Hand and Wrist Disorder Treatment
- Carpal Tunnel Syndrome
- Tendonitis And Tenosynovitis
- Dupuytren’s Contracture
- Flexor and Extensor Tendon Injuries
- Ganglions
- Trigger Finger/Thumb
- Fracture of Hand
- Fracture of Wrist
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is a prevalent condition characterized by numbness, tingling, weakness, and other symptoms in the hand and arm. These symptoms occur due to compression of the median nerve as it travels through the carpal tunnel—a narrow passageway in the wrist comprised of bones and ligaments.Various factors contribute to the development of Carpal Tunnel Syndrome including: Repetitive hand use, anatomy, medical conditions like diabetes, arthritis, thyroid disorders, and obesity.
Treatment options are rest and modification of Activities, Wrist Splinting,Medications and Physical Therapy. In severe cases or when conservative treatments fail to provide relief, surgical intervention may be recommended to relieve pressure on the median nerve.
Tendonitis And Tenosynovitis
Tendonitis refers to the inflammation or irritation of a tendon, the thick cord that attaches muscle to bone. It’s typically caused by repetitive movements, overuse, or injury.
Tenosynovitis is the inflammation of the lining of the sheath that surrounds a tendon (the synovium). This sheath is responsible for reducing friction as the tendon moves. When it becomes inflamed, movement can become painful and restricted.
Treatment include: Giving the affected tendon time to heal is crucial. Alternating between ice packs and warm compresses can help reduce inflammation and alleviate pain. Over-the-counter pain relievers such as ibuprofen or naproxen can help manage pain and inflammation. Specific exercises and stretches can help strengthen the affected tendon and improve flexibility. Immobilizing the affected joint with a brace or splint can provide support and aid in healing. Corticosteroid injections may be recommended to reduce inflammation and provide short-term pain relief. In severe cases where conservative treatments fail to provide relief, surgical intervention may be necessary to repair the damaged tendon or sheath.
Dupuytren's Contracture
Dupuytren’s contracture is a progressive condition that causes the tissue to thicken and form tight cords, leading to fingers being pulled into a bent position. This can ultimately result in difficulty with hand
function and performing everyday tasks. Dupuytren’s contracture is more common in individuals over the age of 50, with the risk increasing with age. Men are more likely to develop Dupuytren’s than
women. The condition tends to run in families.
Treatment options include: Physical therapy, Needle Aponeurotomy (using a needle to break up the thickened cords), Collagenase Injections. In severe cases where conservative treatments fail to provide relief, surgical intervention may be necessary to remove the thickened tissue and release the affected finger.
Flexor and Extensor Tendon Injuries
Tendon injury results from Trauma (direct trauma such as cuts, lacerations, or crushing injuries) or from overuse injuries. Symptoms include pain at the site of injury, swelling around the injured area, difficulty bending or straightening the affected finger or joint.
Treatment options include rest and immobilization, physical therapy. Incases of severe tendon injury or complete tendon rupture, surgical intervention may be necessary to repair the tendon and restore function.
Ganglions
Ganglions are noncancerous fluid filled lumps that most commonly develop along the tendons or joints of your wrists or hands. While ganglions are generally harmless, they can sometimes cause discomfort or interfere with the movement of nearby joints. The exact cause of ganglions is not always clear, but they often develop in response to repetitive strain or injury to a joint or tendon.
Treatment for ganglions depends on several factors, including the size, location, and severity of symptoms. In many cases, ganglions may resolve on their own without any intervention. However, if the ganglion is causing pain or interfering with daily activities, your healthcare provider may recommend surgical excision.
Trigger Finger/Thumb
Trigger finger, also known as stenosing tenosynovitis, is a condition that affects the tendons in your fingers, causing one or more fingers to become stuck in a bent position. This can make it difficult or even
painful to straighten your finger(s), creating a sensation similar to pulling a trigger. Certain factors may increase your risk, including:
Repetitive hand movements or gripping actions, prolonged or forceful use of the fingers or thumb, medical conditions such as diabetes or rheumatoid arthritis.
Treatment for trigger finger depends on the severity of your symptoms.
Rest and Activity Modification: Avoid activities that aggravate your symptoms and give your fingers time to rest.
Splinting: Wearing a splint to immobilize the affected finger(s) may help reduce inflammation and alleviate symptoms.
Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to reduce pain and inflammation.
Physical Therapy: Gentle exercises and stretches can help improve finger mobility and strength.
Surgery: In severe cases or when conservative treatments fail to provide relief, surgery to release the affected tendon may be necessary.
Fracture of Hand
Fractures of the hand are a common injury that can significantly impact daily life. These fractures can occur in any of the 27 bones that make up the hand, including the phalanges (finger bones) and metacarpals (the bones in the middle of the hand). Hand fractures typically result from trauma such as falls, sports injuries, or accidents. Symptoms often include immediate pain, swelling, bruising, and difficulty moving the fingers. Diagnosis usually involves a physical examination and imaging tests like X-rays. Treatment varies depending on the fracture’s type and severity, ranging from immobilization with a splint or cast to surgical intervention for more complex injuries. Prompt and appropriate treatment is crucial to ensure proper healing and to prevent complications like stiffness, deformity, or long-term dysfunction.Recovery may also include physical therapy to restore strength and flexibility.
Fracture of Wrist
Wrist fractures are a prevalent injury that can greatly affect one’s ability to perform everyday tasks. These fractures involve any of the eight small bones in the wrist (carpal bones) or the ends of the radius
and ulna (forearm bones). They often result from falls onto an outstretched hand, sports mishaps, or motor vehicle accidents.
Common symptoms include intense pain, swelling, bruising, and difficulty moving the wrist or hand. Diagnosing a wrist fracture typically requires a physical examination and imaging tests like X-rays. Treatment depends on the type and severity of the fracture and may range from immobilization with a splint or cast to surgical procedures involving pins, screws, or plates to realign and stabilize the
bones. Early and appropriate treatment is essential to promote proper healing and prevent complications such as chronic pain, stiffness, or arthritis. Recovery often involves physical therapy to restore strength, flexibility, and function.
