a closer look.

What this usually means

Most likely causes. Loading the wrist in extension under bodyweight stresses the joint and ligaments; pinky-side pain may involve the TFCC. Limited wrist extension tolerance is common. Less common causes. A prior sprain, early arthritis, or (after a fall) a bony issue can flare with weight-bearing.

What you can try at home

Modify the position — push up on fists or push-up handles to keep the wrist straighter, or do incline push-ups — while you build tolerance. Gradually load the wrist in extension and strengthen the wrist and forearm. Warm up the wrists first.

When to see a physical therapist

If wrist pain with weight-bearing persists, a PT can assess wrist mobility and tolerance and build a progression.

Red flags — don't wait

Seek care for wrist pain after a fall with thumb-base tenderness, locking, instability, deformity, or numbness/cold fingers.

How a PT treats this

Treatment builds wrist extension tolerance and strength and grades you back to full weight-bearing.

Frequently asked questions

Sources (3)
  1. AAOS OrthoInfo: Wrist Sprains. — AAOS OrthoInfo
  2. Casadei K, Kiel J. Triangular Fibrocartilage Complex. StatPearls. — StatPearls (NCBI Bookshelf)
  3. MedlinePlus: Wrist Injuries and Disorders. — NIH/MedlinePlus

This article is for education only and isn't medical advice. Always talk to a licensed clinician about your specific situation.

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