Medicine Information

Eliminate Agonizing Hand Pain Quickly and Easily!


According to Dr. Nathan Wei, "The hand and wrist are the mirrors of disease." While the cause of hand pain can be a localized problem, hand pain can also be the presenting sign for other diseases.

The wrist and hand are capable of power and precision. As a result, pain and swelling are often accompanied by weakness of grip in hand disorders. A careful history and a complete physical examination are important. The presence of symptoms elsewhere in the body is important to establish.

Two serious hand problems are:
? Reflex sympathetic dystrophy (RSD). This is caused by a disorder of the sympathetic nervous system. Typically, it is described as a burning pain. The precipitating factor may be trauma Color changes including purplish discoloration of the fingers may occur. The treatment involves a special procedure called stellate ganglion block. Usually performed by an anesthesiologist, this procedure is often very effective.
? Hypertrophic osteoarthropathy. The hand becomes swollen and painful. This picture occasionally occurs in patients with underlying cancers.

Other hand problems that point to other diseases:
? Psoriasis may also cause pitting or lifting up (onycholysis) of the fingernails.
? Abnormal blood vessel patterns near the fingernails may signify auto-immune diseases like lupus.
? Raynaud's phenomenon... When fingers blanch (turn white) this may be a sign of an underlying autoimmune problem such as systemic lupus erythematosus or scleroderma.
? Bumps, called "nodules" can develop as a result of osteoarthritis, gout, and rheumatoid arthritis.
? Depuytren's contracture is a problem where the skin in the palm may become thickened and shortened. A cord of tissue develops and causes fingers to bend into the palm. Treatment for this problem may be steroid injection, splinting, and physical therapy. Surgery is often needed. This condition occurs with other medical diseases.

Virtually all types of arthritis can affect the wrist and hand.
Arthritis when untreated or poorly treated will lead to deformity. Tendonitis is another common problem in the wrist and hand. In the wrist, tendonitis usually causes pain and localized swelling. Tendonitis can be confused with arthritis.

Tendonitis in the hand is most common in the palm. This causes locking or triggering of the fingers. Steroid injection and physical therapy are usually effective treatments. Treatment consists of anti-inflammatory medication, steroid injection, splinting, and occasionally physical therapy.

Tips to make your hand pain better...
? Wear splints if you're going to be doing a lot of repetitive motions
? Use your whole arm instead of just your hand and wrist
? Enlarge the handles on your tools. You can get kitchen utensils and writing implements with enlarges handles. They're worth it.
? Make sure to take rest breaks.
? Avoid repetitive movements when possible.
? Carry objects with the palms open and flat. This will take the pressure off your wrists and fingers.

A common cause of hand pain is carpal tunnel syndrome
... pinching of the median nerve in the wrist. Carpal tunnel syndrome is a symptom- much like fever... it is not a disease! It is the most common cause of tingling in the hands. Besides tingling, burning pain may also occur. Patients often have discomfort at night that is relieved by hanging the affected hand over the side of the bed or vigorously shaking the hands. The discomfort of carpal tunnel syndrome can also be brought on by holding up the newspaper while reading, or by driving. Causes of carpal tunnel syndrome include arthritis, endocrine problems, pregnancy, trauma, infection, tumors, and overuse. Treatment of carpal tunnel syndrome depends on the severity. Mild to moderate carpal tunnel syndrome is treated with splinting, sometimes steroid injection, and avoidance of overuse. For patients with carpal tunnel syndrome that doesn't respond to conservative measures or where the carpal tunnel syndrome is severe, surgery is indicated.
Radial nerve damage leads to wrist drop. Radial nerve pressure in the wrist can occur as a result of repetitive motion, tight pressure (handcuffs, watchbands, bracelets), diabetes, and trauma. Ulnar nerve damage and compression in the wrist can cause a "claw hand." Treatment consists of anti-inflammatory medication, rest, splinting, injection, and sometimes surgery.

Treatment of hand disorders is entirely dependent on making an accurate and specific diagnosis.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: http://www.arthritis-treatment-and-relief.com


MORE RESOURCES:
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news


Forbes

Medicine and Dentistry: Undoing an Illogical 150-Year Divide
Forbes
It's no secret that medicine and dentistry have evolved an unnatural professional separation that is helpful to no one and often causes unnecessary suffering on the part of patients. But we're in a moment—driven by our greater understanding of the ...



PharmaTimes

Mirati joins CR UK's Stratified Medicine Programme
PharmaTimes
Mirati Therapeutics has joined Cancer Research UK's Stratified Medicine Programme, bringing new investigational treatment options to eligible patients with advanced lung cancer. The partnership will make Mirati's experimental drug, sitravatinib ...



Healthcare IT News

Center for Connected Medicine polls top health systems about 2019 priorities
Healthcare IT News
The Center for Connected Medicine polled IT executives across 38 health systems for its 2019 Top of Mind survey. Cybersecurity continues to be the biggest concern across the industry, with telehealth and interoperability not far behind. Those topics ...

and more »


AAFP News (blog)

Bustling Clerkship Shows Family Medicine Is Never Boring
AAFP News (blog)
Not only was family medicine the first specialty I was ever interested in, it was my first third-year clerkship in medical school, too. Although I started medical school thinking family medicine was the specialty for me, it wasn't until my clinical ...



OncLive

Dr. Borgen on Precision Medicine in Breast Cancer
OncLive
The TAILORx trial, which was discussed at the 2018 ASCO Annual Meeting, is a perfect example of precision medicine making its way into this space, according to Borgen. Data from this trial suggested that by applying the precision medicine concept in ...



News3LV

Pulmonary Medicine
News3LV
Pulmonary Medicine. OptumCare Lung and Allergy Care. Chronic obstructive pulmonary disease, or “COPD” is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus production ...

and more »


Mylan recalls batches of blood pressure medicine in US
Reuters
(Reuters) - Mylan NV said on Tuesday it would recall certain batches of blood pressure medicine valsartan in the United States after they were found to contain a probable cancer-causing impurity, the latest recall amid heightened safety concerns globally.

and more »


Washington University School of Medicine in St. Louis

MRI scans shows promise in predicting dementia
Washington University School of Medicine in St. Louis
In a small study, MRI brain scans predicted with 89 percent accuracy who would go on to develop dementia within three years, according to research at Washington University School of Medicine in St. Louis and the University of California San Francisco.

and more »


Stanford Medical Center Report

Stanford Medicine magazine reports on ways digital technology is transforming health care
Stanford Medical Center Report
Four programs highlight how Stanford Medicine uses digital technology to fill in gaps in care: An emergency room physician uses tablet computers to train community health care workers in underserved areas of Haiti and India; radiologists transformed ...



KRVS

Medicine Ball Caravan: November 20, 2018
KRVS
We've got sound to heal you on Tuesday's MEDICINE BALL CARAVAN on KRVS (11am-noon Central Standard on 88.7FM locally or krvs.org) with recent selections from Paul McCartney, Zuider Zee, Sunflower Bean and The Record Company. Also: familiar ...


Google News

home | site map | Dr. Thad Thomas
© 2006