Tuesday, September 27, 2022

How To Tell If I Have Arthritis In My Hands

Looking For More Information On Thumb Arthritis Braces

What should I know about arthritis in my hands and wrists?

Our blogs are educational in nature and are not intended as a substitute for medical advice. Because your condition is unique to you, it is recommended that you consult with your health care provider before attempting any medical or therapeutic treatments. We are always happy to answer questions about products mentioned in our blogs, however, we cannot provide a diagnosis or medical advice.

Can You Tell Which Condition You Have

Joint swelling in arthritis may also cause compression of the nerves in the hand or wrist, which can then cause numbness, tingling, and pain. Your healthcare provider will perform a few specific tests to pinpoint the problem.

  • Reduced muscle mass in the fleshy part of the hand at the base of the thumb
  • A positive Tinel’s Sign, or a burning or tingling sensation when the median nerve is tapped lightly
  • A positive Phalen’s sign, a test that assesses for pain when your arms are held vertically and your wrists are flexed 90 degrees for 60 seconds
  • Weakness or poor dexterity with pinching movements
  • Pain that is worse at night or wakes your from your sleep
  • Asymmetric patterns of joint involvement
  • Swelling of other joints outside of the hands and wrists
  • Systemic involvement with inflammatory arthritis, including fevers, malaise, or rash
  • Antibodies or inflammatory markers present in blood testing
  • Pain that goes away after a few hours in the morning

Carpal Tunnel Versus Arthritis

If you have ever had a hand or leg go to sleep because of pressure that temporarily cuts off the blood supply, you can get an idea of what carpal tunnel can feel like. The prickling, burning sensation can be similar to the numbness caused by compressing the median nerve, which runs in a narrow tunnel like structure formed by the bones and connective tissues from the elbow to the hand. The tendons and median nerve allow the fingers of your hand to flex and extend.

The median nerve carries impulses to and from the palm side of your hand to the index, middle, and ring fingers, as well as your thumb. If the tissues of the tunnel are irritated , they can swell and place pressure on the nerve.

Arthritis of the hand, however, is caused by a different mechanism, often showing up with a specific pattern in the way it attacks the joints. In the case of arthritis, the lining of the joint itself becomes inflamed. This can occur because of osteoarthritis , or other inflammatory processes caused by a defect in the immune response, in which the body attacks otherwise healthy tissue. The symptoms of arthritis include stiffness and soreness of the joint, and frequently starts with the smaller joints of the hands.

If you, or a loved one has carpal tunnel syndrome or any form of arthritis, or you would like more information about treatments for carpal tunnel or arthritis, or to schedule an appointment, please contact Orthopaedic Associates at 892-1440 today.

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Differences Between Carpal Tunnel And Arthritis

While several forms of arthritis and carpal tunnel syndrome can all cause hand and wrist pain, there are certain features of each disease that distinguish the two. Carpal tunnel syndrome pain is primarily the result of nerve compression, while arthritis is swelling and inflammation of the joint itself.

General Joint Pain And Stiffness

How do i know if i have broken my hand MISHKANET.COM

In addition to morning joint stiffness, you may also experience general joint stiffness throughout the day, especially after a period of inactivity.

Some of the first areas RA stiffness typically affects are the wrists and certain joints in the hands and feet, but its also possible to experience pain and stiffness in your knees or shoulders. Usually, both sides of your body will be affected.

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Stage 3 Of Thumb Arthritis

In later stages, your thumb may look crooked. When the middle knuckle of your thumb is bent, and the end joint is hyperextended, it could be what is called a Boutonniere Deformity.

Another crooked position is called a Swan Neck deformity. Your middle knuckle is hyperextended and it may be difficult to move your thumb sideways. With time, the skin in the web of your hand can shrink, making it impossible to open your thumb away from your palm.

In late stages of thumb arthritis, your may actually feel less pain, but the strange position of your thumb makes it harder to use it and you may lose strength.

Is there anything I can do so I dont end up with Stage 2 or Stage 3 arthritis?

It would be really nice to be able to say if you take this pill, wear this brace, or do this exercise, your arthritis will not progress or it may even go away. Unfortunately for those with a family history of arthritis or those who just did not win the toss of the coin for long lived, healthy bones- the disease may progress despite the best care.

What you can do however, is learn to use your hands so they are less stressed, use tools/gadgets that help you with your daily activities and wear splints or braces that support your thumb joints.

Even at the very early stages of CMC arthritis, wearing a brace that applies light compression and support, can really help relieve pain and allow for better movement.

I cant wear a hard thumb brace and still do my work. Are there other options?

Can Arthritis In The Hand Be Prevented

Arthritis cant be prevented. However, you can watch for symptoms of arthritis as you age and see your healthcare provider if you notice changes in your joints. You can also take steps to control factors that you can control. Eat healthy to nourish your body and maintain a healthy weight. Being overweight puts more stress on your joints. Dont smoke. Smoking increases your risk of arthritis.

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Reducing The Strain On Your Hands And Wrists

We use our hands a lot in daily life. If you have osteoarthritis in your hands or wrists, taking some time to think about how you use them, and how you could reduce the strain on them, can bring great benefits. This doesn’t mean you shouldn’t use your hands, just that you should think about ways of using them differently.

It may be helpful to see an occupational therapist or hand therapist, who will be able to offer a lot of useful advice on this. But many people discover for themselves different ways of doing things that help to ease the strain on their joints. Examples include:

  • using gadgets such as electric tin openers or tools with softer, chunkier handles that don’t need such a tight grip
  • using a backpack or shopping trolley to avoid carrying heavy bags in your hands
  • taking more frequent breaks from tasks that put more strain on your joints or switching between harder and easier jobs
  • using both hands for some of the tasks that you normally do one-handed
  • having taps or door handles changed for those that are easier to use
  • looking out for easy-to-handle fastenings when choosing clothing or shoes.

Find out more about looking after your joints.

What Symptoms Look And Feel Like And What To Do If You Can’t Shake The Ache

Arthritis In Hands – Critical Basics To Know If You Want To Be Pain Free

by Michelle Crouch, AARP, Updated December 20, 2021

En español |It’s not unusual to experience pain in your joints on occasion, especially if you’re active and participate in high-impact activities such as running. That unwanted ouch can be caused by injured muscles, tendons and ligaments around the joint or by tendonitis, a sprain or a strain.

But if you start experiencing aching, pain and stiffness on a routine basis and particularly if the pain is right at the joint you may be developing arthritis, says rheumatologist Uzma Haque, M.D., codirector of clinical operations at the Johns Hopkins Arthritis Center in Baltimore.

Your risk of arthritis increases as you age, and its a leading cause of disability in the U.S., affecting around 58.5 million people, according to the Centers for Disease Control and Prevention .

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You Have Another Compressed Or Damaged Nerve

In addition to the median nerve, other nerves when compressed or damaged can lead to a lack of feeling in your hands and fingers too.

Indeed, the second most common cause of numbness in one hand is compression of the ulnar nerve , Dr. Feldman says. This can happen if you put too much pressure on your elbow or your wrist while sleeping, according to the Sleep Foundation.

“In this case, numbness occurs in the little and ring fingers and sometimes the middle finger,” Dr. Feldman says.

Though rarer, radial nerve damage can also trigger numbness. Your radial nerve which extends from your upper arm to your forearm and wrist can become compressed when you sleep in a position that places extreme pressure on your upper arm, Dr. Feldman says. Improper use of crutches can also constrict the radial nerve, she adds.

When the radial nerve is compressed or damaged, “a person can experience abnormal sensation on the back of the hand or in the thumb, and, in more severe cases, there is the loss of the ability to straighten your fingers or bend back your wrist,” Dr. Feldman says.

Fix it: Sometimes, simply training yourself to sleep in a different position that doesn’t put pressure or strain on your arm can be enough to resolve the problem, according to the Sleep Foundation.

But if adjusting your sleep posture doesn’t do the trick, treatment may include supportive care with splinting at the wrist or elbow, Dr. Feldman says.

What Type Of Hand Surgery Is Most Commonly Performed On The Specific Joints Affected By Arthritis

  • Base of the thumb: Where your thumb and wrist join. Common surgical options include removing part or all of one of the trapezium bone , tendon transfer or joint fusion.
  • Knuckles : Joint replacement is almost always considered for this repair. Rheumatoid arthritis can cause serious damage and disability to your knuckles.
  • Second joint of your finger : Osteoarthritis commonly causes stiffness and loss of motion. Joint replacement or fusion are considered for these joints. Because you use these joints frequently, there is a chance your implant could wear out. In this case, your provider may recommend further surgery.
  • Top of finger joint : Joint fusion is commonly used to treat arthritis in this joint.

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What Steps Are Used To Diagnose Ra In The Wrist

Diagnosis begins with an evaluation of the wrist, including palpation and a range-of-motion evaluation to pinpoint the area of the joint where the pain is located. Diagnostic imaging will be ordered to evaluate and inspect the interior of the wrist joint and blood testing also may be performed. Blood tests can be useful in identifying specific antibodies associated with RA.

Is It Arthritis In My Hand Or Tendonitis

Home Remedies for Arthritis in Hands

Arthritis and tendonitis can mimic each other, so its important to understand the difference between the two. Tendonitis is inflammation of the tendons in your hand due to an injury or repetitive motion, and the pain can come and go suddenly or last for a few days.

Arthritis, however, is inflammation of the joint due to degenerative joint disease. There are many types of arthritis, but the most common forms are osteoarthritis , when the protective cartilage in the joint breaks down, and rheumatoid arthritis , when immune system attacks the joints. Early symptoms of arthritis include painful hand joints, burning sensation and decreased functionality of the hand and/or wrist.

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Are Glucosamine And Chondroitin Supplements Helpful For Treating Osteoarthritis Of The Hand

Supplements are not reviewed or approved by the Food and Drug Administration . They are not required to undergo the same rigorous clinical trial methods that medications must undergo in the U.S. Some clinical trials show benefits with pain relief however, there is no proof that these supplements slow the progression of osteoarthritis. If you plan to try these, always check with your healthcare provider before using supplements. These products may interfere with medications you currently take.

A note from Cleveland Clinic

Dull or burning joint pain, morning stiffness, swollen joints in your hand are all symptoms of arthritis. Many types of arthritis could affect your hands. Many treatment options are available depending on your exact arthritis type. Medications can reduce joint pain and swelling. Researchers are still working on ways to slow the progression of osteoarthritis. See your healthcare provider if you think you have arthritis in your hands. They will perform a complete exam and offer you a complete treatment plan, which includes hand exercises, use of hot and cold packs, other lifestyle tips and traditional treatments including medications, braces/splints, steroid injections and surgery.

Last reviewed by a Cleveland Clinic medical professional on 07/06/2021.

References

How Long Does It Take To Recover From Hand Surgery

Recovery time depends on many factors, including the severity of your condition, type of surgery you had, the skill of your surgeon and your compliance with therapy. Most people can return to their activities about three months after joint reconstruction surgery. Your team of caregivers can give you the best estimate of your particular recovery time.

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Hand Osteoarthritis Causes And Risk Factors

Osteoarthritis was once thought to happen because of wear and tear on your joints. Doctors now know thereâs more to the story.

On the ends of your bones, there’s a layer of smooth material called cartilage. It helps cushion your joints and allows them to slide easily. But over time, the cartilage gets worn down. The bones rub against each other, causing the symptoms of OA. The wear and tear can also cause other tissues in the joint to make inflammatory cells, which damage it more.

Certain things can make you more likely to have hand OA:

  • Age. The older you are, the higher your odds.
  • Sex. Compared with men, women are twice as likely to get it.
  • Ethnicity. Rates are lower in African Americans.
  • Weight. Thinner people are less likely to get it than those who have obesity.
  • Injuries. This includes broken and dislocated bones.
  • Changes in your genes. Your parents might have passed down a higher chance of OA.
  • Joint problems. This includes infections, loose ligaments, overuse, and joints that arenât aligned the way they should be.

What causes flare-ups?

Clicking And Popping Noises

Arthritis in the Hands//Top 5 Facts to know when you have hand arthritis

You know how it sounds when you crack your knuckles? You may start to hear similar sounds in your toes if you have arthritis. A grinding noise is a fairly common symptom as well.

These sounds are caused by the deterioration of the cartilage that typically cushions the two bones in a joint. As that cartilage wears away, the bones may rub against one another, causing these sounds.

If bone spurs develop, they can also cause clicks and cracks.

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How Do Doctors Diagnose Hand Arthritis

Diagnosis of hand arthritis by a doctor may involve:

  • Detailed medical history: The doctor may ask questions about the patients symptoms including their onset and severity, any underlying health conditions, any history of injury or surgery and family history of any related health conditions. The doctor may also ask the patient if they are on any medications or supplements.
  • Physical examination: A thorough physical examination will be done to look for
  • Signs of arthritis in any other part of the body
  • Weakness of the affected joint and muscles
  • Tenderness
  • Any signs of injuries or trauma
  • Imaging studies: They are crucial because they help the doctor to see the condition of the involved bones, joint spaces and muscles. Imaging studies such as X-ray, computed tomography scan and magnetic resonance imaging may be done.
  • Blood tests: They may be done especially in the case of rheumatoid arthritis. Blood tests may also help the doctor know about the presence of infections or nutrient deficiencies that may contribute to the disease. Associated health conditions such as high serum uric acid levels and increased blood sugar levels may also be explored through blood tests.
  • Synovial fluid examination: This involves withdrawing a small amount of synovial fluid and examining it in the lab. This may reveal the presence of joint space infection or the presence of uric acid crystals .
  • Can I Prevent Arthritis

    While genetics is a factor in many arthritis diagnoses, there are some ways we can hold off or diminish the impact of arthritis:

    • Stay active: exercise helps keep your bones and joints healthy.

    • Eat a healthy diet: vitamins and minerals promote bone health, and great nutrition keeps weight down.

    • Maintain a healthy weight: obesity is a significant risk factor for arthritis. Maintaining a healthy weight through diet and exercise helps keep joints healthy.

    • Avoid repetitive motions that can cause injury or wear and tear. This includes both work and recreational activities. Physical activity is an excellent way to promote joint health, but be sure to do it safely.

    • If you have a joint injury, include a high-quality physical therapy program in your healing process. This helps build strength, boosts mobility, and can help prevent arthritis down the road.

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    What Treatments Are Available For Ra In The Wrist

    Rheumatoid arthritis is a chronic relapsing disease, and the joint damage it causes is irreversible. Because RA can cause significant joint damage and deformity fairly quickly, early and aggressive treatment is recommended. Treatment usually begins with conservative options like medications and therapy. Surgery can be helpful when these approaches no longer provide adequate relief. Nonsurgical treatment options are primarily aimed at reducing damaging inflammation and may include:

    • medicines like non-steroidal anti-inflammatory drugs to relieve pain and inflammation
    • corticosteroid injections to reduce inflammation inside the joint
    • disease-modifying anti-rheumatic drugs like methotrexate, or special medicines called biologics or JAK inhibitors designed to target specific portions of the immune response system

    Often, these medications are accompanied by physical or occupational therapy to help relieve joint stiffness and improve mobility in the joint. Assistive devices like pens or utensils with special grips may also help patients maintain mobility and function.

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