What Are The Symptoms Of Arthritis In The Hands
Early symptoms include:
- Dull or burning joint pain, appearing hours or a day after increased use of your hands.
- Morning pain and stiffness in your hand.
- Swollen joints in your hand.
If you’ve had arthritis in your hand for some time:
- Symptoms are present more often.
- Pain may change from dull ache to sharp pain.
- Pain may wake you up at night.
- Pain may cause you to change the way you use your hand.
- Tissue surrounding your affected joint may become red and tender to the touch.
- Youll feel grating, grinding, cracking or clicking when bending your fingers.
- Your fingers cant fully open and close.
- Small bony nodules form on the middle joint of your fingers or at the top joints of your fingers .
- Your finger joints become large and deformed and abnormally bent, leaving your hands weak and less able to accomplish everyday tasks.
What Is A Swan
This happens when the base of the finger and the outermost joint bend, while the middle joint straightens. Over time, this imbalance of the finger joints can result in the crooked âswan-neckâ position. Rheumatoid arthritis can cause it.
A swan-neck deformity can make it almost impossible to bend the affected finger normally. It can make it hard to button shirts, grip a glass, or pinch with the fingers.
Treatment may include:
- Finger splints or ring splints
- Surgery to realign the joints or fuse the joints so they work better
How Can I Ease Hand And Finger Joint Pain
Regular exercise is very important to make your hands and fingers more flexible. You also need to rest painful joints. It helps to use hand or finger splints to ease pressure if your RA flares up.
To exercise your hands and fingers, you can use a soft foam ball like a Nerf ball . Squeeze it and then relax your hand muscles.
Ask an occupational therapist about gadgets and devices that may help make everyday activities easier, at home or on the job. For instance:
- Use hook and loop fasteners to replace buttons on clothing.
- Add accessories to doorknobs for easier turning.
- Use lamp switches that require just a touch to the lamp base rather than twisting a small knob switch.
- Try a long-handled shoehorn to put on your shoes so you donât have to bend over and stretch your hands.
- Use lightweight household utensils, pots, pans, cups, and dishes.
- Put foam padding around your pen or pencil. These are available at most office supply stores.
Learn about more hand and finger exercises you can do for RA
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How To Get Rid Of Arthritis In Fingers
Arthritis of the fingers can be quite uncomfortable, causing symptoms such as joint pain, swelling, and stiffness. These symptoms make hand motions like grasping and pinching difficult, which restricts a person’s ability to perform everyday tasks. Osteoarthritis and;rheumatoid arthritis ;are the two types of arthritis that most commonly affect the finger joints. Depending on which type of arthritis affects your finger joints, you may experience additional symptoms.
Thankfully, numerous remedies can help alleviate the discomfort from arthritis of the fingers, from hand exercises to help strengthen your fingers to over-the-counter and prescription pain medications and surgical treatments.
How Arthritis In The Hands Is Treated
If youre diagnosed with an inflammatory form of arthritis, you have more treatment options than someone with OA. While nonsteroidal anti-inflammatory drugs can help manage the pain of both types of arthritis, the development of disease-modifying antirheumatic drugs and biologics has vastly improved the prognosis of those with inflammatory forms of arthritis by reducing inflammation and preventing further joint damage.
Cortisone injections can be useful for those with OA and conditions such as RA, though theyre usually used in patients whose inflammatory arthritis is limited to just one or two joints, Dr. Byram says. Injections of hyaluronic acid can be helpful for those with OA , but these are better for managing pain in larger joints like the knees rather than the hands.
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Exercise #: Finger Bends
Start in the same position as in the last exercise, with your left hand held up straight. Bend your thumb down toward your palm. Hold it for a couple of seconds. Straighten your thumb back up. Then bend your index finger down toward your palm. Hold it for a couple of seconds. Then straighten it. Repeat with each finger on the left hand. Then repeat the entire sequence on the right hand.
Part 5 of 9: Thumb Bend
Psa In Hands And Fingers
PsA of the hands or fingers primarily causes stiffness and swelling.
In some cases, your fingers may swell enough to take on a sausage-like appearance . About a third of people with PsA experience dactylitis in at least one finger.
Stiff and swollen fingers can make it hard to perform ordinary tasks, like zipping a jacket or unscrewing a jar. If youre experiencing any of these difficulties for the first time, see your doctor. They may be a result of PsA.
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What Can Be Done To Remedy Finger Arthritis
The earlier you treat finger arthritis, the better. Treatment will give you strategies to control your symptoms and maintain the function of your finger. These strategies include:
- Nonsteroidal anti-inflammatory drugs such as ibuprofen and naproxen to control pain and inflammation
- Injection of corticosteroid medication into the affected joint to control pain and inflammation
- Splinting to support the affected joint
- Cold therapy and heat therapy with paraffin wax baths
- Adaptive equipment to help you perform daily activities. Your doctor may recommend a hand therapist or an for a full evaluation of your needs.
If you have an autoimmune disease causing your finger arthritis, you may also need medicine to control your immune system. These treatments include disease-modifying anti-rheumatic drugs to slow down joint destruction, and biologic response modifiers to reduce inflammation and permanent joint damage.Depending on your specific circumstances, your doctor may recommend surgery for you if you can no longer use your finger or if your pain is severe. Joint fusion and joint replacement are surgical options for finger arthritis. Talk to your doctor about all your options and if surgery is right for you.
Exercise #: Finger Lift
Place your left hand flat on a table, palm down. Starting with your thumb, lift each finger slowly off the tableone at a time. Hold each finger for a second or two, and then lower it. Do the same exercise with every finger of the left hand. After youre done with the left hand, repeat the entire sequence on the right hand.
Part 9 of 9: Wrist Stretch
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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.
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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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
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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?
How To Treat Osteoarthritis
The goals in treating osteoarthritis are to relieve pain and restore function. Brief rest either by changing activities or wearing a splint can help. Soft, snug sleeves can help support a joint when rigid splints are too restrictive. Heat can soothe the joints and help keep them mobile. It is important to keep as much finger motion and function as possible. Hand therapists can teach joint protection exercises and activity modification to help protect joints. Anti-inflammatory medication or a steroid injection into the joint can decrease pain, but neither cures osteoarthritis.
Surgery is considered when the non-surgical options above have not helped. In most cases, you will tell your doctor when you are ready for surgery. The goal is to restore as much function as possible and to minimize your pain. One type of surgery is joint fusion. The worn cartilage is removed and the bones on each side of the joint are fused together, which means that the joint will not move but it will not hurt. Another choice is joint reconstruction, where the rough joint surface is removed and either replaced with your own soft tissue or with an implant. The type of surgery depends on the joint involved, your anatomy, and your activities. Your hand surgeon can help you decide which type of surgery is the best for you.
This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand.Find a hand surgeon near you.
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Simple Ways To Manage Hand Osteoarthritis
When osteoarthritis affects your hands, everyday activities such as opening jars and using a cell phone can be difficult. Arthritic joints in the hands or wrists may be painful, stiff, and weaker than normal. Thankfully, there are many ways to help manage this condition.
Osteoarthritis in the hand or wrist joints can make it hard to open jars or grip objects. SeeRecognizing Osteoarthritis in the Hand
Read on to learn 5 simple strategies for coping with osteoarthritic pain in the hand.
Consider Topical Pain Medication
Over the counter gels, balms, creams, or patches are ideal for hand joints, which lie just below the skin. Regardless of how they are applied, most topical arthritis pain relievers fall into these categories:
- Salicylates, which have mild anti-inflammatory effects
- Counterirritants, which distract from pain
- Capsaicin products, which distract from pain and may have a role in blocking pain signals
- Cannabidiol products
- Lidocaine products, which work as local anesthetics
While topical products are generally safe, their ingredients can enter the bloodstream and produce side effects or interact with other medications. Its advisable to talk to a doctor or pharmacist before trying any new medication.
See Topical Pain Relief for Arthritis
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Exercise #: Thumb Bend
First, hold your left hand up straight. Then, bend your thumb inward toward your palm. Stretch for the bottom of your pinky finger with your thumb. If you cant reach your pinky, dont worry. Just stretch your thumb as far as you can. Hold the position for a second or two, and then return your thumb to the starting position. Repeat 10 times. Then do the exercise with your right hand.
Part 6 of 9: Make an O
Trigger Finger Risk Factors
Things that make you more likely to have trigger finger include:
- Age. It usually shows up between ages 40 and 60.
- Sex. Itâs more common in women than men.
- Health conditions.Diabetes, gout, and rheumatoid arthritis can lead to trigger finger.
- Job. Itâs common among farmers, industrial workers, musicians, and anyone else who repeats finger and thumb movements.
- Surgery for carpal tunnel syndrome. Itâs most common in the first 6 months after your operation.
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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.
How Are Wrists And Hands Affected By Arthritis
Any joint in your fingers, thumbs, knuckles and wrists can be affected by arthritis. Many different types of arthritis can affect your hands and cause joint pain, swelling and stiffness. People with hand arthritis often find their grip weakens and it becomes harder to do fine movements, such as turning a key or tying shoelaces.
Find out about aids and equipment that can make everyday tasks easier. Learn ways to protect your hands and manage your symptoms.
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Signs Symptoms And Treatment
Our fingers are important! We use them constantly, all day long: to brush our teeth, to send emails, to cook our meals. When arthritis affects the fingers, everyday tasks become difficult and painful. So what can we do when our finger joints begin to cause problems?
This article provides more information about arthritis in the fingers, what causes it, and what you can do to help keep your fingers moving.
Verywell;/ Cindy Chung
Should I Exercise My Hands
Dont be afraid to use your hands. Regular exercise is important in reducing stiffness and keeping your joints and muscles working. Try to make sure you move any affected joints in your fingers, thumbs, knuckles and wrists as far as is comfortable several times a day. You could also see an occupational therapist or physiotherapist for specific hand exercises.
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Signs And Symptoms Of Arthritis In Fingers
At present doctors distinguish two main forms of arthritis: acute and chronic. The first develops quickly and is always accompanied by fever, swelling and severe pain in your joints. Chronic arthritis usually develops over a long period of time. Early signs of this form are not so evident. As a rule, they include moderate fever and stiffness in your joints during movement. Arthritis treatment largely depends on its nature, course of the disease and its initial reason. Finger arthritis manifests itself differently in any particular case, but it is still possible to identify some common symptoms.
Typical symptoms for arthritis of any location are:
- Pain in the joints of several or one finger, occurring during their movement and reinforcing after a long rest;
- Fever occurs mainly in the acute form of the disease;
- Stiffness in your joints that develops within a year or two after the onset of arthritis is typical for a chronic form;
- Swollen fingers and redness of the skin above the affected joints.
There is another classification based on the causes of arthritis. According to this classification there are the following types of arthritis: