Hand Pain Information Center

Our hands are a multi-fingered extremity, which are present at the each end of our arms. Each of our hand consists of 27 bones, of which 14 are the phalanges, 8 are the carpus/ wrist bones, and 5 bones are the metacarpus in the palm. The bones of our hands help us in gross motor skills, like grasping, and fine motor skills.

Our hands are a very important entity in our life as they perform all sorts of our daily activities of living without which our life seems impossible. However, many of us tend to take our hands for granted…we use them for various purposes which the nature had not intended for them,…we sometimes hold burning pot with our bare hands…we continuously work at our computers with disregard to what it does for our hands…we bite our nails which is a very bad habit etc. It's very hard to imagine our life without having our hands in perfect conditions. Simple tasks, such as lifting the bed covers, pressing a button in a lift, pouring a cup of coffee, holding a pen or newspaper etc. can be difficult if our hands were to suffer from any medical condition or disease. In our HAND INFORMATION CENTER, you will find many such ailments or diseases which affect our hands and we have covered them in detail along with their causes, symptoms, treatment, investigations along with strengthening and stretching exercises in great detail.

Hand Pain Information Center

Given below is a brief summary on some of the hand conditions. For more detailed read into many more topics, please refer to our left side menu under our HAND INFORMATION CENTER where we have covered many such afflictions of our hands in detail along with their causes, symptoms, treatment, investigations, strengthening and stretching exercises in detail.

Boxer's Fracture

Boxer's Fracture

Our hand has five bones which are known as metacarpal bones. The function of these bones is supporting our hand. If long bones get injured, then it is known as metacarpal fracture. The cause could be an injury or trauma to the hands, such as a punch. Fracture of the fifth metacarpal is very common and often occurs from punching as seen in boxing; hence, this type of fracture is termed as a Boxer's fracture. Symptoms are abrupt pain, swelling, tenderness, bruising and deformity of the hand. Treatment is done by casting/ splinting, immobilization and surgery in severe cases.

For more information including Stretching and Strengthening Exercises for Boxer's Fracture, please refer to the left side menu where our HAND INFORMATION CENTER is located.

Hand Tendonitis

Hand Tendonitis

Inflammation of the tendon is known as tendonitis. The main causes of hand tendonitis is injury to the hand, overuse of the hand, infection of hand, degenerative diseases of hand, ischemic changes in the hand. Risk factors include: Diabetes, gout, rheumatoid arthritis, penetrating injury, degenerative bone disease and side effects from certain medicines. Symptoms are pain, tenderness, swelling, muscle contraction, finger movement produces a snap sound, finger may be fixed in a semi-flexed position. Treatment comprises of braces, ice therapy, NSAIDs, muscle relaxants, opioids, antibiotics, physical therapy, cortisone injections and sometimes surgery.

Rheumatoid Arthritis of Hands

Rheumatoid Arthritis of Hands

Rheumatoid arthritis is an inflammatory condition affecting the joints. Rheumatoid arthritis is an autoimmune medical condition where there is self-destructive inflammation. Symptoms are initially seen in hands, wrists, ankles and feet joints. The cause of rheumatoid arthritis is not known. Rheumatoid arthritis, if not treated on time, can result in joint impairment of the hand and disability. Symptoms comprise of pain, swelling, fever, weakness, numbness, appetite loss, joint swelling, subluxation and dislocation may be seen. Treatment is done by following conservative measures such as rest, joint immobilization, exercises, heat therapy, cold therapy, using anti-inflammatories, muscle relaxants, immunosuppressants, physical therapy, ultrasound therapy, infrared light therapy. Interventional treatment involves cortisone injections. Surgical treatment comprises of excision, repair of tendon rupture, joint fusion, reconstruction surgery and joint replacement.

For more details, please refer to our left side menu and read under our HAND INFORMATION CENTER to know more about the causes, risk factors, symptoms and detailed treatment of this condition.

Treatment Guide for Dislocation of Hand, Thumb and Fingers

Treatment Guide for Dislocation of Hand, Thumb and Fingers

There are many methods and treatment options for treating dislocated Hand, Thumb and Fingers and the treatment involves medications, rehab and if needed surgery. In this section we have covered in detail the various treatment options for Dislocation of Hand, Thumb and Fingers. Given below is a brief summary of them, but for more detailed info, please refer to the left side menu under our HAND INFORMATION CENTER.

Treatment For Dislocation Of Hand, Thumb And Fingers Comprises Of:

  1. Conservative Treatment (rest, bandaging, bracing, splinting, heat therapy, cold therapy, exercises etc.).
  2. Medications (NSAIDs, Opioids, Anti-depressant Analgesics, Anti-epileptic Analgesics, Muscle Relaxants).
  3. Physical Therapy (Stretching, Exercises, Ultrasound therapy, Infrared or Heat Therapy, Cold Therapy, Massage Therapy)
  4. Interventional Pain Therapy (Cortisone Injection).
  5. Close Reduction.
  6. Surgical Treatment (External Fixation, Internal Fixation, Arthrodesis).

The above mentioned is just a brief look into what we have covered in our section; Treatment Guide for Dislocation of Hand, Thumb and Fingers. For detailed information on the type of treatments; and when these treatments are required and the possible complications of these treatment options, please refer to the left side menu under our HAND INFORMATION CENTER.

Osteoarthritis of Hands

Osteoarthritis of Hands

Osteoarthritis is a degenerative disease causing wear and tear of the soft tissue and cartilage of the joint and it is more commonly seen in hand and weight bearing joints. Risk Factors include: Obesity, being a manual worker, infection of the joint and ageing. Symptoms include: Pain, grinding or grating sounds upon joint movement, restricted hand joint movement, joint stiffness, swelling, mucus cysts, Heberden's node, Bouchard's node and weakness in hands. Investigations include: X-Ray, MRI, ultrasound, blood tests and joint fluid analysis (arthrocentesis). Treatment comprises of conservative treatment such as rest, anti-inflammatory medications, exercise, heat therapy, cold therapy, dietary supplements, physical therapy, infrared light therapy, non-opioid analgesics and muscle relaxants. Interventional treatment, such as cortisone injections are given to the inflamed joint of the palm and fingers. Surgical treatment comprises of reconstructive procedure and joint fusion or arthrodesis.

Dislocation of Hand, Thumb and Fingers

Dislocation of Hand, Thumb and Fingers

Dislocation of the joints of our hand, thumb and fingers can occur after a sport injury or falling and landing on your hands. Joint dislocation can be accompanied with a fracture of phalanges also. There may be associated injury to the tendon or ligaments also. The number of bones found in a hand is 19. The following constitute the 19 bones:

  • Bones of Palm- 5 Metacarpal Bones
  • Bones of Thumb- 2 Phalanges
  • Bones of Four Fingers- 12 Phalanges

The Different Types Of Dislocation Of Hand, Thumb And Fingers Are:

  • Anterior Dislocation of Hand, Thumb and Fingers
  • Posterior or Dorsal Dislocation of Hand, Thumb and Fingers
  • Lateral Dislocation of Hand, Thumb and Fingers

Risk Factors comprise of obesity, rheumatoid arthritis, sedative medications etc. Causes are auto and work accidents, sports injuries, domestic falls and certain medical conditions such as rheumatoid arthritis. Symptoms include: Pain, tenderness, joint deformity in hand and fingers, difficulty in flexing the finger, bruising, difficult joint movements and weak grasp. Investigations done for diagnosis are: X-ray, MRI, ultrasound examination of hand and blood tests.

You can read in detail about the different types of dislocation, the different symptoms experienced in different phases along with the investigations done and treatment in extensive detail under our HAND INFORMATION CENTER on the left side menu.

Fracture of Hand and Fingers

Fracture of Hand and Fingers

Our hand is divided anatomically into palm, thumb and four fingers. Any type of severe injury or hand trauma can result in fracture, dislocation or injury to the soft tissue. The number of joints in Palm and Fingers are 19 and consist of:

  • Joints between Wrist and Palm- 5 Metacarpo-carpal Joint
  • Joint between Palm and Thumb- 1 Metacarpo- Phalangeal Joint
  • Joint between Palm and 4 Fingers- 4 Metacarpo- Phalangeal Joint.
  • Joint in Thumb- 1 Inter-Phalangeal Joint
  • Joints in Fingers- 8 inter-Phalangeal Joints

Risk factors for fracture of hand and fingers are: Chronic smoking, obesity, domestic falls, osteoporosis and direct trauma. Causes for hand and finger fracture are: Auto and work accidents, domestic falls, sports injuries etc.

The Different Types Of Hand And Fingers Fracture Are:

  • Hairline fracture/Stress Fracture
  • Non-Displaced Fracture of Hand (Metacarpal Bone) and Fingers (Phalanges)
  • Displaced Fracture of Hand (Metacarpal Bone) and Fingers (Phalanges)
  • Comminuted Fracture of Hand (Metacarpal Bone) and Fingers (Phalanges).
  • Compound Fracture of Hand (Metacarpal Bone) and Fingers (Phalanges)
  • Extra-Articular and Intra-Articular Fracture

Symptoms are: Severe pain, tenderness, swelling, bruising, restricted movements, joint stiffness, crooked fingers, inability to grab objects and depressed knuckle.

Treatment Consists Of:

  1. Conservative Treatment (rest, ACE bandage, braces, splinting).
  2. Medications (NSAIDs, Opioids, Anti-depressant Analgesics, Anti-epileptic Analgesics and Muscle Relaxants).
  3. Physical Therapy (Heat/ Infra Red Therapy, cold therapy, massage therapy).
  4. Interventional Pain Therapy (Cortisone injection).
  5. Close Reduction Of Dislocation and Fracture.
  6. Surgical Treatment (External Fixation, Internal Fixation).

For more extensive details on hand fracture including different types of fracture, their symptoms and the different types of treatment done for the different types of fracture, please read under our HAND INFORMATION CENTER on the left side menu where we have covered everything and so much more.

Other Hand Pain Topics Which are Covered in This Section:

Written, Edited or Reviewed By:

, MD, FFARCSI

Last Modified On: May 30, 2016

Pain Assist Inc.

Pramod Kerkar
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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