Pain in the joint of the hand

Causes and methods of treatment of diseases of the joints of the hands

Pain in the hands is a serious problem that limits the mobility of joints and is dangerous for its complications. With soreness in the hands it is impossible not only to lift weights, perform household tasks, but also to perform elementary actions, such as typing on the keyboard and writing by hand. Diseases of the joints of the hands require immediate treatment, therefore, having noticed the first symptoms, it is necessary to urgently go to a rheumatologist who will determine the exact cause and prescribe the treatment.

Why the hands hurt

Pain in the hand and the restriction of mobility arise for a variety of reasons that can be divided into two groups: mechanical and inflammatory. Mechanical causes include injuries and degenerative diseases, accompanied by pain during movement. At rest, pain in the hands is usually not felt.

If the cause of pain is the inflammatory process in the hands, then, in addition to the pain, there is also stiffness. Also, with inflammation of the joints, swelling and redness of the skin is possible.

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The first sign of an inflammatory disease of the joints of the hands is pain, which is often accompanied by stiffness and swelling. Regardless of when unpleasant sensations appear - in a state of rest or during movement - it is necessary to immediately consult a doctor when the first symptoms appear. The exact cause of soreness is determined by the doctor by the nature of the pain.

The most common causes of pain in the joints of the hands are:

  • injuries;
  • rheumatoid arthritis;
  • osteoarthritis;
  • gout;
  • infectious arthritis.

Injuries are one of the most common causes of soreness in the hands. Acute pain occurs with fracture, stretching and dislocation. In case of a trauma, the skin over the damaged joint turns red, there is swelling and stiffness.


Inflammation as a cause of joint pain

Rheumatoid arthritis is a serious disease in which the body's defense system perceives its cells as foreign, gradually destroying joints. Affected areas become inflamed, pain appears. Rheumatoid arthritis requires the introduction of complex therapy, including outpatient, inpatient and sanatorium treatment. With the progression of the disease it is possible to deform the joints of the hands and complete loss of mobility.

Osteoarthritis is the result of the wear of the articular cartilage. The disease usually occurs in a person in old age, accompanied by pain in the area of ​​the wrist and thumb. With osteoarthritis, minimal loads on the hands become impossible, since acute pain immediately arises. Soreness also occurs when pressing on the affected area.

With an acute attack of gout, inflamed joints of the hands very swell and hurt

Severe pain in the hands occurs in the late stage of gout development. This disease manifests itself in a person who consumes a large number of meat products. Abuse of animal fats leads to the fact that in the joints begin to accumulate crystals of uric acid. The joints of the feet are affected first, after which the joints of the brushes begin to hurt. With gout over the joints can appear gouty cones.

Often, pain in the hands is a sign of infectious arthritis, the main cause of which is infectious diseases. In the acute stage of infectious arthritis a person has severe soreness, swelling and redness of the skin over the affected joint.

Acute arthritis can be accompanied by a deterioration in overall health and a rise in temperature. At transition to a chronic stage the arthritis is shown by periodic pains.


Non-surgical methods for combating the diseases of the joints of the hands

Treatment of joint diseases of the brushes, regardless of their nature, should be complex. The first thing that needs to be done is to reduce the load. Do not carry heavy weights, hand-squeeze the laundry and perform any other actions, in which the brushes are under heavy load.

Joint diseases presuppose medication, the choice of drugs depends on the nature of the disease. Non-steroidal anti-inflammatory drugs are used to relieve inflammation and pain. In some cases, hormonal drugs may be used. Medicines are used in various forms: ointments, tablets, injections. The most commonly used drugs are: Movalis, Voltaren, Sulfazalin, Leflunomide.

Medication is actively used in acute period. When the disease passes into the stage of remission, non-drug methods are prescribed: physical therapy, physiotherapy, massage, therapeutic diet. Therapeutic exercise allows you to remove pain, return mobility. To enhance the effect of simple therapeutic exercises are recommended to combine with a visit to the pool.

Physiotherapy helps reduce pain in the hand and remove swelling. A popular method of treatment is magnetotherapy, in which there is an expansion of blood vessels, normal nutrition of tissues is restored. Electrophoresis is also effective, ensuring deeper penetration of drugs to the affected area.

Therapeutic diet is prescribed by patients with gout and arthritis, it helps to eliminate unpleasant symptoms. Patients are encouraged to eat foods rich in antioxidants and vitamins: vegetables and fruits, bran, nuts, herring, liver. It should be excluded from the diet products containing a high percentage of fat and starch.

Effective in the treatment of arthritis of the joints of the hands and massage. The soft effect of massage improves the nutrition of tissues, relieves pain. With arthritis, osteoarthritis, in the recovery period after injuries, sanatorium treatment is useful. Beneficial effect on the joints balneotherapy, acupuncture, radon baths.

One of the most popular methods of sanatorium treatment of arthritis and osteoarthritis is water and mud therapy at the Dead Sea resorts. The curative composition of water and mud intensively nourishes the affected tissues, relieves pain, improves the overall well-being of the patient.


Surgical methods of treatment of diseases of the hands

Diseases of the joints of the hands progress with time, accompanied by an intensification of the pain syndrome, which can not be removed neither by medication nor by physiotherapy. In the event that medications do not help, permanent pain is felt and mobility is lost, surgical intervention may be prescribed. One of the most popular methods of surgical intervention for arthritis and arthrosis is arthrodesis. The operation involves fixing the joint in a functionally advantageous position. As a result, pain disappears, mobility is restored.

The second most popular method of surgical treatment is the implantation of the prosthesis in place of the patient's joint. Endoprosthetics of the joints of the hand helps to eliminate pain syndrome, correct the deformation of the fingers and completely restore the lost mobility. Prosthetics use modern prostheses, completely repeating the anatomy of the joint.

The choice of the preferred method of surgical treatment is determined after a complete diagnosis. After the operation, the patient necessarily undergoes a course of restorative procedures, including wearing a tire and physiotherapy.

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Causes of pain in the joints of the hands

In the process of human evolution, the upper limb ceased to perform only the musculoskeletal function and turned into an instrument of labor. With the help of hands we perform all the work, create masterpieces of art, write, communicate, etc. All this has caused the upper limb to have very high mobility and amplitude of movements. And it is provided by several joints of the hands:

  • shoulder,
  • elbow,
  • wrist,
  • joints of the hand and fingers.

Unfortunately, these joints are often amenable to the negative effects of external and internal factors, which leads to their damage and restriction of function. The joints of the hands hurt with many diseases, but it is very important to determine the true cause of arthralgia, because this directly affects the treatment and its success.

In this article, you will learn what the joints of the upper extremities can hurt, what it can lead to, what to do in such cases.


Small joints of the hands are often drawn into various pathological processes

Causes of pain in the hands

Brushes consist of a large number of bones and joints. This allows you to perform the smallest movements. If you have pain in the joints of the hands at rest or during the movements, then, most likely, you have some kind of disease or bruise. Because of usual fatigue, the pain in the small joints of the fingers is very rare. This is possible, for example, in a child after a long vacation, when the fingers have been resting for a long time and have lost the habit of writing.

Consider the main pathologies, which are accompanied by pain in the hands.

Rheumatoid arthritis

This is a chronic autoimmune systemic disease of connective tissue with a predominant lesion of the joints of the body. With rheumatoid arthritis all joints can become inflamed, but most often the joints of the hands, wrists and elbows are drawn into the pathological process.

Suffers people of all ages and even children. Women are sick 3 times more often than men. Pathology has a long course with alternating periods of exacerbations and remissions.

At the initial stage of rheumatoid arthritis, patients complain of aching joint pains, which intensify toward evening and disturb at night. By morning, pain, as a rule, passes, but is replaced by a feeling of stiffness in the affected joints. Muscle strength decreases, some people can not even squeeze their hand into a fist, gradually the muscles of the hands atrophy. Inflammation of the joints is symmetrical, that is, it is observed simultaneously on both hands.

When the disease worsens, there are external signs of inflammation: the pain intensifies, the joints swell, the skin over them becomes reddish and hot to the touch. Violated and the function of the limb.

Over time, the pathological process causes the destruction of the joints, which leads to severe and disabling hand deformities, typical of rheumatoid arthritis.


Typical deformation of the hand for rheumatoid arthritis

Treatment of rheumatoid arthritis is a very difficult task. Therapy can be divided into basic( constant, supportive) and treatment during exacerbations. Apply potent drugs from the group of cytotoxic drugs, glucocorticoids, monoclonal antibodies, various ointments from pain.

Polyostoarthrosis

This is a chronic degenerative-dystrophic disease of the musculoskeletal system, which is based on the gradual destruction of the cartilaginous tissue, which causes secondary changes in the form of loss of mobility and deformation of the joints.

In most cases, osteoarthritis affects the large joints of the body( knee, hip), but sometimes small arms articulations are involved in the pathological process. Such a course of the disease is typical for women after childbirth, in the climacteric period, during pregnancy, which confirms the role of female sex hormones in the pathogenesis of pathology.

Polyostoarthrosis progresses slowly. In the beginning, patients complain of a painful nature that occurs after work in which the hands are involved. After rest all unpleasant sensations pass. As the progress of arthrosis, the pain does not disappear on its own, it begins to bother the person and at rest, damaged joints crunch, stiffness in them and deformation develops.


Knots of Bushard and Geberden that occur in case of polyostoarthrosis of the fingers of the hand

If you do not start to treat polyostoarthrosis, then eventually you lose the ability to perform finger movements, which leads to disability and impossibility to self-service.

Psoriatic arthritis

Psoriasis is not only a typical skin rash. Approximately in 10-15% of cases, this pathology occurs with joint damage. Most often, joints of the hands and feet become inflamed. For psoriatic arthritis is characterized by the so-called axial damage, when all the joints of one finger are inflamed simultaneously. In this case, it drastically swells, turns red and becomes like a sausage.

Arthritis in psoriasis has a chronic course with periods of exacerbations and remissions. It can develop simultaneously with a skin rash, after it or even outpace the appearance of rashes.


Arthritis in psoriasis

This inflammation of the joints over time also leads to deformities, loss of limb function and disability of the person.

Gouty arthritis

Gout is characterized by joint damage to the feet, but quite often there is an atypical variant of this metabolic disease. Fingers on the hands become inflamed with gout more often in the fairer sex.

Gouty arthritis on the hands is very difficult to distinguish from rheumatoid in the initial stages. Help in diagnosis of the history and additional techniques. It is characterized by a paroxysmal course, and with exacerbation the pain syndrome is so severe that patients can not even touch the articulation. It swells, reddens, the skin above the joint is red and hot to the touch. The lesion is asymmetric, as in rheumatoid arthritis, for example, only the joints of the right hand can be inflamed.

If gout exists for a long time, then under the skin can be found specific nodules - tofus. These are deposits of uric acid salts under the skin.


Gouty arthritis with tophi on fingers

Why does the wrist of the wrist

If the wrist joint( wrist) is aching, then, most likely, the problem is in the ligaments, muscles or nerves of this zone. For example, patients with carpal tunnel syndrome suffer from carpal tunnel syndrome, tenosynovitis of de Carven, epicondylitis of the elbow, etc. In these diseases, the pain is localized not strictly in the zone of the wrist joint, it spreads above and below it, certain areas of the skin also grow numb,in the hands.

If the pain is localized strictly in the area of ​​the wrist, then most likely we are dealing with arthrosis( occurs in 10% of cases of generalized deforming osteoarthritis) or arthritis( most often this lesion occurs with rheumatoid arthritis in 50% of cases).

With arthrosis painful, appears after a working day, accompanied by a crunch in the joint, the gradual development of its stiffness and deformation.

In rheumatoid arthritis, the lesion is symmetrical, there is a swelling of the joint, its morning stiffness.


Joint changes in arthritis and arthrosis

Causes of pain in the elbow joint

The elbow joint is complicated and superficial. This contributes to its frequent damage. Pain in the elbow worries not only athletes, but also other people. Consider the main diseases that are accompanied by this symptom.

Arthritis

Still advised: Why does the pain in the fingers of the hand occur?

Arthritis( inflammation) of the elbow joint can be caused by several factors. These are infectious agents( bacteria, viruses, fungi), and allergic reactions, and autoimmune processes. Arthritis can be acute and chronic. Regardless of the cause of the onset, the following symptoms of arthritis of the elbow can be distinguished:

  • pain at rest or during movements;
  • swelling of the joint;
  • redness of the skin above it, increasing its local temperature;
  • dysfunction of the limb.

Bursitis

On the back of the elbow joint is a synovial bag that performs a protective function. In case of its inflammation, bursitis occurs. Inside the inflammatory fluid accumulates, which causes the characteristic symptoms of the disease. The cause of bursitis can be infection, trauma or a constant increased load on the back surface of the elbow joint.

Symptoms of bursitis:

  • pain is acute, has a pulsating character, disturbs both at rest and under stress;
  • the articulation area swells and reddens( especially the posterior surface), one can observe a tumor-like formation, which can reach the size of a chicken egg( this is an inflamed bursa with fluid inside);
  • movements are disrupted due to pain and swelling.

Elbow bursitis

If the treatment of bursitis, especially of an infectious nature, does not start in time, the contents of the synovial bag can be inflamed and spread to neighboring tissues with the development of phlegmon or sepsis. Therefore, bursitis refers to diseases that need quick help. In the treatment regimen necessarily include antibacterial drugs. Some folk remedies are indispensable here. Otherwise, it may be necessary to perform a surgical procedure.

Osteoarthritis

Osteoarthritis of the elbow joint is relatively rare. It can be primary when the cause remains unknown, or secondary, when it occurs against the background of the underlying pathological condition, for example, posttraumatic arthrosis of the elbow.

Symptoms of osteoarthritis of the elbow joint are typical: painful after overstrain, crunch, mobility restriction, limb deformity. At the last stages, complete immobility may occur, which causes a significant limitation of the functional activity of a person.

There are many other diseases that are manifested by pain in the joints of the hands, but most of them are not associated with damage to the structures of the articulations themselves, surrounding tissues: ligaments, tendons, muscles, blood vessels, nerves.

If you are concerned about the pain in your hands for a long time, and it is accompanied by other warning signs, then do not hesitate to seek medical help. Do not self-medicate. It can be your hands or even your life.

MoyaSpina.ru

Pain and numb hands - what is it?

Why are my hands hurt? There can be many reasons for this. The hand is known to be an element of the upper limb. It consists of 8 bones of the wrist, 5 metacarpal bones, bones of the finger phalanges and soft tissue around these bones.


Injuries and overstrain as causes of pain

A hand brush can often be exposed to some kind of injury. Many of them a person can get in the process of work. Pain in the hands can arise from strong muscular tension with too much mechanical stress, prolonged incorrect position of the hands, hard work.

Pain in the hand can be caused by:

  • stretching the muscles;
  • by rupture of ligaments;
  • fracture of bones;
  • by injury;
  • compression;
  • with other mechanical influences.

If you assume that the cause of unpleasant sensations is overstrain of the muscles, then you must first give rest to the limbs, do not move your arm and do not subject it to strain. Sometimes the pain is evidence of diseases of the nervous system or the musculoskeletal system. If the pain syndrome lasts a long time and does not go away, then you need to go to the clinic.

The structure of the hand

Pain in the wrist appears with fracture, stretching or dislocation. The doctor will prescribe an X-ray of the brush. If there are no injuries, the doctor will recommend examining the cervical vertebrae. Pain syndrome can be a consequence of deformation or shear intervertebral disc or hernia.

Sometimes the signs of a fracture are implicit. At occurrence of strong pain at first the person thinks, that at it or him there was a bruise. But then, under the influence of even a small load on the injured arm, there is a sharp pain, which is a symptom of a fracture. What to do in this case? The patient should be rushed to the traumatologist urgently.

If the right hand hurts, this may be due to injury or too much strain on the muscles. Since a person usually performs more different actions with his right hand, the pain in the right hand can be a consequence of muscle strain during work. We must rest and provide peace to the hand.


In what situations it is necessary to urgently consult a doctor

If the joints of the hands are aching, and the feeling remains in a calm state without effort and strain, then the cause may be arthritis or some inflammation. If the pain in the left hand is transmitted to the top of the limb, then this may be a symptom of an attack of angina or a heart attack. This symptom can not be ignored.

An attack of angina or a heart attack is characterized by such signs as:

  • breathing disorder;
  • nausea;
  • blushing of the skin of the face and body;
  • pain syndrome in the thoracic region;
  • cold sweat;
  • anxiety.

If two or more of these features are combined at the same time, this can be dangerous. It is urgent to take action. When the victim has such symptoms, you should immediately call an ambulance.

You need to see a doctor in a number of other cases:

  • if the pain in the hand lasts more than 2 days;
  • pain syndrome increases with mechanical stress;
  • reduced sensitivity;
  • the limb function is impaired;
  • has developed swelling of the hand.

Often pains in the hands appear in the pathology of the joints, less often - with injuries. If the upper limb is swollen and sore, then you need to contact a traumatologist and take an X-ray. Self-treatment or postponing a visit to a doctor in such cases can only do harm.


Pain in the hands of arthritis, arthrosis and gout

One of the reasons for the pain is rheumatoid arthritis. The diagnosis of the disease is established on the basis of X-ray data, blood tests and patient complaints. With arthritis, the patient has pain in the joints, which are located symmetrically. This reduces their mobility, there is inflammation. The patient is difficult to flex his arm, the connections swell.

Rheumatoid arthritis is a severe autoimmune disease. The most common among women, men suffer from them less often. The ratio of sick women to men is 5: 1.At present, unfortunately, there is no radical method of treating this disease. The inflammatory process gradually destroys the joints, their cartilaginous connective tissue and bones.

Another disease, manifested by pain in the hands - gout. It develops due to the accumulation in the joints of chemicals that appear as a result of the exchange of purines. The main source of purine is the consumption of meat products. Gout occurs when there is a metabolic disorder. Most often, the disease appears in middle-aged men.

The disease begins acutely: severe pain in the joint of the big toe, its redness and swelling. With gout, the joints on the arm can also hurt. Pain syndrome is severe, severe. It increases at night, and passes in the morning. Provoke a bout of gout can steam bath, fatty meat food, alcohol. Such attacks can be several times a year. The duration of the attack is several days.

Osteoarthritis also causes pain in the upper limbs: the joints of the thumb, in the wrist, shoulder and elbow joints. The patient develops a pain syndrome, which is aggravated during the day with a load and a prolonged standing position. After rest he ceases. There may be a crunch of joints. Sometimes the pain lasts a long time, up to several months.

Arthritis of the wrist joints also manifests itself as the pain of the joints of the hand. Pain syndrome occurs both with the load and in a calm state. The skin in the joint area turns red, it becomes hot. Arthritis is an inflammation of the joint. The acute period is marked by severe pain and swelling. The chronic period is less pronounced, but more dangerous. Without taking medication, the patient can get a joint deformity. Arthritis develops due to the penetration of the infection that enters the joint.


When still can hurt and dull the brush

After giving birth and during pregnancy, women sometimes get numb hands. Numbness usually appears after sleeping. This is due to a violation of the balance of calcium, magnesium and potassium. What to do in this case? For treatment it is necessary to normalize nutrition, increase the amount of vitamins and minerals. It is recommended to consume more dairy products, fruits, vegetables, sunflower seeds and pumpkins. You need to drink 2 liters of water per day. If numbness continues for a long time, then you need to see a doctor and get tested.

If a person works for a long time at a computer, then his hand usually hurts. Pain syndrome occurs as a result of pinching the nerve in the carpal tunnel. The nerve is pinched due to a long uncomfortable position of the hands, a prolonged load, or as a result of a small volume of interarticulate fluid. This disease is called tunnel syndrome.

Any disease is easier to prevent than treat. For the prevention of diseases you need to take breaks in work, often rest, perform therapeutic exercises for gymnastics to unload muscles. If the patient has pain in the joints, then he should consult a traumatologist, neuropathologist or rheumatologist.

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Injuries

Brushes are often injured, several species. So, if the ligamentous apparatus of the wrist joint is damaged, the pain is initially acute, later pulling, the movements are painful and can be limited. If there was a dislocation of the phalanx of the finger of one of the brushes, the place of the injury swells, noticeable deformation, the frequency and the number of movements are reduced. If there is a dislocation of small bones such as a semilunar, scaphoid, pea-like, this can lead to significant impairments in the functionality of the brush, but it is difficult to recognize such damage. With fractures of the hand, the movements are sharply limited, the site of the lesion is edematous, pathological mobility, crunch of debris is possible. Treatment of brush injuries can be conservative and operative. Conservative therapy consists in immobilization with the help of gypsum or orthosis, physiotherapy, massage, physiotherapy exercises. If necessary, an operation is performed to restore the normal anatomical structure of the hand.

Tendonitis

This is an inflammation of the tendons of the hand. If suspected of tendonitis should pay attention to the type of human activity. The disease is typical for people repeating the same type of movement of the hands: athletes, porters, pianists, seamstresses. The pains are initially not expressed, then become acute, especially when the brush is stressed. Patients complain of weakness when working with hands, puffiness, sometimes a crunch along the tendons. Treatment consists in elimination of loads, maintenance of the brush at rest for several days, anti-inflammatory therapy( non-steroid preparations in the form of tablets and local forms), physical procedures. After eliminating the symptoms, you should gradually begin therapeutic gymnastics, warm baths for brushes. Tendonitis can recur after the return of previous physical activity.

Tunnel syndrome( carpal tunnel syndrome)

In the wrist area, the median nerve is surrounded by the bone walls and the transverse ligament of the wrist. It can be squashed due to a number of reasons. Among them are professional activities( long work at a computer, playing musical instruments), hormonal changes, rheumatoid arthritis, cysts, tumors, fractures in this area. Swollen tissues squeeze the nerve, and it inflames. The pain is severe, the brush grows numb, the mobility of the fingers is limited. In the case of tunnel syndrome, a change in activity, anti-inflammatory therapy, fixation of the wrist with orthosis, and in some cases, surgical correction.

Deforming osteoarthrosis of the joints of the hand

With this disease, the pathology begins with damage to the cartilaginous covering of the articulations of the hand. More common cause - fractures of the bones of the wrist, intra-articular fractures of the fingers, especially incorrectly fused. Also, arthrosis can develop due to metabolic disorders, systemic diseases( polyarthrosis, rheumatoid arthritis).The pain occurs when the load on the brush, and when the process is aggravated, they are also in a state of rest. The crunch in the joint region, deformation, limitation of mobility, edema is characteristic. Violated fine motor skills, which leads to the inability to perform many activities. Treatment of arthrosis complex( chondroprotectors, anti-inflammatory drugs, physiotherapy, massage, gymnastics).

Aseptic necrosis

Quite a serious disease that affects the bones of the wrist more often. Blood supply to the bone tissue is disturbed, which leads to its death, resorption. This area becomes inflamed and becomes very painful both at rest and during exercise;there is swelling. Causes of aseptic necrosis: fracture of the bone or its inflammation.

De Kerven's disease

Develops with frequent wrist twists and grasping movements, for example, when raising a child, knitting, playing bowling. In this case, the envelope of the tendon of the extensor of the thumb of the hand becomes inflamed. The pain bothers at the base of the first finger, there is also swelling in this area, a crunch is possible during movements. To diagnose de Cervin's disease, you need to bend your thumb, press it to your palm, pinch your fingers and tilt your wrist toward the little finger. This method will cause pain at the base of the finger.

"Writing" cramp

With prolonged typing or writing, there may be a "writing" cramp, i.e. a painful spasm of the muscles of the fingers. This disease is more susceptible to people with cervical osteochondrosis, neurocirculatory dystonia, as well as those who are in a stressed state. When you try to write to the brush, you get a weakness, a shiver. Treatment consists in physiotherapy, relaxing baths, gymnastics, psychotherapy.

Syndrome of snapping finger

If a person has a persistent overstrain of the hand( this can also occur in women in menopause), the synovial membranes covering the flexor tendons of the finger swell and free sliding is difficult. The bent finger becomes difficult to unbend, if efforts are applied, a click is heard. Over time, there is pain in the inner surface of the fingers. In this case, surgical treatment is preferable - dissection of the annular ligament passing in the tendon canal. Mobility of the finger is restored already on the operating table.

Gouty Arthritis

With gout in the joints urate accumulates - salts of uric acid. The joint at the base of the first toe often becomes inflamed, then the process spreads to other joints, including the wrist joint. The pain is very severe( burning or pulsating), which is accompanied by swelling, redness and can last up to several days. A gout attack should be stopped with anti-inflammatory drugs( Diclofenac, Celebrex).A strict diet is prescribed with the exception of meat dishes, beans, alcohol, tomatoes. Without exacerbation it is necessary to take allopurinol, which reduces the amount of uric acid in the blood.

Rheumatoid arthritis

In most cases, this systemic inflammatory disease begins with pain in the hands, namely in the joints at the base of the fingers and wrist joints. The defeat is symmetrical, pains bother more in the morning, combined with stiffness of movements. Also characteristic is persistent edema, hot skin. At a later stage on the hands appear dense rheumatoid nodules, deformities of fingers like "swan neck", "boutonniere".Treatment of rheumatoid arthritis consists in the appointment of basic drugs( methotrexate), hormones( prednisolone), anti-inflammatory drugs and the use of local therapy( physiotherapy, exercise therapy, massage).

Systemic lupus erythematosus

Long before the manifestation of the disease small arm joints can inflame. With low activity of the process, pain can occur in one or more joints and quickly pass. In other cases, edema, redness, dysfunction, persistent pain are characteristic. Arthritis has a symmetrical character. The muscles of the hands are atrophied. The basis of treatment is cytostatic drugs, corticosteroid hormones, non-steroidal anti-inflammatory drugs. Plasmapheresis is sometimes required.

Reynaud Syndrome

With this disease, the fingers of the fingers grow numb, and the skin covers turn pale. The provoking factor is cold, stressful situations. There is a narrowing of the vessels of the skin, as a result of which the flow of blood to the hands is limited.

Pain in the hands with internal diseases and body conditions.

  1. Myocardial infarction. Heart attack in some cases begins with pain and tingling in the brush, more often in the left.
  2. Diabetes mellitus. Because of the violation of blood circulation, the hands can become more sensitive.
  3. Pregnancy. Possible numbness, tingling, pain in the hands.

General recommendations for pain in the hands

  • If you notice swelling of the brushes, remove from hand all the jewelry( rings, bracelets).
  • If you receive a hand injury, immediately fix it in a fixed position and apply cold.
  • If pain occurs in the case of loads, they should be significantly reduced.
  • If the work is associated with repetitive movements, which results in pain in the hands, try to change the activity or take a break.
  • Visit the doctor for any symptoms: he must establish an accurate diagnosis.

Immediately consult a doctor if the following symptoms occur:

  • After the brush injury, the pain does not go away, there was swelling and stiffness in the movements.
  • Brush swelling and / or redness and increased skin temperature.
  • Abruptly tingling in the hand.
  • Numbness of the hand or finger.

Prevention of pain in the hands

  1. Daily, try to perform special exercises to strengthen the muscles of the hands.
  2. When doing repetitive movements( working with a hammer, rowing, playing tennis, volleyball, golf, sweeping, knitting, etc.) take breaks.
  3. Try not to be in a posture for a long time with a fixed position of hands, when you read a book, work at a computer. Do gymnastics, knead your fingers with other joints of hands. Keep your posture.
  4. When working with vibrating objects, use special gloves with a material that reduces vibration.
  5. Use sports equipment while playing sports.
  6. Try not to overcool your hands.
  7. Abstain from smoking, use less caffeine. These substances narrow the blood vessels, as a result of the blood in the proper volume does not reach the brushes.

These measures can prevent injuries and certain diseases of the hands.

MyFamilyDoctor.ru

How and what to treat the joints of the hands

Often, the office of a rheumatologist is visited by people suffering from pain in the hands. This part of the body is fragile enough, but, meanwhile, it is capable of withstanding heavy loads.

How and what to treat the joints of the hands with different diseases?

The problem should not be left untreated, as long-term pain can lead to immobilization of the limbs. Scientific joint pain is called arthralgia. This phenomenon introduces serious discomfort in a person's life, preventing not only work, but also to carry out household activities. There are a number of diseases that cause this symptom. The causes of pain in the wrist joints are conventionally divided into two groups - mechanical and inflammatory.

Causes of

Pain provoked by the inflammatory process is usually accompanied by other symptoms: for example, swelling and reddening of the skin of the affected area, stiffness of the brush. Due to mechanical causes, pain in the wrist joint occurs during movement. Most often, it is the nature of clinical manifestations that helps the physician diagnose and understand how to treat the joints of the hand.

Rheumatoid arthritis

As a result of this autoimmune disease, the joint is broken, there is a lot of inflammation and pain. Rheumatoid arthritis can occur both in the elderly and in young people;

Gout

The accumulation of uric acid in the joints contributes to the development of gout. Mostly, meat lovers are predisposed to it. At first, pain occurs in the legs, but gradually spreads to the joints of the hands;

Osteoarthrosis

Wearing joints or differently osteoarthritis appears in the elderly. Severe pain in the wrists occurs with physical exertion or pressure on the joint;

Arthritis

Another common disease with which patients turn to rheumatologists in the hope of understanding what to treat the joints of the hands - arthritis. Its cause is an infection that causes severe inflammation in the joint tissues;

Injuries to

Mechanical damage to brushes is also a common cause of pain and other discomfort. With fractures, dislocations and stretching, a pain syndrome of different intensity arises. Together with this, there is swelling, redness of the skin on the joint and restriction of mobility.

Medication

How do I treat joints of the hands recommended by physicians usually? Restoration of motor function and pain relief are the main goals of treatment, independent of the cause of pathology. Medicinal preparations perfectly cope with the second task and partially help to solve the first. In the treatment of joints of the hands, the following medicines are usually used:

  • Non-steroidal anti-inflammatory drugs;
  • Glucocorticosteroid hormones( for autoimmune diseases);
  • Ointments with anti-inflammatory and analgesic action.

Physiotherapy and massage

Sometimes, when advising on the question of how to treat joints of the hands, doctors are also offered to use non-medicamentous methods. Physiotherapy, massage and moderate physical activity help restore joint mobility and finally relieve pain. Among the non-medicinal methods of treatment are well established:

TerapevtPlus.ru

Pain in the hand: causes, syndromes, treatment

The hand brush is a rather complex tool, through which we can perform many manipulations. The wrist is formed by eight bones of the wrist, five metacarpal bones, phalanges of the fingers, which are surrounded by soft tissues.

Unfortunately, the hand is too prone to injury, infection and other pathological conditions, one of which is pain in the hand. Such a pathology can signal not only the presence of diseases of the hand, but also be a symptom of many other ailments.

In what diseases can pain occur in the hand?

  • Osteoarthrosis
  • Trauma
  • Vestal syndrome

Pain in the hand can appear due to sprain, ligament rupture, bruise, fracture, muscle fiber overstrain, prolonged stay in an uncomfortable position. In this case, all that is necessary for the injured hand is complete peace.

When should I see a doctor?

Do not hesitate to contact a doctor with a similar problem, especially if she worries you for a long time, and even more so you can not hesitate if you suspect a fracture or dislocation of the hand. In this case, the doctor will refer you to the X-ray. It will not be superfluous to have an examination of the cervical spine, as the cause may be hidden in the presence of herniated intervertebral discs.

It happens that the pain in the hand suddenly appears and disappears, there may be an inflammatory process or a disease called arthritis of the joint of the hand.

Pain in the left hand can be one of the symptoms of a heart attack or heart attack. In this case, there are other symptoms: shortness of breath, pallor, cold sweat, nausea. Here, medical care must be provided immediately.

Pain in the hand should not be ignored if it disturbs for more than two days and increases with exercise. In addition, to complain about pain in the hand is necessary if it increases against a background of nervous sensitivity.

If pain in the hand is accompanied by swelling, redness, restriction of mobility, try to notify your therapist as soon as possible.

Tunnel Syndrome - Modern Disease

Tunnel Syndrome is the professional ailment of computer scientists. The second name of the disease is carpal tunnel syndrome. Programmers, secretaries and just gamers quite often suffer from tunnel syndrome.

The cause of the painful sensations in the hand can be a pinched nerve in the carpal canal, which can contribute to the swelling of the tendons located near the nerve. This phenomenon is quite common, because one of the most convenient factors is working with the mouse.

Prevention of pain in the hand

  • Working with the keyboard, the elbows should be bent at right angles.
  • Working with the mouse, make sure that your brush is straight and not lying on the edge of the table.
  • The chair for working with the computer must be equipped with armrests.
  • It is advisable to choose a mouse pad with a bulge for the wrist.

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Pain in the joints of hands. Common causes and treatment options for

topical procedures. ..

Pain in the hands is one of the most common causes that lead people to the office of a rheumatologist. Hands are a very delicate mechanism, but at the same time it is capable of withstanding enormous loads. However, some diseases can practically deprive the hands of mobility and cause severe pain in the joints of the hands.

Arthralgia - this is the scientific name for pain in joints - does not just worsen the quality of life. It deprives a person of the opportunity to work and perform basic domestic activities. There are a lot of diseases that can cause this symptom. Conditionally, the reasons for which there are severe pain in the joints of the hands, can be divided into two large groups - inflammatory and mechanical. Pain in the hands caused by the inflammatory process is usually accompanied by stiffness in the area of ​​the affected joint and decreases with movement. Typically, with inflammation, there are other symptoms - swelling or redness of the skin over the joint.

Mechanical causes - degenerative diseases or injuries - cause pain when moving. At rest, the patient feels a noticeable relief. Usually, such pain in the joints of the hands is not accompanied by stiffness or numbness.

The most common causes of pain in the joints of the hands

Joint pain is a frequent companion of many diseases. Sometimes it is the nature of the pain that helps the doctor determine which disease the patient is suffering from.

Rheumatoid arthritis

This is an autoimmune disease in which the body's defense system fails and begins to perceive its cells as alien. As a result, the joint begins to gradually break down, there is inflammation and severe pain in the affected area. Rheumatoid arthritis can occur both in the elderly, and at a young age - in 25-30 years. Usually it develops symmetrically - that is, the same joints on both hands suffer. Over time, the joints are deformed, which entails the bending of the fingers and loss of mobility.

Gout

Accumulation in the joints of crystals of uric acid and its derivatives can lead to gout, which is also called a "meat-eating disease", as it often develops in those who eat too much meat. Gout causes very strong painful pains in the joints of the legs, but as the disease develops, the hands begin to suffer. Around the affected joints, characteristic gouty cones are formed. The searing throbbing pain with gout is usually especially strong at night, and by the morning it abates somewhat.

Osteoarthrosis

Osteoarthritis occurs as a result of articular cartilage wear. As a rule, this disease begins to develop in old age. In osteoarthrosis of the joints of the hands, pain is noted in the small joints of the hands, the metacarpal joint of the thumb, in the elbow and shoulder joints. Symptoms of osteoarthritis in the wrist joint include pain during physical exertion, painful sensitivity when pressing in the area of ​​the damaged joint and limiting mobility.

Arthritis

Arthritis, caused by infectious diseases that cause inflammation of the joint, is very common. There are two forms of arthritis:

  • acute arthritis - characterized by severe soreness, swelling, redness of the skin around the joint and fever;
  • chronic arthritis - reminds of itself painful sensations only from time to time.

Injuries to

Fractures, dislocations and sprains are always accompanied by painful pain. Depending on the nature of the injury, the pain syndrome can be more or less pronounced. Usually injuries of the joints are accompanied by swelling, redness of the skin and restriction of joint mobility.

Treatment of pain in the joints of the hands

Severe pain in the joints of the hands is a big problem for the patient who loses the ability to work normally and perform the most simple movements - for example, can not fasten buttons or hold a fork.

Therapy, regardless of the cause, should be comprehensive, aimed at solving three problems at once: treatment of the underlying disease, restoration of the hand functions and removal of the pain syndrome.

Of course, treatment depends on the nature of the disease. But the relief of pain and functional development of the brush during rehabilitation are subject to general rules.

The main means for relieving pain in the joints of the hands is medicines. The largest and most frequently used group of drugs, which have a pronounced anesthetic effect, are nonsteroidal anti-inflammatory drugs. They relieve inflammation and pain, but they have many unpleasant side effects, in particular, from the gastrointestinal tract.

For the removal of pain caused by autoimmune diseases( for example, with rheumatoid arthritis), glucocorticosteroid hormones are used. They have a powerful anti-inflammatory effect and quickly bring relief.

Medicinal ointments, which include anti-inflammatory and anesthetic components, can also increase the effect of drugs.

In the complex therapy - or in those cases when treatment with medications is contraindicated - the doctor can prescribe and non-drug methods.

Non-surgical relief from pain in the hands of

Pain in the joints of the hands is a symptom that accompanies many diseases, various both due to the occurrence and the mechanism of development. For each disease, there are methods of therapy. With a correctly diagnosed diagnosis and adequate treatment, the pain gradually comes to naught. However, sometimes the process of recovery is prolonged, the pain becomes chronic and then the doctor's task is not only to cure the patient, but also to relieve him of pain, and also to prescribe a course of rehabilitation therapy.

To quickly relieve pain in the joints of the hands, complex treatment is required, in which some methods supplement others.

In the rehabilitation center, this approach is perfected. When treating such diseases in the rehabilitation center, the principles of Pain Management are used, which in English means "pain management".The specialists of the center not only help to relieve the pain syndrome, but also teach the patients new behavioral models, which allows to remove unnecessary burden from a sick hand. In addition, psychotherapeutic methods are also used in pain management.

As a rule, doctors of different profiles are involved in the clinic: rehabilitation specialists, rheumatologists, neurologists and physiotherapists, as well as nutritionists, masseurs and specialists in therapeutic gymnastics. The combination of medicinal and physiotherapeutic methods of treatment, supplemented by measures to restore mobility in the damaged limbs, gives a quick and lasting effect. The patient not only gets rid of the underlying disease, but also gets the opportunity to return to normal life as soon as possible.

Individuals. Ministry of Health of the Moscow Region No. LO-50-01-004399 of July 17, 2013, there are contraindications. Talk to your doctor.

Wednesday, March 26, 2014 13: 14: 57 Opinion of the editorial board

It is important to remember that the pain in the hand is only a sign of the presence of a serious disease, and the treatment requires, first of all, not the pain syndrome, but the reason for its appearance. Abuse of pain medication leads to the fact that the underlying disease progresses imperceptibly for the patient.

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