Swollen and painful table tennis wrists need to be treated according to the specific cause. Common causes include muscle ligament injury, tenosynovitis, wrist arthritis and so on. Treatments include general treatment, medication, physical therapy, surgery and so on. 1. Muscle ligament injury: when playing table tennis with improper force, it will lead to muscle ligament injury, resulting in swelling and pain in the wrist, attention should be paid to rest, ice packs within 72 hours, hot packs after 72 hours, and oral non-steroidal anti-inflammatory drugs, such as celecoxib, etc., if the pain is serious. 2. Tenosynovitis: When tenosynovitis occurs, there will also be symptoms of wrist swelling and pain, accompanied by activity limitation. You should pay attention to rest, reduce activities, oral acetaminophen and other non-steroidal anti-inflammatory drugs, local hot compresses, severe symptoms can be tenotomy release surgery treatment. 3. Wrist arthritis: aseptic inflammation caused by long-term over-activity, inflammation stimulates nerve endings, causing wrist pain. Attention should be paid to rest, keep warm, local physiotherapy such as local infrared irradiation treatment, can also be used for drug treatment, such as external diclofenac diethylamide cream pain. Table tennis wrist swelling and pain may also have other reasons, it is recommended to go to the hospital in time to improve the examination to clarify the cause of the disease, to give targeted treatment or treatment. The above drugs are recommended to be used under the guidance of a doctor.