If my hand hurts, does that mean I am developing arthritis?
We all have family members or know of someone who has developed arthritis in their hands as they have gotten older. The swollen joints and constant pain, sometimes combined with deformity, often progresses to a point where normal functioning becomes difficult or even impossible. While arthritis in the hands is not uncommon, it is not the only reason for hand and wrist pain. The good news is that, depending on the source of the problem, there may well be treatment options that are very effective.
Common Causes of Hand Pain
The hand consists of all of the bones, joints, muscles, ligaments, tendons, blood vessels and tissues from the tip of the fingers through the wrist. The movements and dexterity that we tend to take for granted require a complex construction. Different types of disease and injuries can interfere with functioning and create discomfort. Some of the more common causes include:
- Arthritis – this is the leading cause of hand pain for adults over 60. The cartilage that facilitates smooth movement in the joints wears away over time. Osteoarthritis is usually the type of arthritis found in the hand but it is not an uncommon location for rheumatoid arthritis as well.
- Ganglion Cysts – these cysts occur when fluid escapes from a joint or tendon sheath and forms a pocket. The hand is a prime target due to the number of joints. Not all ganglion cysts are painful but those that are can be treated through aspiration of the fluid or minor surgery, although there is a fair degree of likelihood that the cyst will return.
- De Quervain’s Tendinitis – also known as wrist tendinitis, this painful condition is usually brought on by overuse and repetitive motion. It is becoming increasingly more common due to the amount of texting that so many people do. Rest, ice and over the counter pain medications combined with reduced use is often sufficient to relieve symptoms.
- Carpal Tunnel Syndrome – irritation to the median nerve, which runs through the wrist, is one of the most common and dreaded causes of pain affecting not only the hand and wrist but also extending into the forearm. At one time, carpal tunnel syndrome was assumed to be caused by spending too much time at a computer keyboard but, to date, research has not proven that to be the case. Possible causes include trauma, arthritis, diabetes, pregnancy, hypothyroidism and obesity, as well as overuse. Surgery may be required if rest, ice, braces, physical therapy and pain medication are not effective.
- Trigger Finger – inflammation or a thickening of a tendon sheath in a finger or thumb can cause it to actually lock into one position. This can be very painful, especially if you try to use force to straighten the finger. Currently, the cause of trigger finger is not known but it is believed to be associated with diabetes, gout and rheumatoid arthritis. Rest, splinting and pain medication may be enough to treat this condition but, in other cases, corticosteroid shots and even surgery may be recommended.
While these are some of the more common causes, there are others, such as trauma, bug bites, gout, corns and a variety of other possibilities. Any type of pain that does not go away should be treated seriously by making an appointment with a healthcare professional.
If you have questions about any of these conditions or you are experiencing pain in your hand or have any other orthopedic concerns, the physicians and staff of Orthopaedic & Sports Associates of Long Island are very experienced in a wide range of orthopedic conditions and are committed to providing personalized care in a state-of-the-art facility. To schedule an appointment, or if you just have questions, please use our convenient online contact form by clicking here.
