Arthritis of the Hand: Symptoms & Treatment

Arthritis is the generic name for inflammation in the joints. It can take many different form and the most common one is osteoarthritis. Osteoarthritis is the medical condition when the protective cushioning known as the cartilage is worn out due to wear and tear. It usually happens in areas such as the hand. In this article, we will look at some of the symptoms and treatment for hand arthritis.

Pain

Pain is the most straightforward symptom for any kind of medical conditions. In the initial stages of hand arthritis, the surrounding area will start to have a burning sensation especially after periods of long usage. This pain can be immediate or delayed. As wear and tear of the cartilage continue to take place, the pain will start to be more intense and the frequency increases. After long periods of rest such as after waking up in the morning, the pain can be quite unbearable and the ability to sense changes in weather also appears. Simple activities such as carrying a grocery bag or opening a can be difficult to accomplish.

Crepitation

After some time, there will be sensations of crepitation. This is due to the damaged cartilage rubbing against each other to create a grinding effect. If the hand arthritis affects the hand ligaments, the ligaments and tendons may start to become loose, creating a sense of instability.

Swelling

Swelling occurs due to an excess of body fluid accumulated in the hand. This is due to the body’s natural defence mechanism sensing that something is wrong. As a result, the white blood cells start to destroy the damaged cartilage, secreting a lot of fluid as a result. This will result in pain and tenderness in the hand.

 

Treatment is classified into non-surgical and surgical methods. In non-surgical treatment, the doctor will prescribe medication to stop the inflammation such as acetaminophen and ibuprofen. These medication can only treat the symptom but cannot repair the damaged cartilage. To counter this, glucosamine and chondroitin may also be prescribed as supplements.

If non-surgical treatment fails to produce good results, surgery will be necessary. The most common form of surgery is finger joint replacement. The replacement materials are biocompatiable and possesses weightbearing capabilities such as ceramics. This will help to restore function to the hand and improve the quality of life.

Cartilage do not self-regenerate and this is why joint replacement is the most viable option up to date.

One comment on “Arthritis of the Hand: Symptoms & Treatment

  1. Dear Sirs
    since many years I’m suffering of a thumb artritis in both thumbs. The right one is worse than the left one.
    I make treatment with immobilisation by special bandage, by taping and also I take Panadol 500. I made exercice for my hand and do many others things to improve the situation. But each year it get worse. The pain sometimes is very big and make me tired.

    I live in Bali (Indonesia) and it is very difficult to find here a doctor with good skills. Also the clinics are very dirthy. So this is not a solution for me to see a doctor here in Bali.

    For your information: I’m female, origin Swiss, 69 years old and in good healthy condition. I have no diabetes, no high blood pressure and no other healthy problems.

    My questions:
    1. If I come to Singapore and your diagnosis is that I need surgery, can you do this in the same time that I must not come twice?

    2. What are the approximatively costs for:
    a) first appointment and diagnosis?
    b) a surgery?

    3. How long I had to stay in Singapore?

    Waiting your answer I send you my best regards
    Thea Ami

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