Hands Archive

Arthritis in the joint at the base of thumb (the carpometacarpal joint) can cause pain, weakness, and instability. It can seriously impair the ability to function. Thumb arthritis is diagnosed with a physical examination and x-rays. It can be managed with occupational therapy, which includes learning optimal hand positions and exercises and wearing a hand splint. Pain relief options include heat, pain medications, and cortisone injections. If these are inadequate or the condition is severe, surgery is an option.

Hand therapy is an effective way to overcome lost hand function due to injuries or underlying conditions. A course of therapy typically lasts for six weeks. It involves working with a certified hand therapist (CHT) who can develop and then guide someone through a tailored program of physical and functional exercises. CHTs also can make splints, offer emotional support, and help people learn to manage hand pain and swelling. It’s best to start hand therapy before an injured hand has healed completely.

Hand pain or stiffness makes computer or smartphone use difficult. Strategies to combat this include stretching the hands and fingers, avoiding awkward hand positions when holding a smartphone or computer mouse, taking breaks, alternating the fingers that do the work, and taking breaks. Using certain tools can also reduce hand strain or pain. Such tools include voice-to-text features, a wide-grip stylus, a smartphone holder, gel-filled wrist rests, and a comfortable mouse (which might be bigger, smaller, or vertical) to keep hands from stretching too wide or gripping too hard.

The most common causes of hand pain include osteoarthritis, nerve conditions, and tendinitis. To help manage the pain and avoid surgery, doctors recommend splinting, corticosteroid injections, anti-inflammatories, heat and cold applications, and hand exer

Doctors have three ways to treat Dupuytren's contracture, a condition that pulls one or more fingers toward the palm. A needle aponeurotomy breaks up the thick collagen tissue sticking to the tendons. A collagenase injection contains an enzyme that eats up and dissolves the collagen. Surgery involves the removal of the collagen tissue. With all three procedures, the condition can return. The procedure that's right for someone depends on the condition's severity and the location of the collagen.

One condition affecting the hands and fingers is Dupuytren's contracture, where one or more fingers become curled, making it difficult to perform everyday activities. Dupuytren's affects one in 20 Americans, so what do people need to know about it?

The typical causes of cramps in the hands include dehydration and straining the muscles with repeated motions like typing. Low calcium or magnesium or a compressed nerve in the wrist may also cause cramping. Stretching the fingers may help.