Hands and wrists are necessary tools to work and perform daily activities. How the hand and wrist interact depends on the integrity and subordinate of the ligaments, tendons, muscles, joints, and bones.
Problems in any of these organs can affect upper limb function, causing disruption at home and work and negatively impacting the quality of life. The human hand itself has a very complex and delicate structure.
Whether to treat fractures, arthritis, or deformities, hand surgery requires several surgical approaches from a qualified hand and wrist surgeon.
Approximately one in five people worldwide have arthritis, with osteoarthritis and rheumatoid arthritis being the most common.
Arthritis can affect any joint area, including wrists, knees, and hips, and it usually progresses over time. Although there are over-the-counter treatment options for arthritis, some severe cases may require surgery.
Today, it is possible to treat all types of hand arthritis, especially hand arthritis, with new methods. Stay with us until the end of the article to know more about this.
The most common type of arthritis, osteoarthritis, is a degenerative bone disease that slowly destroys the protective cartilage, allowing joints to slide easily when moving.
As the cartilage wears away from arthritis, the smooth surface becomes rougher. This makes joint movement uncomfortable.
Eventually, the cartilage may be destroyed, and the bone rubs directly onto the bone. Without protective cartilage, joint movement becomes very painful.
Increased friction during movement causes inflammation, which increases joint pain. Because each hand has 29 significant joints, people with arthritis in their hands feel almost constant pain during simple daily tasks.
Arthritis of the hand causes the bones outside the fingers and the middle joints to become more prominent. Arthritis is a putrefactive joint disease in which the smooth cartilage that covers the bone surface of the joints is damaged or destroyed over time.
Related: “How Do You Slow Down Arthritis?“
About 10% of people have hereditary arthritis in the fingertip joints, also called distal interphalangeal joints. The pressure on our fingertips is similar to the pressure we put on our knees when we walk.
For this reason, patients with small bumps on their fingers, called Heberden’s nodes, are usually small bony bumps. These bumps rarely need treatment unless it affects their mobility.
Approximately 25% of women over 50 develop arthritis in the thumb. This figure reaches more than 50% of women over 70 years old. Since men rarely have arthritis of the thumb, we believe that the ligaments that hold the joint together have estrogen receptors in women.
After age 50, when women lose estrogen during menopause, the ligaments stretch, and the joint degenerates.
Post-traumatic arthritis is arthritis in the hand that occurs after a joint injury. However, since arthritis develops gradually, it is difficult to determine the exact onset time of this disease.
For example, we see much arthritis in the wrist due to undiagnosed fractures, especially scaphoid or undiagnosed ligament injuries. With such injuries, early detection of arthritis is problematic because it can take 8-10 years or more before we recognize it, which is why it is common in 45-60 years of age.
It is prone to arthritis because no muscles or tendons are attached to the eight bones in the wrist, meaning there is not much protection from everyday wear and tear.
The most common signs or symptoms of arthritis in the hand are joint pain and stiffness. Numb; and weakness in the hand
Other symptoms of arthritis in the hand include:
Although people of any age can develop arthritis, men are more likely than women to develop arthritis before 45, and women are more affected than men after 45.
People who have broken the bones of their hand, wrist, or elbow are at a higher risk of developing arthritis in their hands.
People who do jobs or activities that require repetitive movements in their hands are more likely to develop arthritis of the hands, wrists, or elbows.
Excessive friction of the joints caused by bone misalignment in the hands, wrists, or elbows can cause arthritis in the hand and wear down the cartilage in the hand, wrist, or elbow.
Women are more amenable to rheumatoid arthritis than men.
Other influencing factors include:
There is no way to prevent arthritis. Some lifestyle changes may reduce the likelihood:
Different types of treatments are available to treat arthritis in the hand. Most people find sedation with over-the-counter non-steroidal anti-inflammatory drugs such as ibuprofen. Preventive approaches such as supplements and massage therapy can also help.
For people with rheumatoid arthritis, certain medications can be used to restrict the immune system‘s overreaction.
Treatments may become less effective over time. In most cases, arthritis in the hand is a progressive disease, and if the patient’s condition is not controlled, it becomes worse.
Your doctor may recommend one or more of these treatments to help relieve pain and ease the use of your hand:
Splints and braces can keep your hand in a fixed position to reduce pain.
The doctor may suggest you a series of daily exercises to strengthen and treat arthritis in the hand.
An injection into the joint may help relieve the pain of arthritis in your hand for weeks or months. However, the doctor only offers these things a few times because it can cause complications such as infection and weakening of the ligaments.
Use of pain relievers like ibuprofen and acetaminophen.
The last treatment method for arthritis in the hand is surgery, which can only be determined by a doctor. If none of the above methods affect the person’s recovery, surgery is used.
Arthritis surgery can repair or replace the damaged joint(s). There are different treatment options depending on your needs. Joint fusion is recommended for severe bone loss.
During surgery, the surgeon removes the surface of the arthritis. At the same time, it permanently joins the bones on both sides of the joint. This prevents further movement that worsens symptoms.
Joint reconstruction allows joints to move after arthritis in hand surgery. During joint reconstruction, the damaged area of the joint is removed. Soft tissue from other body parts is used to reconstruct the joint. Sometimes an artificial joint may be used as a replacement.
Almost more than half of older adults have hand arthritis, which is one of the most common diseases in people, so you should look for a permanent and suitable treatment for it.
Many people who suffer from hand arthritis face problems such as hand pain. One of the effective and practical ways to treat arthritis of the hand is surgery and hand joint replacement; if the best hand surgeon does it, the results are successful, leading to patient satisfaction and pain relief.
Suppose you experience the symptoms of this disease. In that case, you should go to one of the best specialists in this field as soon as possible so that the process of diagnosis and various preventive measures can be taken to reduce the symptoms of this disease.
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Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.