What Is Osteoarthritis Of The Hand
Hand osteoarthritis is inflammation that causes pain and stiffness in your joints. It usually happens in three places:
- The base of your thumb, where it meets your wrist
- One of the joints closest to your fingertips
- The middle joint of a finger
There’s no cure, but there are a lot of ways to protect your joints and feel better.
Without treatment, osteoarthritis gets worse over time. Itâs important to get a diagnosis and a treatment plan as soon as possible.
How Will It Affect Me
The symptoms of hand osteoarthritis can vary between different people and over time. You’ll probably have good days and bad days. You may find this depends on what you’re doing, but sometimes there may not be any obvious reason.
If the joints are inflamed then they’re likely to look swollen and red and to feel warm and tender to the touch. You’re likely to have pain, especially when using your hands but sometimes even while resting. Swelling can also cause the soft tissues around a joint to stretch, which can make your hands feel weak or unstable.
As we use our hands such a lot in daily life, pain, stiffness or poor grip strength can cause problems with a wide variety of tasks and activities including:
- opening jars and cans
- holding a pen or cutlery
- doing up buttons or zips
- handling money
- shaving, brushing your teeth, or drying yourself after a bath or shower.
Hand osteoarthritis often tends to ‘burn out’ after a time. It may be painful for a few years and then the pain may improve, especially if only the small finger joints are affected. Any firm, knobbly swellings or nodes that have developed will remain though. And the range of movement in the joints doesn’t always improve even when the pain does.
Sometimes the weather, especially cold weather, can make your symptoms worse. However, the weather won’t affect the long-term outlook or how the condition progresses.
Make A Few Wardrobe Changes
Minor changes to your wardrobe can reduce strain on your hands, helping to ease your overall pain and stiffness. For example, try wearing:
- Shoes that slip on or use Velcro rather than shoelaces
- Shirts that pull over the head rather than button up
- Pants that have elastic waistbands rather than snaps and zippers
Other lifestyle changes can also be helpful. For example, when cooking, use a jar opener, lightweight pots and pans, and kitchen utensils with large handles. An occupational therapist can give you additional ideas on how to reduce strain on hand joints.
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How Is Hand Osteoarthritis Diagnosed
It’s often possible for your doctor to diagnose osteoarthritis of the hand from your symptoms and a simple examination, without any need for tests. Although x-rays will show changes in the shape or structure of the joint, they’re often not needed to confirm the diagnosis. Blood tests are sometimes helpful if there’s any doubt about whether it’s osteoarthritis or another type of arthritis that’s causing your symptoms.
Sometimes gout can affect the hands and this can look very much like osteoarthritis. If your doctor thinks it may be gout then they’ll want to check your urate levels through a blood test. Urate is a waste product which is normally flushed out of the body through the kidneys. But if it builds up it can form crystals in the joints, leading to sever pain and swelling.
It’s less common for the joints where your fingers meet your hand to be affected by osteoarthritis, so if you have pain and swelling in these joints your doctor may ask for blood tests to check for rheumatoid arthritis.
Psoriatic arthritis can also affect the hands and may look similar to osteoarthritis. There are no blood tests et present for psoriatic arthritis, but this type of arthritis is linked to the skin condition psoriasis. Your doctor may therefore ask if you or anyone in your family have a history of skin problems.
How Common Is Arthritis

According to the Centers for Disease Control and Prevention more than 54 million U.S. adults have arthritis. For about half of those people, arthritis limits their activities.
About 15 million people experience arthritis-related severe joint pain.
Arthritis is more common among women than men, and risk often increases with age.
Arthritis is also commonly diagnosed among those with other chronic diseases, like diabetes, heart disease, and obesity, and can make it more difficult for people to manage these chronic conditions.
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Hand Osteoarthritis Home Remedies
These home treatments can help:
- Exercises. Your doctor or physical therapist can show you what to do to improve strength and range of motion and to ease pain.
- Assistive devices. Special pens, kitchen utensils, and other tools with big grips may be easier to use.
- Ice or heat. Ice may reduce swelling and pain. Heat, like a warm washcloth or a paraffin bath, can loosen stiff joints.
- Skin treatments. Medicated creams can give relief when you rub them on sore joints. Gels with nonsteroidal anti-inflammatory drugs also help.
- Supplements. Many people take glucosamine and chondroitin supplements for OA. Researchers are still looking into whether they help. Ask your doctor if they’re OK to try.
Osteoarthritis In Fingers And Joints In Hands
Osteoarthritis is an arthritic condition that affects the whole joint including bone, cartilage, ligaments and muscles. While this form ofarthritis can affect other areas of the body, fingers and hands are very common. In osteoarthritis, the joint at the base of the thumb isoften affected and can result in difficulty gripping or pinching objects. Other finger joints can also be affected and bumps calledHerbedens nodes and Bouchards nodes may appear in the joint at the end of the finger, closest to the nail or the middle joints.
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What Is Arthritis Of The Hand
Arthritis is a disease that attacks the tissues of your joints. A joint is where two bones meet. Arthritis can attack the lining of your joint or the cartilage, the smooth covering at the ends of bones. Eventually the cartilage breaks down, the ends of your bones become exposed, rub against each other and wear away. You have many joints in your hand, therefore its a common site for arthritis to happen.
Arthritis of the hand causes pain and swelling, stiffness and deformity. As arthritis progresses, you cant use your hands to manage everyday tasks as you once could.
Osteoarthritis Of The Hands
Get more information about the causes, symptoms and treatments of hand OA, which is very common and can be debilitating.
About half of all women and one-quarter of all men will experience the stiffness and pain of osteoarthritis of the hands by the time they are 85 years old. A degenerative disease that affects all the tissues of a joint, OA leads to the breakdown over time of the smooth, protective cartilage on the ends of bones, so bones rub together, causing pain. The 29 bones of your hands and wrists come together to form many small joints that can be affected by OA.
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What Is Arthritis
A lot of information about arthritis has been published over the years. It can be hard to distinguish fact from fiction.
Arthritis isnt a single disease. The term arthritis is used to refer to joint inflammation or joint disease. There are 100 different types of arthritis, all with different manifestations and symptoms.
Arthritis in your hands affects your wrists and joints in your fingers. You may notice:
- limited range of motion
You may regularly experience these symptoms, or it may be days or even weeks before you have a flare-up. Over time you might experience chronic pain, and performing simple activities may prove difficult.
What You Can Do
Arthritis is a common condition with many treatment options. Because it worsens over time, it’s best to seek medical care early. Even if you think your hand pain is mild, make an appointment with your doctor. You can perform exercises, wear arthritis gloves, and take medications to manage the symptoms.
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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?
Meditation For Pain Management

Meditation is an ancient mind and body practice in Buddhism and other Eastern religions. It puts your focus and attention on the current moment so life’s distractions do not get in your way.
Meditation has many benefits, including:
- Increases calmness and relaxation
- Helps people cope with illness
- Enhances overall well-being
In addition, research shows meditation can help manage chronic pain associated with conditions like OA and RA.
In a 2016 review of literature, researchers evaluated the use of mindfulness-based mediation’s effects on pain management. They found that mindfulness meditation reduced pain for people with chronic conditions. However, researchers found that short-term was more effective at pain control than longer-term meditation.
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Hand Surgeon In San Antonio Texas
At the Center for Orthopaedic Surgery and Sports Medicine, our hand surgery team diagnoses and treats a broad range of hand injuries and conditions, including arthritis.
Our extensive education and training enable us to treat the most complex hand issues. For any type of hand or wrist pain and injury, call the Center for Orthopaedic Surgery and Sports Medicine at 692-7400 or request an appointment now. We are happy to provide you the highest quality care for your hand condition.
Try Simple Stretches For Flexibility
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Changes In Surrounding Joints
In patients with advanced thumb base arthritis, the neighboring joints may become more mobile than normal.
Thumb extension deformity. This patient has lost mobility at the base of the thumb due to arthritis. The next joint closer to the tip of the thumb has become more mobile than normal to make up for the arthritic joint. Normally, the thumb does not come to a right angle with the rest of the hand.
Exercise #: Make An O
Start with your left hand pointing straight up. Then, curve all of your fingers inward until they touch. Your fingers should form the shape of an O. Hold this position for a few seconds. Then straighten your fingers again. Repeat this exercise a few times a day on each hand. You can do this stretch whenever your hands feel achy or stiff.
Part 7 of 9: Table Bend
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Exercise #: Wrist Stretch
Dont forget about your wrists, which can also get sore and stiff from arthritis. To exercise your wrist, hold your right arm out with the palm facing down. With your left hand, gently press down on the right hand until you feel a stretch in your wrist and arm. Hold the position for a few seconds. Repeat 10 times. Then, do the entire sequence with the left hand.
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.
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How To Live Pain
Arthritis of the hands, wrist and fingers can be unbearable, but a doctor says you dont have to live in agony.
Aches and pains in your hands or wrists, or sore, swollen fingers could signal a condition known as arthritis.
But you dont have to live with the pain, says Kevin Chung, M.D., Chief of Hand Surgery and Director of the Comprehensive Hand Center at University of Michigan Health.
There are three common types of arthritis of the hands, wrist and fingers.
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Osteoarthritis, also known as degenerative joint disease, is a condition in which the smooth, protective cartilage on the ends of joint bones begins to break down. Eventually, the bones become exposed and start to rub together. Osteoarthritis typically happens as a person ages. According to the Arthritis Foundation, approximately half of all women and one-quarter of all men will experience pain related to osteoarthritis by the time they reach the age of 85.
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Rheumatoid arthritis is an autoimmune and inflammatory condition in which the immune system attacks the tissue lining around a joint that produces lubrication to help the joint move smoothly. This causes the joint to become tender and painful to move. Individuals diagnosed with rheumatoid arthritis my be genetically predisposed to the condition, which researchers believe is activated by an environmental trigger such as a virus or bacteria or by physical or emotional stress.
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Post-traumatic arthritis is a type of osteoarthritis caused by joint injury or trauma.
Exercises That Help Relieve Arthritis In The Fingers And Hands

If someone is pain free, it is critical to keep joints in good range of motion. Simple shoulder shrugs, wrist, and finger range of motion exercises help keep joint range of motion, says physical therapist Charles J. Gulas, PT, PhD, GCS, dean of the School of Health Professions at Maryville University of St. Louis. Being pain free is the key, Gulas stresses, especially when doing exercises intended to build strength. When pain acts up, rest and pain management may be a better bet.
Try these range-of-motion exercises to keep your hands, fingers, and thumbs flexible and to ease symptoms of arthritis in the fingers and in the hands overall:
- Close your fist and then gradually open your hand, stretching your fingers out, then close slowly into a fist again.
- Make circle motions with your thumb, keeping it straight.
- Stretch your thumb away from the palm of your hand, then use it to touch each fingertip.
Repeat these exercises 3 to 10 times daily. Stop if you feel pain in a joint or if you’re experiencing additional pain once youre done. Some people find that doing these hand exercises under warm water is helpful. If you have osteoarthritis, you may need to wear a splint, wear a compression glove, or use another type of support to help reduce wear and tear on your joints during your daily activities. Ask your doctor or a physical therapist to recommend the type of device that may help you.
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Is It Arthritis In My Hand Or Tendonitis
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.