Distal Radio-Ulnar Joint Dysfunction (DRUJ) is a condition that affects the joint between the radius and ulna at the wrist, which is responsible for allowing smooth rotation of the forearm during everyday movements such as turning a key, opening a door, using a screwdriver, or rotating the palm up and down. The condition commonly develops following a wrist fracture, ligament injury, repetitive strain, or degeneration of the joint, resulting in pain, stiffness, instability, and reduced hand function. Individuals may experience difficulty lifting objects, gripping firmly, or performing activities that require forearm rotation.
If left untreated, DRUJ dysfunction can lead to chronic pain, weakness, and reduced mobility, significantly affecting daily activities and work performance. Early assessment and appropriate treatment are essential to restore normal joint mechanics and prevent long-term complications. Physiotherapy plays a crucial role in managing the condition through pain relief techniques, manual therapy, mobility exercises, strengthening of the wrist and forearm muscles, and functional rehabilitation. A personalised rehabilitation programme helps improve joint stability, restore full range of motion, enhance grip strength, and enable a safe return to work, sports, and everyday activities while reducing the risk of recurrence.