What are the diseases that cause wrist and hand pain? Osteoarthritis, DeQuervain disease, carpal tunnel syndrome, ulnar nerve compression on wrist, trigger finger, Dupuytren's contracture, Sudeck atrophy, Raynaud' s disease, arthritis (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis), hypertrophic osteoarthropathy, ganglion cysts, trauma.
What is hand osteoarthritis? What is the treatment?
Hand osteoarthritis usually begins over 40 years of age. Women are ten times more likely to develop the disease than men. Although it may involve a single joint, the involvement is usually in more than one joint. It is especially common on women's side of the family; mother, daughter, sister. The disease can progress unnoticed for months and years with little or no pain. Patients usually present to the physician because of poorly appearing nodules on their fingers. Some patients complain that they cannot do their job as skillfully as before. Painful osteoarthrosis often benefit from physical therapy tools such as paraffin baths and hot packs. Nylon gloves worn at night reduce pain and morning hardness.
What is rheumatoid arthritis of the hand? What is the treatment?
It is an inflammatory joint rheumatism. Progressive and disabling. It holds many joints such as neck, shoulder, elbow, hip, knee and foot. One of the most frequent places is the hand. It is characterized by pain, swelling and stiffness in the wrist, finger, and middle joints. It may leave deformities and permanent deformities over time. If it is not treated and the disease progresses, the function of the hand is impaired. The patient with rheumatoid arthritis is evaluated not only by hand but also completely and basic and symptomatic drug treatment is arranged. Physical therapy and rehabilitation are performed according to the condition of the disease. The most important issue that patients should be aware of is that they are constantly under the control of the physician in order to follow the course of the disease and to observe the benefits and harms of the drugs.
What is carpal tunnel syndrome?
It is the clinical presentation of median nerve entrapment within the carpal tunnel. Carpal tunnel syndrome is more common in women. The patient complains of pain, numbness and tingling in the first three or four fingers. The symptoms are characteristically increased at night, early in the morning and awaken the patient. The patient often tries to relieve pain and numbness by waving his hands. EMG is a valuable diagnostic method for diagnosis and monitoring of the disease. In mild cases, splint resting of the wrist in a neutral position and local corticosteroid injection often provide recovery. Physical therapy consisting of pain relief and anti-inflammatory rheumatic drugs, paraffin bath applied to the wrist and ultrasound may be useful. Surgery is performed for patients who do not respond to these treatments and have loss of strength.
What is DeQuervain disease?
How is it treated? It is common in women doing business by squeezing their hands with their thumbs and moving their hands in the direction of the small finger. The patient complains of pain on the projection at the thumb. The disease is treated by resting the thumb and local cortisone injection. surgery may be required rarely .
Is the trigger finger a disease?
It is the disease of the internal beam of the fingers. When the finger is bent, it is locked and cannot be straightened. If the finger is forced, it suddenly becomes idle and flattened. Local corticosteroids are injected for treatment. Physical therapy helps to heal. If these are not enough, surgical intervention may solve the problem.