Hand Pain


Hand Pain can be caused by various disorders such as arthrosis , trauma, infection , tendonitis , inflammation of the nerves, etc. Those disorders can affect in daily life activities.

Pain in the back of the hand

Wrist cysts

The cysts on the back of the hand are soft, fluid formations that develop on the back of the hand for no apparent reason.

They are also called synovial cyst and constitute the most common non-cancerous mass of the soft tissues of the hand and wrist. Usually affects the right hand, but if the patient is left-handed this formation can be observed on the left. People who play (for example the guitar) easily develop these formations.

Symptoms include:

  • Pain in the wrist that is aggravated by repeated use, for example, when writing;

  • A slow and localized growth with swelling, mild pain and numbness in the wrist;

  • An apparent smooth protuberance, firm, rounded and flat.

Symptoms of the wrist cyst may resemble other conditions or diseases. Always consult your doctor for proper diagnosis. Initially, when the cyst is small and painless, no therapy is required. Only when it begins to grow and interfere with the function of the hand is it recommended to treat the wrist.

The cures recommended by physicians for wrist cysts consist of:

  • Home

  • Immobilization in an orthosis

  • Non-steroidal anti-inflammatory remedies

  • Aspiration

  • Cortisone injections

  • Surgery to remove the cyst, though in most cases it does reform within a few months.

Inflammation of the tendons of the hand

The two major tendon diseases are tendonitis and tenosynovitis.

Tendonitis is the acute inflammation of a tendon (resistant strands of fibrous tissue that attach muscles to bones) and can affect any tendon, but it most often occurs on the wrist and fingers. When the tendons become irritated, there is pain, swelling and stiffness .

Tenosynovitis is the inflammation of the tendon sheaths surrounding the tendons. Normally, only the sheath becomes inflamed, but also the tendon can become inflamed simultaneously. The cause of tenosynovitis is often unknown, but it is usually caused by tears, excessive use, injuries or very difficult exercises.

Tendonitis can also be linked to a disease (for example, diabetes or rheumatoid arthritis ).

Tendon disorders include:

1. De Quervain 's Tenosynovitis is the most common type of tenosynovitis characterized by inflammation of the sheath of the tendons of the thumb that causes pain and inflammation.

2. The trigger finger is a tenosynovitis in which the tendon sheath becomes inflamed and thickened, thus preventing flexion or extension of the thumb and the other fingers. The finger may suddenly block or stretch .

3. Tendonitis of the extensor or ulnar flexor of the carpus is a disease characterized by inflammation of the tendons, which are inserted between the wrist and the hand and allow the movements of extension and flexion of the hand.

Tendonitis causes pain with movement, pressing and lengthening the affected tendon, can also cause swelling and limitation of movement.

The pain may spread along the forearm to the elbow .

The treatment of hand tendonitis includes rest, ice, non-steroidal anti-inflammatory drugs, instrumental physiotherapy such as laser treatment and ultrasound .

Extensor tendon injuries

The extensor tendons are just under the skin on the back of the hand and fingers. Due to its location, it can easily be injured even with a small cut. A stretch can cause a rupture in the tendons where they attach to the bone.

With this type of injury, you may have difficulty straightening one or more joints. The treatment necessary to recover the use of the tendon is the splint, but in severe cases serves the surgical suture.

Arteriosis of the metatarsal-phalangeal joints (joints) The joints of the hand at the base of each finger are known as metacarpal-phalangeal joints. They are key to grasping objects, such as a precision tweezers .

The most common pathology affecting the metacarpal phalangeal joints is rheumatoid arthritis , while gout , psoriasis, and infections are less common.

Pain in the palm of the hand

Flexor tendon injuries

The deep cuts on the palmar side of the wrist, hand and fingers can damage the flexor tendons and possibly the nerves and blood vessels.

When a flexor tendon is completely broken from the finger, the finger remains straight because the muscle is unable to transmit the force to the tendon to bend.

Symptoms include pain, swelling , stiffness and loss of function. The treatment consists of resting on a rigid splint, but in the most severe cases surgery for tendon suture is necessary.

What is Dupuytren's syndrome?

Dupuytren's disease is a thickening of the fibrous tissue called fascia that lies beneath the skin of the palm. It's a hereditary disorder.

They form small lumps or fibrous bands that can pull the fingers in the palm of the hand. Dupuytren's disease may be associated with smoking, vascular disease, epilepsy, and diabetes. Small lumps or lumps in the palm need not be removed unless they become very large or interfere with the functioning of the hand.

Surgical treatment may be recommended if there is a progressive curvature of the fingers of the hand.

The bands of fibrous tissue may reappear or may occur on other fingers.

The pain at the base of the thumb

Hand Scaphoid Fracture

The fracture of the scaphoid bone occurs most frequently during a fall on an extended hand. In general you feel a severe pain in the beginning, but may decrease after a few days or weeks. Bruising or bruising due to scaphoid fracture is rare and swelling may be minimal. Because there is no deformity, many people with this injury think they have a wrist twist, this causes a delay in diagnosis.

It is common for people with a fractured scaphoid to see only a few months or years later.