Pain in the fingers of the hands. Causes of pain in the fingers
Article of Dr. Evdokimenko © for the book "Pain and numbness in the hands", published in 2004.Edited in 2011.All rights reserved.
Most often pain in the fingers of the hand cause:
- polyosteoarthrosis of the fingers;
- tenosynovite de Cervena;
In addition, pain in the fingers( along with numbness) causes carpal tunnel syndrome and Reynaud syndrome .In total carpal tunnel syndrome and Raynaud's syndrome give about 30-35% of cases of pain in the fingers.
Perhaps, after reading the entire extensive list above, you now think with horror that it is very difficult to understand such a number of diseases and understand which of them causes pain in your fingers. But actually it is not. It will not be difficult to understand.
For example, two diseases immediately stand out from the general list - carpal tunnel syndrome and Raynaud's syndrome, they always flow with the numbness of the hands of
If you have pain in your fingers, but there is no obvious numbness in your hands, you can safely turn off carpal tunnel syndrome and Raynaud's syndrome from the list under consideration. The remaining diseases of the fingers are so characteristic that it is not difficult to distinguish one disease from another. And below I will tell you about these characteristic symptoms. You can only carefully read and compare your feelings with my descriptions. So:
Polyostoarthrosis of the fingers, "knobby fingers"
Polyostoarthrosis of the fingers gives about 40% of all cases of pain in the fingers. People who are not younger than 40-45 years old are sick( people younger than 40 years are ill with this disease in extremely rare cases), but especially people with polyostoarthrosis of the fingers are sick aged 50-55 years and older. Women are sick much more often than men.
For polyointearthrosis of the fingers is characteristic the emergence of special nodules( the so-called nodules Geberden ) on the back or side surfaces of those joints that are closer to the nails. Geberden's nodules most often develop symmetrically, that is, on the right and left hands simultaneously and in the same places. At the same time they can be formed on any fingers of the hands, from large to small fingers.
During the formation of Geberden's nodules in the joints, burning and pain may occur under them;sometimes these joints swell and blush. But in a third of patients the formation of Heberden's nodules is asymptomatic, without pain and burning.
In addition to Heberden's nodules, polyostoarthrosis produces painful nodules on those joints that are located approximately in the middle of the fingers( proximal interphalangeal joints).These are Bushar's knots. They are spindle-shaped, develop very slowly and with a rare exception they almost do not hurt.
Rheumatoid arthritis - approximately 5-7% of all cases of pain in the fingers of the hands. People of any age are ill, but more often those who are over thirty. Women are sick about 5 times more often than men. The disease develops, usually after severe stress or after a flu, severe colds, infections or hypothermia.
Rheumatoid arthritis usually begins with inflammation and swelling of the metacarpophalangeal joints of the index and middle fingers( ie, with inflammation of the joints located at the base of these fingers, in the region of the protruding bones of the compressed fist).Inflammation of metacarpophalangeal joints in most cases is combined with inflammation and swelling of the wrist joints.
Inflammation of the fingers and wrist joints with rheumatoid arthritis is symmetrical, ie, if the joints on the right arm are affected, then almost the same joints on the left hand are affected. The majority of those who suffer from the pain are often involved in other joints of the fingers and toes, as well as large joints - knee, elbow, ankle, etc.
For rheumatoid arthritis, the most typical inflammatory rhythm is pain: joint pains intensify in the second half of the night, in the morning. Day and night pains usually weaken somewhat.
Very often listed symptoms are accompanied in rheumatoid patients with a feeling of weakness, fever, slimming and chills, i.e., the disease often leads to a general deterioration in the person's well-being.
Psoriatic arthritis - less than 5% of all cases of pain in the fingers of the hands. The disease affects people most often in the age of 20-50 years. In most cases( but not always) the disease develops in people who already have skin psoriasis manifestations - dry flaking reddish spots on the body or on the scalp( psoriatic plaques).
To defeat the fingers in psoriatic arthritis is characterized by the so-called "axial inflammation, when on any finger all of its joints swell at once. The finger at the same time turns red and looks like a sausage. A similar pathology is called - "sausage-like" finger.
In psoriatic arthritis, axial inflammation can occur in any finger. But notice that with this disease, the inflammation of the fingers on the right and left hands is most often asymmetrical, that is, the fingers, as a rule, are affected on one hand;and sometimes at once on two hands, but then on one hand are inflamed one fingers and joints, and on the second hand - absolutely others.
For more information on psoriatic arthritis, see Chapter 19.
Gout, or gouty arthritis
Gout , or gouty arthritis-less than 5% of all cases of pain in the fingers.
People call gout deformity of the big toe, which usually develops in women. But in fact it is not gout, but arthrosis of the big toe. But the "classic", a real gout( gouty arthritis) often happens in men. Women suffer from gout several times less often.
And although the real gout is really often( but not always) begins with long-suffering big toes, it can hit any joints, both on the hands and on the legs.
Gouty arthritis usually occurs at the age of 20-50 years. The first, as already mentioned, the joints of the toes or knee or ankle joints are more likely to become inflamed. On the hands of others, the joints of the thumbs are inflamed more often( but any other fingers, either on one hand or both) can become inflamed.
Inflammation of the joints with gout occurs in the form of seizures. In most cases, a gouty attack happens quite unexpectedly: it usually starts on a background of complete health, most often at night. Pain in the joints with a gouty attack is often very acute: according to the patients' stories, "she wants to climb against the wall".The affected joint blushes with such an attack, the skin above it becomes bright red or crimson and hot to the touch.
Although in some patients, especially in women, seizures flow milder, without redness of the joint and without such acute pain. But in any case, the attack with gout arises unexpectedly and lasts from 3 to 10 days;then he suddenly passes away, as if nothing had happened. However, after a while, the attack also repeats again suddenly.
Here is a paroxysmal course of the disease and is the hallmark of gouty arthritis.
Tenosynovite de Kervena
Tenosynovitis de Kervena - approximately 5% of all cases of pain in the fingers of the hands. It is an inflammation of ligaments and "small" muscles in the region of an exceptionally large finger. Other fingers with tenosynovitis de Kerven are not inflamed.
Tenosynovitis de Kerwena can occur at any age in both men and women. Characteristic symptoms: pain at the base of the thumb and under it, where the thumb touches the wrist joint.
Pains can arise spontaneously, "on level ground," but more often they appear when the thumb is loaded, when you try to press your thumb on something or when you try to grab something with your thumb and index finger. In addition, pain intensifies when the thumb is extended to itself, that is, toward the elbow.
For more information about tenosynovitis de Kerven, see chapter 6.
Risartrose - Thumbnail arthrosis
Risartrose - approximately 5% of all cases of pain in the fingers of the hands. Risartrose affects the joint located at the base of the thumb and connects the thumb of the thumb with the radiating joint.
Usually, rizartrose is one of the manifestations of polyointearthrosis of the fingers, and then the diagnosis is not difficult. But in about 20-30% of cases, rizartroz arises as an independent disease, usually in people who are constantly heavily loaded or once extremely overloaded the thumb. In this case, it may be difficult to distinguish between rizartroz and tenosynovitis de Kerven, since the symptoms of these diseases coincide by almost 90%.
In this situation, we will be helped to distinguish between rizartrosis and tenosynovitis de Kerven deformity of the bones of the affected joint, which is clearly visible on examination and is clearly recorded on the x-ray( with tenosynovitis de Kerven on the x-ray, only soft tissue changes over the joint can be detected - and even then rarely).
For more information on rizartrose, see the chapter on polyostearthrosis of the fingers.
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Are the joints of the Polish hands hurt? Basis of the reasons, diagnosis and treatment methods
Anatomical reference: we all know that a person has two hands, each of which has five different fingers: large, index, middle, ring finger and little finger. Each finger consists of three phalanx bones, except for the thumb, which consists of two pips. The phalanges are interconnected by the interphalangeal joints, and the palms are attached to the palm by means of metacarpophalangeal joints.
Why are the joints of the fingers sore?
Pain in the joints of the fingers can be inflammatory, degenerative and traumatic. They are observed in many people: in men, in women, and even in children, and there is no special dependence on age.
- Inflammatory pain: arthritis, incl.and rheumatoid, gout, tenditis and tendovaginitis( inflammation of tendons and tendon sheaths), tenosynovitis de Kervena.
- Degenerative pain: arthrosis, polyosteoarthrosis, riarthrosis.
- Traumatic pains: dislocations, fractures.
- Symptom of Crohn's disease.
Arthritis, tendins and tendovaginitis are often infectious in nature. Rheumatoid arthritis is considered insufficiently studied autoimmune disease, in which the joints of the hands ache and swell.
The gouty process very rarely affects the brush and develops when violating the purine metabolism. Tenosinovit de Kervena develops in people whose profession is associated with increased stress on the thumb( seamstresses, engravers, masseurs, loaders, etc.).
Degenerative diseases are often associated with the physiological aging of connective tissue structures of joints( synovial membrane, articular bags) and a decrease in the secretion of synovial fluid. This leads to a reduction in the distance between the articular surfaces, increased stress, friction and, as a consequence, pain.
For polyostoarthrosis, hereditary predisposition is characteristic. In some families, they are afflicted by women in several generations. Diseases of the thyroid gland and diabetes mellitus are predisposing factors for the development of degenerative changes in the small joints of the hand.For any joint pain, consult a specialist, especially if it does not disappear within a week or is accompanied by a rash on the skin, fever, or inflammation of the eyes. A timely treatment will avoid complications.
If you fall on a brush, sudden movements or bruises( for example, a basketball), pain appears, as a reaction to external influences. Depending on the nature of the injury, this pain can last up to several weeks, and then periodically appear, for example, with a change of weather.
Crohn's disease is a severe autoimmune disease, primarily affecting the gastrointestinal tract. At the same time in the ileum and throughout the large intestine begin to form ulcers, disturb the pain in the lower abdomen on the right. Since this is a disease of connective tissue, joints are always involved in the process.The main causes of pain in the shoulder joint. What should I do if my shoulder hurts?
About the treatment of compression fracture of the spine you will learn from this article
Diagnosis of pain
- Poll( complaints, medical history, habits, profession, nutrition);
- Inspection( evaluation of finger strength and volume of performed movements);
- MRI for indications;
- General blood test and blood for rheumatic tests( C-reactive protein, etc.).
It is possible to suspect polyostoarthrosis already in appearance of the brush: deformation of the joints of the fingers, the nodules of Geberden and Bushard, stiffness.
Tenosynovitis de Kervena can be distinguished from arthrosis or arthritis with simple tests.
The first test is the occurrence of pain in the tendons, when the doctor tries to bring the patient to the thumb to the index. In this case, the patient resists and holds the thumb in the position of the maximum lead. During the second test, the pain at the base of the thumb arises when you try to tap its tip with the tips of the little finger and the ring finger.For the diagnosis of tenosynovitis de Kerven, the patient is provided with all necessary studies. Thus both in analyzes, and on the roentgenogram there will be a norm. In rare cases, on very high-quality X-ray images, a thickening of soft tissues can be seen in the region of the styloid process of the radial bone.
If the joints of the thumbs of the hands hurt
Pain in the joints of the thumbs is most often observed with polyostoarthrosis, but one should not forget about other diseases, for example, tenosynovitis de Kervena, psoriasis and gout.
In patients with polyostoarthrosis, the pain is permanent;there are both at rest and under load.
With tendovaginitis, the pains are disturbed only after an awkward movement, even at night in a dream, sometimes the affected joints of the fingers are clicked while moving.
With gouty arthritis in the soft tissues around the joint appear gouty cones, the so-called tophi. Therefore, the diffodiagnosis should be carried out in full: it's laboratory diagnostics, and X-ray study. Treatment depends on the disease with which we are dealing.
Of course, injuries also happen, as a rule, it is a dislocation or bruise of the metacarpophalangeal joint of the thumb. Usually, in this case the appearance of pain is always preceded by either a stroke or a fall on the hand, so it is not difficult to distinguish traumatic pathology from other diseases.Cold, immobilization, painkillers - that's a complex of emergency measures. It is important to start developing damaged joints on time, otherwise contracture may develop( painful restriction of movements).
If the joints of the hands hurt
Hands hurt with various diseases, including vascular, but here for the appearance of pain in the joints of the fingers always have its own specific reasons. Most often - it's rheumatoid arthritis, which manifests itself in the morning stiffness and painfulness with movements.
With adequate treatment, the disease passes into the stage of persistent remission, and with the progression of the process, the fingers are deformed so that the person partially loses the ability to self-service. Pain in the joints is constant, aching, osteophytes can form, and against the background of inflammation a degenerative process( arthrosis) may start.
Video: "Arthrosis of the base of the thumb: What if the joints of the thumbs hurt?"
The joints of the fingers often hurt during pregnancy. This is due to the following reasons:
The joint of the index finger hurts. Than to treat?
This is arthritis, not a trifle. Well, if you do not go further. Warming, ozocerite, paraffin, steamed hay( immerse with a wrist).Right hand? Usually the right side is more affected. You can grind( any), lay polyethylene or parchment, wrap up with a scarf, for the whole night. There are pills, but the finger hurts much less than large joints, it is better to suffer. Tablets from the joints all have a bad effect on the stomach. If the disease progresses, grab new joints, consult a rheumatologist.
The forefinger of the left arm hurts
no longer bite it in the dark places
Personal account deleted
ask at the pharmacy ointment, it can help)
and if not to the doctor)
Measure the pressure.not funny. I do not frighten, but a friend just had a pinkie for a day. I got an ambulance. The diagnosis is cardiac insufficiency. At 27 years old.