Hand Arthritis Symptoms and Treatment

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Article featured on Orthopaedic Specialists

Hand arthritis can significantly impact your ability to perform daily tasks and enjoy your favorite activities. The pain, stiffness, and limited mobility associated with this condition can be debilitating. However, seeking the right hand arthritis treatment can help you regain control over your body and improve your quality of life.

Symptoms of Hand Arthritis

Hand arthritis symptoms can vary depending on severity and the type of arthritis. However, some common symptoms can help identify the condition early and seek treatment before it worsens. Seek out a specialists if experience any of the following symptoms to a debilitating degree or for an extended period of time:

  1. Pain and Tenderness: Pain is often felt in the joints of the hands, especially after repetitive movements. The pain can range from mild to severe and may worsen with physical activity.
  2. Stiffness: Stiffness in the hands is common, particularly after resting or in the morning. This stiffness can make it difficult to open jars, grip objects, or perform simple tasks like buttoning a shirt or tying your shoes.
  3. Swelling: Swelling in the hands or fingers can occur, particularly around the joints. This can lead to discomfort and restricted movement.
  4. Decreased Range of Motion: Over time, the range of motion in the affected hand joints can become limited. This can impact your ability to carry out everyday tasks and may make it difficult to fully straighten or bend your fingers.
  5. Formation of Bumps or Deformities: In advanced cases, bone spurs may develop around the joints, leading to the formation of lumps or visible deformities. These can make the hands look misshapen or swollen.
  6. Grinding Sensation: You may experience a sensation of grinding or crunching in your fingers or hands as the cartilage breaks down in the affected joints.

Hand Arthritis Treatment

Hand arthritis can be a debilitating condition to live with. Our hands play such a large role in our lives, and without full movement, we may feel helpless. Activities that require a steady hand or precise movements become much more difficult. Hobbies that we once enjoyed become painful. However, with modern medicine, there are ways to treat this condition. Perhaps a cure is still on its way to being found, but pain management methods have proven to be effective with certain types of arthritis.

1. Medications

The first line of treatment for hand arthritis often involves medications to help reduce pain and inflammation. Over-the-counter (OTC) pain relievers like ibuprofen and acetaminophen can help manage mild to moderate pain. In cases of more severe inflammation, prescription medications, such as corticosteroids, or disease-modifying anti-rheumatic drugs (DMARDs) for conditions like rheumatoid arthritis may be utilized.

2. Physical and Occupational Therapy

Physical and occupational therapy can play a critical role in improving hand function. A physical therapist can help strengthen the muscles around the joints and improve flexibility, while an occupational therapist can teach you techniques to perform daily tasks more easily and reduce stress on the affected joints. Splints and custom braces may also be used to protect your hands and prevent further damage.

3. Injections

Corticosteroid injections can provide temporary relief from pain and inflammation. These injections are typically administered directly into the affected joint. While they can be highly effective, they are not a long-term solution and may be used as part of a comprehensive treatment plan.

4. Surgery

If conservative treatments fail to alleviate the symptoms, surgery may be necessary. There are different surgical options available depending on the severity of the arthritis and the specific joints involved:

  • Joint Fusion: This procedure involves fusing two bones together to eliminate movement and relieve pain in the affected joint. It is most commonly used for severe cases of osteoarthritis.
  • Joint Replacement: In cases where the joint is severely damaged, a joint replacement may be recommended. The damaged joint is replaced with a prosthetic joint, helping restore function and alleviate pain.

5. Lifestyle Modifications

Making certain lifestyle changes can also help manage arthritis symptoms. These may include maintaining a healthy weight, which reduces stress on the joints, and avoiding repetitive hand movements that may aggravate the condition. Regular low-impact exercise can improve flexibility and strengthen muscles to support the affected joints.

6. Alternative Therapies

Alternative treatments such as acupuncture, massage, or the use of hot or cold therapy may provide additional relief for some individuals with hand arthritis. Consult with your doctor before pursuing these therapies to ensure they are safe and effective for your specific condition.

The Orthopedic & Sports Medicine Center of Oregon

The Orthopedic & Sports Medicine Center of Oregon (OSM) is an award-winning, board-certified orthopedic and sports medicine practice serving Lake Oswego, Portland, Scappoose, and surrounding Oregon communities. Our main clinic is located in Lake Oswego, with additional locations in Portland and Scappoose.

OSM provides comprehensive orthopedic care, sports medicine, spine care, joint replacement, foot and ankle surgery, hand and upper extremity care, and fracture treatment. Our physicians treat a wide range of conditions including sports injuries, arthritis, joint pain, spine conditions, ligament and tendon injuries, fractures, and degenerative musculoskeletal disorders using both surgical and nonsurgical approaches.

Our mission is to help patients return to pain-free movement, strength, and function through personalized treatment plans and advanced orthopedic techniques.

OSM Locations

Lake Oswego (Main Clinic)
17355 Lower Boones Ferry Rd, Suite 100A
Lake Oswego, OR 97035

Portland
5050 NE Hoyt St, Suite 668
Portland, OR 97213

Scappoose
51385 SW Old Portland Rd, Suite A
Scappoose, OR 97056

Phone: 503-224-8399
Hours: Mon–Thurs, 8:00am–4:30pm/ Friday 8:00am–1:00pm

If you are looking for experienced orthopedic surgeons, sports medicine specialists, spine doctors, or foot and ankle experts in Lake Oswego, Portland, or Scappoose, contact The Orthopedic & Sports Medicine Center of Oregon today.

Numb Fingers? It Could Be Nerve Compression

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Article featured on Modern Orthopaedics of New Jersey

Do you keep thinking that your hand has fallen asleep, but then the feeling persists? Or perhaps you experience unexplained pain in your fingers alongside difficulty with tasks such as writing, buttoning a shirt, or picking up small objects off the floor? If so, nerve compression could be the underlying cause.

In this post, we’ve defined nerve compression in the hand and wrist, provided an overview of its causes, and explored some of its most common symptoms and treatment options. To learn more and receive an accurate diagnosis and personalized treatment plan for numbness in the fingers, contact us to schedule an initial consultation today!

Understanding Nerve Compression In The Hand And Wrist

What Is Nerve Compression?

Nerve compression, also sometimes referred to as a “pinched nerve”, occurs when excess pressure is placed on one or more nerves by surrounding tissues such as bones, cartilage, muscles, or tendons. The condition can range from mild to severe and is commonly characterized by symptoms such as numbness, tingling, pain, and/or weakness in the affected region.

Nerve compression in the wrist can disrupt nerve function in the hand and fingers, making it difficult to perform a variety of everyday tasks and resulting in significant pain and discomfort. The three nerves most commonly compressed in the wrist are:

  • Median Nerve – Running down the arm and through the wrist, the median nerve provides motor control to certain hand muscles and supplies sensation to the thumb, index finger, middle finger, and part of the ring finger.
  • Ulnar Nerve – The ulnar nerve travels down the back of the arm and passes through the elbow before entering the hand. It provides motor function to certain muscles in the hand and supplies sensation to the ring finger and little finger.
  • Radial Nerve – The radial nerve controls the muscles responsible for extending the wrist and hand and supplies sensation to the back of the hand and forearm.

Common Causes Of Nerve Compression In The Hand And Wrist

At Modern Orthopedics of New Jersey, our award-winning doctors diagnose and treat a broad range of hand and wrist nerve compression issues. Some of the most common include:

  • Carpal Tunnel Syndrome – Carpal Tunnel Syndrome is caused by compression of the median nerve where it passes through the carpal tunnel, a narrow passage in the wrist.
  • Cubital Tunnel Syndrome – Cubital Tunnel Syndrome is caused by compression of the ulnar nerve where it passes through the cubital tunnel, a narrow passage on the inside of the elbow.
  • Arthritis – Arthritis causes swelling and inflammation in the joints, which can lead to compression of the hand and wrist nerves.
  • Nerve Injuries – Traumas such as sprains and fractures, as well as repetitive movement injuries, can cause swelling/damage that compresses the nerves in the hand and wrist.
  • Cysts and Tumors – Various types of cysts and tumors can exert pressure on the nerves of the hand and wrist.

Symptoms Of Nerve Compression In The Hand And Wrist

Every case of nerve compression in the hand and wrist presents slightly differently. At Modern Orthopaedics of New Jersey, we often treat patients experiencing some or all of the following:

Numbness And Tingling

Numbness and tingling resulting from nerve compression in the hand or wrist may:

  • Come and go, or be continuously present
  • Affect the fingers, back of the hand, and/or forearm
  • Be associated with a “pins and needles” or “falling asleep” sensation
  • Be associated with burning, prickling, or itching

Pain And Weakness

Pain associated with nerve compression in the hand or wrist may radiate outward and be sharp, aching, or burning. It may also be accompanied by weakness in the hand and/or fingers that affects fine motor dexterity and makes tasks such as buttoning a shirt or picking up small objects difficult.

Decreased Sensitivity Or Loss Of Grip Strength

If you find that you can’t grip with as much strength as you used to or that your hand/fingers lack sensitivity to light touch, pain, or temperature changes, nerve compression could be the underlying reason.

When To Seek Medical Attention For Nerve Compression

Some cases of nerve compression in the hand and wrist are mild and resolve rapidly on their own without medical intervention. However, it is recommended to see a doctor if you experience any of the following:

Persistent Or Worsening Symptoms

Numbness, pain, or weakness in the hand or wrist that is severe, doesn’t resolve on its own, or worsens over time should always be evaluated by a medical professional.

Difficulty Performing Daily Tasks

If symptoms of nerve compression in the hand and wrist are preventing you from engaging in normal daily tasks and routines, it’s time for a medical consultation.

Symptoms That Affect Sleep Or Cause Discomfort

If your symptoms are severe enough that they’re affecting your quality of sleep or detracting from your overall enjoyment of life, seeking medical attention is critical. The team at Modern Orthopaedics of New Jersey is ready to help.

Treatment Options For Nerve Compression In The Hand And Wrist

Treatments for hand and wrist nerve compression depend on the severity and underlying cause of the condition. Many cases resolve with conservative treatment approaches, including:

  • Rest
  • Immobilization (splinting)
  • Pain and/or anti-inflammatory medication
  • Physical therapy

In more severe or persistent cases, surgery may be recommended to relieve pressure on the affected nerve or nerves. Speak directly with one of our highly qualified hand and wrist specialists to learn more about surgical treatment options based on the specifics of your case.

Preventing Nerve Compression In The Hand And Wrist

While it may not always be possible to prevent compression of the nerves in the hand and wrist, the following measures can help:

Ergonomic Adjustments And Proper Posture

Investing time and energy to improve your wrist posture and ensure your work environment and home are ergonomically optimized can be game-changers for hand numbness and other nerve symptoms.

Exercises To Strengthen And Stretch The Hands And Wrists

We recommend consulting with a physical therapist to learn how to effectively integrate stretches and strengthening exercises for the hands and wrists into your daily routine.

The Orthopedic & Sports Medicine Center of Oregon

The Orthopedic & Sports Medicine Center of Oregon (OSM) is an award-winning, board-certified orthopedic and sports medicine practice serving Lake Oswego, Portland, Scappoose, and surrounding Oregon communities. Our main clinic is located in Lake Oswego, with additional locations in Portland and Scappoose.

OSM provides comprehensive orthopedic care, sports medicine, spine care, joint replacement, foot and ankle surgery, hand and upper extremity care, and fracture treatment. Our physicians treat a wide range of conditions including sports injuries, arthritis, joint pain, spine conditions, ligament and tendon injuries, fractures, and degenerative musculoskeletal disorders using both surgical and nonsurgical approaches.

Our mission is to help patients return to pain-free movement, strength, and function through personalized treatment plans and advanced orthopedic techniques.

OSM Locations

Lake Oswego (Main Clinic)
17355 Lower Boones Ferry Rd, Suite 100A
Lake Oswego, OR 97035

Portland
5050 NE Hoyt St, Suite 668
Portland, OR 97213

Scappoose
51385 SW Old Portland Rd, Suite A
Scappoose, OR 97056

Phone: 503-224-8399
Hours: Mon–Thurs, 8:00am–4:30pm/ Friday 8:00am–1:00pm

If you are looking for experienced orthopedic surgeons, sports medicine specialists, spine doctors, or foot and ankle experts in Lake Oswego, Portland, or Scappoose, contact The Orthopedic & Sports Medicine Center of Oregon today.

Minimally Invasive Hand Surgery: What is it?

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Article featured on Rothman Orthopedics

When it comes to hand and wrist conditions, many people typically think of traditional, open surgeries with long incisions that come with longer recovery times and significant downtime. However, thanks to advancements in minimally invasive techniques and surgical instruments, many hand surgeries today are performed with smaller incisions, faster healing, and fewer complications. These procedures allow us to treat a variety of hand and wrist issues effectively, often with less pain and quicker recovery. Let’s take a closer look at some of the minimally invasive options that are revolutionizing hand surgery.

Carpal Tunnel Syndrome (Endoscopic Carpal Tunnel Release)

Carpal tunnel syndrome is a common condition where the median nerve, which runs from your forearm into the palm of your hand, gets compressed as it passes through a narrow tunnel in your wrist. This can lead to numbness, tingling, and weakness in the hand. Traditionally, surgical treatment for carpal tunnel syndrome involved an incision from the wrist to the center of the palm to take pressure off the median nerve. The procedure was performed under general anesthesia and patients were often placed in a splint to rest the wrist for a few weeks.

Now, with endoscopic carpal tunnel release, we can perform the same procedure through one small incision at the wrist crease using a tiny camera (endoscope) to guide the surgery. This minimally invasive technique, which takes about 5 minutes to perform, reduces the risk of wound complications, minimizes scarring, and allows for a quicker recovery.  Moreover, the procedure is typically performed with the patient awake, using only local anesthesia (like a dental procedure).  The patient can drive themselves home with just a Band-Aid on the wrist.  Studies have shown that patients return to their daily activities much sooner after endoscopic carpal tunnel release than with traditional carpal tunnel surgery.

Ganglion Cyst (Arthroscopic Wrist Ganglion Cyst Excision)

Ganglion cysts are fluid-filled lumps that typically form on the back of the wrist. While these cysts are almost always non-cancerous, they can cause discomfort and affect hand movement. Cysts can be drained with a needle, but the recurrence rate is greater than 50%.  In the past, removing these cysts required a large incision on the back of the wrist with a deep dissection all the way down to the wrist bones to remove the cyst in total.

With arthroscopic wrist ganglion cyst excision, we can remove the cyst, simply by eliminating its connection to the wrist joint, using 2 “poke pole” incisions and a small camera (arthroscope) inserted into the wrist joint. This minimally invasive approach minimizes soft tissue damage, leaves the patient with barely noticeable scars, and significantly shortens recovery time. Patients experience less pain and faster healing after this procedure compared to traditional open surgery.

Hand and Finger Fractures (Intramedullary Nail Fixation)

Fractures of the hand and fingers can be particularly tricky to treat, especially when they involve small, intricate bones. Fractures that are significantly displaced may require surgical stabilization.  Typically, this is accomplished using metal plates and screws that are just a few millimeters in dimension but require an incision the entire length of the bone to secure the hardware. Incisions like this may result in additional swelling and scarring which are the biggest detriment to recovering hand function after a fracture.

However, with intramedullary nail fixation, we can now treat many hand and finger fractures with a much smaller incision, which means less swelling and scarring, and a quicker recovery.  This technique, inspired by the way lower extremity fractures are fixed, employs a long, thin metal rod inserted into the central canal of the bone though a small drill hole at the end of the bone. Surgeons can stabilize the fracture internally without the need for external metal hardware on the surface of the bone or large incisions. This method frequently allows patients to start using their hand for activities like driving, hygiene, or using a keyboard nearly immediately after surgery.  With less swelling and scarring, some patients can even avoid the need for supervised hand therapy, an essential part of the recovery for fractures fixed with external plates and screws.

Thumb Arthritis (Thumb Carpometacarpal Arthroplasty Surgery)

Arthritis in the thumb carpometacarpal (CMC) joint, at the base of the thumb, is a common source of pain and dysfunction, particularly in older adults. Patients with CMC arthritis have pain and weakness with gripping the steering wheel, squeezing a tube of toothpaste, pinching a pair of socks to pull them up, and seemingly all use of the hand. In the past, treating severe CMC arthritis required “arthroplasty” surgery with incisions in the forearm and wrist to remove a small arthritic bone called the trapezium and harvest a rolled-up tendon to be used as a cushion at the base of the thumb.  The patient’s tendons were also used to wrap around the thumb to stabilize it.  Outcomes were very good, though recovery times were quite long.

Today, newer techniques of thumb CMC arthroplasty provide a minimally invasive approach with faster recovery times. Now, the only incision needed is a small incision at the wrist.  With breakthroughs in surgical implant technology, surgeons can now use bone anchors and extra-strong sutures that very effectively stabilize the thumb after surgery, avoiding the need for the tendon cushion and tendon wrap performed in the past.  This results in less post-operative pain and a faster recovery.

Hand and Wrist Arthritis (Neurectomy)

Arthritis in the hand and wrist can cause debilitating pain, stiffness, and loss of function. In cases where arthritis is severe, typical surgical strategies to relieve pain have included joint replacement surgery (metal and plastic implants similar to hip and knee replacements) or joint fusion. Both procedures, while effective, can leave the patient with limited function and limited to no joint motion as a tradeoff for pain relief.

A newer strategy to address severely arthritic joints in the hand and wrist is called a neurectomy procedure.  A neurectomy (nerve removal) is a minimally invasive surgery intended to cut or remove only the nerves that transmit pain signals from the affected joint to the brain, and not the other more important nerves that provide sensation and muscle function to the hand. The neurectomy procedure otherwise leaves the arthritic joint intact, preserving the patient’s normal joint anatomy and function, and hastening the recovery. This technique is still evolving and currently does not provide complete pain relief in all patients, though it might be considered as an easy first step to address the problem and could be incredibly effective.

Dupuytren’s Disease (Needle Aponeurotomy and Collagenase)

Dupuytren’s disease is an excessive thickening of the normal connective tissue in the palm and fingers which causes the fingers to bend inward, making it impossible to fully straighten them. Traditionally, treating this condition involved extensive surgery to carefully and precisely remove this invasive tissue that intermingles with all of the important structures of the hand, in order to straighten the finger. Patients spend considerable time in therapy after surgery and full recovery usually occurs around 6 months post-op. However, two newer procedures focus on simply cutting or dissolving the thickened connective tissue, instead of fully removing it, to allow the finger to straighten.

With needle aponeurotomy, a needle is inserted through the skin multiple times and in multiple locations to break up the tight tissue, without making any incisions. This can be done in the office or in an operating room with light sedation anesthesia. Another option, collagenase injection, uses a special enzyme to dissolve the thickened tissue by means of an injection performed in the doctor’s office.  A day or two later, the contracted finger is manipulated to release the thickened tissue and restore finger movement. Both of these minimally invasive treatments offer significant benefits over traditional surgery, including faster recovery, less pain, and a lower risk of complications.  However, it should be noted that within 5 years of the procedure, 50% of the time, the thickened Dupuytren’s tissue reforms and the finger contracture recurs and might need to be treated again.

Why Minimally Invasive Procedures Matter

The benefits of minimally invasive surgeries extend beyond the immediate recovery period. These procedures typically involve less soft tissue disruption, which reduces the risk of infection, scarring, and complications. As a result, patients often experience less pain, shorter recoveries, and a quicker return to normal activities.

Furthermore, these advancements in hand surgery make it possible for people to maintain or regain function in their hands and wrists, which are essential for nearly every aspect of daily life. Whether you’re dealing with arthritis, nerve issues, or fractures, minimally invasive options provide effective, safer treatments that can improve your quality of life.

In Conclusion

Minimally invasive hand surgeries are a game-changer in the world of orthopedics. If you are struggling with hand or wrist pain, it’s worth discussing these advanced options with your orthopedic hand surgeon. With shorter recovery times, less pain, and fewer risks, these innovative procedures can help you get back to what matters most—whether that’s typing on a keyboard, playing sports, or simply enjoying time with loved ones.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

Common Hand Conditions or Injuries That May Require Surgery

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The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

 

What is Texting Thumbs?

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The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

 

What is Trigger Finger?

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Article featured on MedicineNet

A trigger finger is a condition that can turn simple hand movements into a frustrating experience, often causing pain and discomfort. From gardening to repetitive motions, certain activities can put your fingers at risk. Learn about the causes, symptoms, treatments, and prevention tips to keep your hands healthy and functional.

 

A trigger finger is a “snapping” or “locking” condition of any of the digits of the hand when opening or closing. Stenosing tenosynovitis is the medical term for the trigger finger.

What causes trigger finger?

Local swelling from inflammation or scarring of the tendon sheath (tenosynovium) around the flexor tendons causes trigger fingers. These tendons normally pull the affected digit inward toward the palm (flexion). When they are inflamed, they tend to catch where they normally slide through the tendon sheath.

Usually, the trigger finger occurs as an isolated condition because of repetitive trauma. Activities such as gardening, pruning, and clipping are risk factors for trigger fingers. Sometimes, the trigger finger is an associated condition resulting from an underlying illness or medical condition that causes inflammation of tissues of the hand, such as rheumatoid arthritis.

Data presented at the 2005 American College of Rheumatology national meeting suggested that a majority of patients with rheumatoid arthritis have inflammation around the tendons of the palm that could develop into trigger fingers. The trigger finger most often affects the right or left index finger, the digits likely to pull the trigger on a gun.

What are the symptoms of trigger finger?

Symptoms and signs of trigger finger may occur when any of the four fingers of the hand attempts to flex closed while gripping. Instead of a smooth, continual closure, the digit hesitates, then snaps closed (causing a “trigger” effect), and is associated with a stiffness sensation of the digit. Symptoms and signs may occur in more than one digit.

When attempting to extend the digit, a similar hesitation may occur before it “snaps” into full extension. In severe cases, people must manually bring the digits into full extension or flexion because of the stiffness. The closure is frequently associated with pain at the base of the finger on the palm. Sometimes it’s possible to feel a tender nodule in the area of the inflamed tendon. There may be mild swelling in the affected area of the palm.

Triggering can also affect the thumb (trigger thumb, De Quervain syndrome), so many clinicians include the thumb in the diagnosis of the trigger finger.

Diagnosis of trigger finger

Primary care doctors, including general practitioners, family medicine physicians, and internists, commonly diagnose the trigger finger. Specialists who treat trigger fingers include orthopedic surgeons, sports-medicine doctors, plastic surgeons, hand surgeons, and rheumatologists. Occupational therapists and physical therapists can be involved in the care of patients with trigger fingers.

Health care professionals diagnose trigger fingers based on the history of “snapping” sensation that the patient experiences, as well as noting in the physical examination that there is tenderness and nodular irregularity of the involved flexor tendon in the palm. Typically, the nodule is not visible but can be felt in the palm. There can be contracture of the affected digit into a bent position.

What are the treatments for trigger finger?

Stretching, ice, and anti-inflammation treatments can be helpful. Oral anti-inflammatory medications may be helpful.

The quickest and most effective treatment is a local cortisone injection into the tendon sheath around the affected tendon. Most patients will respond well to the steroid injection . A trigger finger can recur after a period of normal function.

When a trigger finger persists after two steroid injections and is not responsive to the above nonsurgical treatments, consider surgical procedures to release the tendon sheath and/or remove the inflamed or scarred tissue. Trigger finger surgery is usually a permanent cure for this condition.

Initially, people can treat trigger fingers at home with remedies including cold packs, resting, and over-the-counter medications, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen. Massaging the involved area of the palm gently followed by a cold pack application can be helpful. Take care to avoid reinjuring the strained tendon in the palm.

What is the prognosis of trigger finger?

The prognosis of the trigger finger is excellent. Nearly all patients recover completely after medical professionals administer cortisone injections and the tendon again glides freely through the tendon sheath. Sometimes it may be necessary to get repeat injections. Surgical treatments may be necessary for rare instances.

Is it possible to prevent trigger finger?

People can prevent trigger fingers by avoiding activities that strain the finger flexor tendons in the palms of the hands.

Osteoarthritis of the Hands

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Article featured on Arthritis Foundation

About half of all women and one-quarter of all men will experience the stiffness and pain of osteoarthritis (OA) of the hands by the time they are 85 years old. A degenerative disease that affects all the tissues of a joint, OA leads to the breakdown over time of the smooth, protective cartilage on the ends of bones, so bones rub together, causing pain. The 29 bones of your hands and wrists come together to form many small joints that can be affected by OA.

Where OA Affects the Hand

OA most commonly affects three parts of the hand:

  • The base of the thumb, where the thumb and wrist join (the trapeziometacarpal [TMC] or carpometacarpal [CMC] joint)
  • The joint closest to the fingertip (the distal interphalangeal [DIP] joint)
  • The middle joint of a finger (the proximal interphalangeal [PIP] joint)

Causes of Hand OA

Osteoarthritis usually occurs later in life, with no specific cause. But several factors can play a role, including:

  • Age: the older you are, the more likely you are to have hand OA.
  • Sex: women are more likely to be affected than men.
  • Race: whites are more often affected than African Americans.
  • Weight: obese people are more likely to have hand OA than thinner people.
  • Genes: some people inherit the tendency to develop osteoarthritis, usually at a younger age.
  • Injuries: Even when properly treated, an injured joint is more likely to develop OA over time. Fractures and dislocations are among the most common injuries that lead to arthritis.
  • Joint issues: Joint infections, overuse, loose ligaments, and poorly aligned joints can also lead to hand or wrist arthritis.

Symptoms of Hand OA

Along with cartilage loss, OA also causes bone spurs to form. Bone spurs in and around the joints increase your stiffness and pain. With worsening OA, daily activities can become difficult and your finger joints may lose their normal shape.
Symptoms of hand OA can include:

  • Pain: At first, pain will come and go. It worsens with use and eases with rest. Morning pain and stiffness are typical. As the osteoarthritis advances, the pain becomes more constant and may change from a dull ache to a sharp pain. It may start waking you up at night.
  • Stiffness and loss of motion: As arthritis progresses, you may lose the ability to open and close your fingers completely.
  • Crepitus: When damaged joint surfaces rub together, you may feel grinding, clicking or cracking sensations.
  • Swelling: Your body may respond to constant irritation and damage to the tissues surrounding the joint by swelling and becoming red and tender to the touch.
  • Nodules: Bony lumps may form on the middle joint of the finger (Bouchard’s nodes) or at the joint near the fingertip (Heberden’s nodes).
  • Joint deformity: Bone changes, loss of cartilage, unstable or loose ligaments and swelling can make your finger joints large and misshapen.
  • Weakness: The combination of joint pain, loss of motion and joint deformity can leave your hands weak. Activities that once were easy, such as opening a jar or starting the car, become difficult.

Diagnosing Hand OA

Your doctor will examine how your hands look and work and may check other joints for signs of arthritis. X-rays may show loss of space in your joints – indicating cartilage loss – and formation of bone spurs. She’ll make a diagnosis by combining this information with your medical and family history.

Treatments for Hand OA

Osteoarthritis is a chronic disease. There is no cure, but healthy lifestyle habits and treatments can help manage your symptoms and keep you active.

  • Non-Drug Treatments: Reducing strain on joints with a splint or brace, adapting hand movements, doing hand exercises or using hot or cold therapy can help to ease pain.
  • Drug Treatments: Medicines to ease OA symptoms are available as pills, syrups, creams or lotions, or they are injected into a joint. They include pain relievers like acetaminophen, counterirritants like capsaicin or menthol and non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids.
  • Surgical Treatments: If medications or self-care activities fails to give relief, surgery may be an option. An orthopaedic surgeon can remove the damaged cartilage and fuse bones together or replace the damaged joint with a plastic, ceramic or metal implant.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

What’s to Know About Extensor Tendonitis?

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Article featured on MedicalNewsToday

The most common cause is overuse of the muscles, bones, and tendons in the feet or hands.

In the feet, it’s most often caused by:

  • spending a lot of time on the feet
  • wearing shoes that are too tight
  • using inappropriate footwear for a sport or activity

In the hands, the most common cause of extensor tendonitis is doing an activity that uses the hands and wrists in a repetitive motion such as:

  • prolonged or high-impact typing with a non-ergonomic keyboard
  • practicing or playing an instrument, such as piano or guitar, excessively
  • regularly playing sports that stress hands and wrists, including baseball or racquetball

Mallet finger is a common type of injury that occurs to the fingers, especially in athletes. It occurs when the tip of the finger is struck hard, such as with a ball, which injures the tendon that runs along the top of the finger.

Without treatment, the tendon can become permanently damaged, causing the tip of the finger to fail to straighten completely.

Symptoms and diagnosis

The most common symptom of extensor tendonitis, whether it occurs in the foot or the hand, is pain. In the feet, the pain is usually localized to the top of the foot, usually close to the center of the foot. In the hands, pain tends to occur on the top of the hand.

Other symptoms of extensor tendonitis include:

  • redness, warmth or swelling near the injury
  • increased discomfort with activity
  • crepitus, which is a crunchy feeling or sound over the affected tendon
  • stiffness of the joint

Diagnosing extensor tendonitis usually requires a physical exam and history with a physician. The doctor will ask questions about the pain and other symptoms.

Common questions are about whether anything makes the pain better or worse, the history of the symptoms, and if anything triggered the discomfort.

Sometimes, the doctor will order an X-ray or magnetic resonance imaging (MRI) test to get a detailed look at all the bones, muscles and tendons around the injury. These images can help the doctor look at the structures around the pain to see where the damage is and if there is another cause for the symptoms.

Treatment

Injuries to the hands and feet are common and usually resolve within a few days with basic care at home.

However, if the pain doesn’t start to improve after a couple of days, or a person experiences swelling, redness, warmth or other symptoms, they should visit their doctor.

There is a range of treatment options available for extensor tendonitis.

Rest and Relaxation

Resting the affected joint is crucial, especially if the tendonitis is caused by overuse. It is essential to stop the activity that is causing the pain until the tendon has healed, to prevent further injury. In less serious cases, rest may be all that is needed until the tendon has healed.

Finger or toe splints

Mallet finger may require splinting for several weeks so that the tendon returns to its previous position and completely heals in place.

It is important to clarify with the doctor about the length of time that the finger must remain in the splint. It is common to have to wear the splint continuously, even in the shower.

Removing the splint and moving the finger before the tendon has healed, could re-injure the tendon.

Physical therapy

Extensor tendonitis of the foot may require physical therapy and special stretches for a tight calf muscle. Also, some orthopedic surgeons or podiatrists will recommend the use of a splint or orthotic shoe inserts.

Surgery

Surgery to repair extensor tendonitis is rare and usually reserved for very special or unique cases. If considering surgical repair of the extensor tendons, people should ensure they see a surgeon who has experience performing these types of procedures.

Outlook

The prognosis of extensor tendonitis is excellent; in most cases, a person with this condition makes a full recovery without any lasting problems in the affected joints. How long it takes to recover depends on how severe the tendonitis was, and how well a person managed it.

For example, a person who rests properly will recover more quickly than someone who “pushes through” and continues to use the affected joint.

Although it can be painful, extensor tendonitis is a fairly preventable and easily treatable disease. It is important to see the doctor with any pain, especially in the hands or feet.

Quick diagnosis and treatment is the key to minimizing tendon damage and recovery.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

Treating Hand Arthritis Without Surgery

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Article featured on American Society for Surgery of the Hand

What is arthritis?

A joint is where two or more bones meet each other. The ends of these bones are covered with a smooth substance called cartilage which allows the bones to slide past each other smoothly. This cartilage layer can be worn away with time or due to other things, and when this occurs the rough bone ends start to rub against each other. This is arthritis. Sometimes arthritis does not cause any problems, but sometimes it can cause pain, swelling, stiffness, and deformity.

What causes arthritis?

The most common causes of arthritis are different for different locations in the body. The normal arthritis that often comes along with age is called osteoarthritis. This is simply arthritis that occurs due to normal wear and tear on the body as we get older. Often this type of arthritis is partially hereditary, meaning that if your parents or grandparents had arthritis, you may be more likely to have it. Other things can cause arthritis as well. These include major joint injuries or infections, and certain medical conditions.

Just because you have arthritis doesn’t mean it’s necessarily a problem. Many people have arthritis that they don’t even know about. Arthritis only needs treatment if it bothers you or causes issues in the body.

My hand arthritis hurts! How can I treat it?

Once arthritis is present, it will always be there. This is because the body can’t regrow the type of cartilage found in the joints. But there is good news: just because arthritis is in the body doesn’t mean it will always cause pain or other issues. Even if arthritis causes pain, the pain may not be there all the time- it can often come and go. There are many things we can do to try to improve arthritis symptoms when they occur. Conservative management of arthritis- meaning treatment without surgery- is almost always the first step. There are many options to try. Usually these treatments work best when they are used all together over several weeks or months.

  • Splints: resting the inflamed joint with a splint, also called a brace or “orthosis”, can be very helpful in improving arthritis symptoms in certain places in the hand, especially arthritis in the base of the thumb. Splints may be “pre-fabricated”, meaning that you can buy them at the store or online and they are designed to fit most people. Other splints can be custom molded to your hand by a hand therapist.
  • Rest: avoiding activities that flare up the arthritis pain can make the pain less intense or less frequent.
  • Ice or heat: using ice on the skin over an arthritic joint before and after any activities that worsen the pain can improve discomfort. Heat applied with warm compresses, warm water, or wax baths may also improve symptoms. Experiment with both ice and heat to see if either helps.
  • Medications: anti-inflammatory medications like ibuprofen or naproxen may help improve pain. Acetominophen can also be helpful. If you have medical problems or take medications, check with your primary care provider to make sure it is safe for you to take these medicines.
  • Rub-on creams: Some creams and lotions rubbed into the skin over an arthritic joint can be helpful in decreasing pain there. There are multiple options which may be worth trying, most of which can be bought at your local drug store or online. Try one for a few days or weeks, and if it doesn’t help then try another.
  • Injections: In some arthritic joints, certain substances can be injected into the joint with a needle which can decrease pain. Depending on the location, receiving a needle injection may be temporarily painful, but can provide good pain relief for months or longer. Many hand doctors provide injections of steroid, a substance that is thought to decrease inflammation in a joint which may be able to improve pain for several months. Some hand doctors may also consider injections of hyaluronate, a substance which may temporarily allow roughened bone ends to slip past each other more comfortably. However, hyaluronate injections are less commonly used than steroid injections and may be more expensive.
  • Hand therapy: Working with a hand therapist on motion exercises and strengthening of the hand may help improve some people’s arthritis pain, but the scientific studies on therapy for arthritis do not prove that it helps a great deal.

What if none of these treatments work to improve my arthritis pain?

There are surgeries that can help make hand arthritis pain better. However, most people with hand arthritis never need to move forward with surgery- this is a personal decision that should be made after discussion with a hand surgeon. The safest and best plan is usually to try to maximize all non-surgery treatments to make arthritis feel better. If none of these treatments give you good relief from your arthritis symptoms, see a hand surgeon to discuss whether a surgical procedure could benefit you.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm

How to Manage & Prevent Arthritis in the Hands

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Article featured on MedicalNewsToday

There is no known cure for arthritis, which commonly affects the hands. However, a person can take steps to lower the risk of arthritis developing or worsening and to reduce and manage pain. These steps include practicing specific exercises and making dietary changes and adjustments to daily habits.

Arthritis is a general term that describes several conditions that affect a person’s joints. There are more than 100 different types of arthritis. Arthritis is generally not preventable, but a person may be able to reduce their risk by changing the risk factors that they can control.

According to the Centers for Disease Control and Prevention (CDC)Trusted Source, the most common type of arthritis in the United States is osteoarthritis. Osteoarthritis can affect nearly any joint in the body, but it most commonly affects the joints in the knees, hips, and hands.

This article discusses how to reduce the risk of developing arthritis in the hands or prevent it from worsening. It also explains how to reduce and manage the pain of arthritis.

Osteoarthritis vs. rheumatoid arthritis

Osteoarthritis occurs over time as a person’s cartilage erodes, whether from general wear and tear or due to underlying inflammation. Once the cartilage has worn away enough, a person can experience pain and stiffness in their joints.

A person can take steps to help reduce the risk of osteoarthritis.

Rheumatoid arthritis is an autoimmune condition in which the body’s immune system attacks the joints.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a combination of genetic and environmental factors triggers the development of rheumatoid arthritis.

These factors can activate the immune system years before symptoms appear.

Both osteoarthritis and rheumatoid arthritis often affect the hands and fingers, and they can both cause joint stiffness or difficulty moving the joint.

However, there are some differences between the two conditions.

Osteoarthritis often affects the last joint on the finger, which is the one closest to the tip. Rheumatoid arthritis typically does not affect this joint.

In addition, the NIAMS note that osteoarthritis stiffness usually goes away within 30 minutes of waking up or resting, whereas the pain and stiffness associated with rheumatoid arthritis tend to last longer than 30 minutes.

General arthritis prevention

Not all forms of arthritis are preventable. However, a person can take some steps to reduce their risk of developing osteoarthritis in their joints.

According to the CDC, these steps include:

  • stopping smoking, if a smoker, or avoiding secondhand smoke
  • achieving or maintaining a moderate weight, as this helps protect the joints throughout the body
  • seeking treatment for any signs of infection, which can damage the joints
  • protecting against injury by performing exercises and stretches or avoiding activities that carry the risk of injury
  • using tools that do not place undue stress on the joints
  • avoiding repetitive motion when possible

Preventing arthritis in the hands

A person can try several techniques to help prevent arthritis in the hands from becoming debilitating.

Hand exercises

Several exercises may help with preventing or alleviating arthritis pain in the hand and fingers.

A person should talk to a doctor or occupational therapist about the best routine or exercises to help prevent disease progression or worsening pain or stiffness.

One simple exercise that many people should be able to do is making a fist.

To do this, a person starts with their fingers and thumb straight out. Then, they curl their fingers slowly into their palm and close their thumb around the outside of their fingers.

The person should not squeeze the hand too tight during this exercise, but they should hold the fist position for 2–3 seconds before releasing it. They can then repeat the action 10 times.

Another exercise that a person can try to prevent or alleviate arthritis symptoms is squeezing a stress ball or a tennis ball. Similar to making a fist, the motion should be slow and deliberate.

Learn more about hand exercises for arthritis here.

Daily habit adjustments

People who have not developed arthritis can take steps to help prevent joint damage in their hands. Some tips for preventing joint damage include:

  • using an ergonomic keyboard and mouse when working at the computer
  • avoiding lifting heavy items that can put strain on the fingers and hand
  • using splints or braces to reduce the risk of injury when using the hands for repetitive activities, such as sewing or chopping food

Methods to reduce hand pain

If a person is living with pain in their hands from arthritis, they may wish to try:

  • practicing gentle motion hand exercises that promote movement and help reduce stiffness
  • seeking physical therapy and occupational therapy from certified professionals
  • talking to a doctor about medications and topical pain relievers to help with the pain

The Arthritis Foundation add that a person can also:

  • use hot or cold therapy
  • modify their daily routine to avoid putting stress on the hands and fingers
  • talk to a doctor about steroid injections

Some additional steps that a person can take to help prevent arthritis pain in the hands include:

  • using kinetic tape as a preventive measure
  • using dictation software instead of typing
  • avoiding placing excess strain on the fingers by using large joints, such as the elbows or shoulders, to carry the weight of shopping bags
  • using other body parts besides the hands to close a door
  • using the palm of the hand to hold a phone or tablet to avoid placing strain on the fingers
  • changing daily habits, such as stirring food using a shoulder motion
  • using utensils with large, easy-to-grip handles

A person should talk to a doctor if at-home methods or treatments are ineffective in managing their arthritis symptoms. It is possible that a doctor will recommend surgery as a treatment option.

Outlook

It is not possible to prevent arthritis, but a person may be able to manage the pain that it causes and slow its progression.

At-home techniques and modifications to everyday routines may help prevent pain and minimize the loss of joint function.

Summary

Arthritis is a common condition, and there are numerous different types.

Although arthritis is not usually preventable, a person can take some steps to help protect their joints and potentially reduce their risk of the disorder.

A person can also take several steps to manage the pain and discomfort of arthritis at home.

If at-home treatments do not work, a person can work with a doctor to identify therapies and treatments that may help.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
17355 Lower Boones Ferry Rd Suite 100A
Lake Oswego, OR 97035

Hours
Monday–Friday
8:00am – 4:30pm