Worried about finger pain, don't know what's going on? Perhaps it is the result of trauma, rheumatoid arthritis, polyosteoarthropathy, or radiculopathy. Other causes of joint pain can only be determined with the help of instrumental diagnosis.
Contact the clinic and a specialist will determine the clinical situation and conduct a comprehensive treatment. With the help of drugs, physiotherapy, rehabilitation methods, the inflammation will be eliminated, the destructive process will stop, and the extremities will regain their ability to work.
Why Finger Joints Injure: Causes and Treatment
Arthralgia often presents as a sign or symptom of an underlying disease. Acute sensations are the result of inflammatory arthropathy, degenerative dystrophic lesions, and are mainly traumatic. Pain syndrome causes irritation of nerve endings for the following reasons:
- toxin;
- sodium or potassium urate;
- bone growth;
- allergen;
- autoimmune process.
The cause of finger joint pain may be a neurological disorder or a problem not directly related to the extremity. Referred pain radiating to the left extremity is a common occurrence in a heart attack. This can also happen with problems in the upper part of the cervix. For intervertebral hernias, it can affect the shoulders and forearms, hands.
However, there are a number of immediate causes that cause the phalanges to become numb and the facet joints of the extremities to be affected. Fingers can be injured after infection, hypothermia, and inflammation of soft tissue and bone structures.
Rheumatoid Arthritis
7% of cases affect people over the age of 30. It all starts with swelling of the metacarpophalangeal bones of the front fingers. The catarrhal process then spreads to the wrist joint, covering all structures. It affects one hand and then spreads to the other. Symmetrical lesions of the proximal joint with shape changes are typical of this pathology. For the company, the bones of the pelvis, ankle and ankle are affected. Arthritis is characterized by fluctuating pain. During the day and the first half of the night they are tolerable, in the second they intensify and do not allow sleep.
psoriatic arthritis
It accounts for 5% of cases. The disease affects men and women equally 20 years later. In most cases, it develops in people with cutaneous manifestations - psoriatic plaques and characteristic spots on the body. The pathology is characterized by "vertical" inflammation with simultaneous thickening of all joints. At the same time, the phalanx of the fingers on the arm hurt, and the skin turned red and became like a sausage. Unlike rheumatoid inflammation, the process affects the hands, but different bones.
gout
With this problem, less than 5% of patients turn to a doctor. It is more concerned with men aged 25-55. Inflammation starts in the big toe and gradually rises through the joints, affecting the phalanges of the hand. Pain comes on suddenly. It permeates the entire body and does not dissipate for a long time. The affected area turns purple and feels hot to the touch. In women, the process is gentler and lasts 3-10 days. However, after a while, everything repeats itself. A wavy process is a hallmark of the development of gout inflammation.
arthritis
Understand the different nature of joint abnormalities based on collective definitions. They are the result of past infections with systemic disease. Signs of acute inflammation--swelling, redness, temperature, pain in finger joints. More often the palms and fingers are affected. In chronic arthritis, the occasional sharp sensation is disturbing. Muscles lose strength and function over time. Arthritis of the fingers can lead to loss of physical skills and disability.
polyosteoarthritis
The finger joints on the hand are very painful, and the bones undergo degenerative changes. It all starts with thinning of cartilage tissue and damage to the interphalangeal ball joints. The reasons are hidden in the compaction and hardening of the synovium, endocrine abnormalities. Doctors think of primary polyosteoarthritis as a separate disease caused by physical overload and hypothermia. Minor - as a complication after infection and mechanical injury. In both cases, severe pain was exacerbated, and flexion contractures developed.
root joint disease or osteoarthritis
This is another cause of finger pain, causing joint pain and causing problems where the thumb and wrist join. The process affects the entire joint. This results in:
- reduce depreciation;
- Friction and layer-by-layer destruction of bone tissue;
- thickening of the interdigital region;
- Nodular and stiff appearance.
- crunch.
Orthopedic Surgeon Comments:
Symptoms vary by stage. In people with prolonged and monotonous thumb loading, radiculopathy develops as a separate disorder in 30% of cases. Since 90% of symptoms are consistent with de Quervain's tenosynovitis, X-rays can be used to differentiate the problem. The pictures clearly show skeletal deformities, not soft tissue, such as tendon inflammation.
trigger finger disease
In medical reference books, trigger finger syndrome is called stenosing ligamentitis. Symptoms: Severe pain in fingers: swelling, lump formation, numbness. Characterized by inflammation of the tendons and prevention of the formation of nodes that bend the phalanges. In the absence of treatment in stage 3, the finger is in a fixed position, and in stage 4 a secondary deformation occurs and the process becomes irreversible. Among the many causes, anatomical abnormalities of the ligamentous tendon apparatus have been mentioned more.
Quelfan's tenosynovitis
Due to de Quervain's disease, 4% of finger bones are injured due to muscle inflammation. Sudden sharp sensation at the junction with the wrist, aggravated by flexion. The pathology results in damage to the synovium of the finger extensor muscles. Monotonous movement will resolve this problem due to the constant pressure on the hands and palms, resulting in scarring changes in the ligaments. it:
- play keyboard instruments;
- print;
- Work on the conveyor belt.
Raynaud's syndrome
Due to systemic diseases - vasculitis, scleroderma, lupus erythematosus, blood disorders, compression of blood vessels and nerve fibers, resulting in sharp constriction of blood vessels and injuries to the fingers. Vasospasm pathology is accompanied by paroxysmal circulatory disturbances under the influence of hypothermia. The clinical syndrome has not appeared for many years. Over time, an attack that causes the skin to turn white or red and cyanotic occurs. As a result, symptoms lead to nutritional changes in soft tissues.
carpal tunnel syndrome
The joints of the fingers can also be injured due to the injury and the development of carpal tunnel syndrome. Unsuccessful falls and impacts can damage the integrity of tissues, blood vessels, and lead to the formation of hematomas or fractures in the hand. The development of this syndrome is facilitated by compression of the median nerve under the ligament that holds the tendon. Clinical manifestations: palm numbness, decreased motor skills, decreased muscle mass in the greater tubercle. Conditions associated with inflammation of tendon fibers are more common in women.
Pain in finger bones:
- Due to various forms of bursitis.
- Childhood abnormalities - Still's disease, Kawasaki syndrome.
- Systemic diseases - diffuse fasciitis, Lyme disease, Sjogren's disease, Crohn's disease, Bechterev's disease.
- Tumor-Bone marrow disease, lymphocytic leukemia.
diagnosis
Without an identification check, it is impossible to determine why the fingers on the hand are injured. First, perform a visual inspection. A rheumatologist or arthrologist will note the symmetry of lesions, symptoms, and other clinical signs. Traumatologists and allergists consult patients and send them for laboratory tests.
Blood biochemistry determines rheumatoid factor, uric acid and sialic acid levels, erythrocyte sedimentation rate in blood. In infection and immunopathology, reactive proteins were detected, indicating tissue destruction.
Why do the fingers on the hand hurt, the cause and treatment help to determine X-ray, ultrasound. The doctor examines the problematic structure and makes a symmetrical diagnosis of the healthy hand. This is necessary:
- Assess the extent of damage to the structure;
- the condition of cartilage and ligaments;
- Check for major signs of abnormalities, cysts, and lymph nodes.
MRI is used for suspected degenerative and neoplastic disease. Tomography helps to obtain 3D images of soft tissue in different projections to identify recent and chronic injuries. Informative methods show displacement, joint space width in arthritis, cartilage thinning in arthropathy, bone displacement, growth. Densitometry is sometimes prescribed to determine bone density.
Due to injuries to the phalanges of the fingers, other research methods will be suggested - spondylography and neuroelectromyography. The first technique revealed the part of the spine responsible for the movement of the limbs. The second determines the state of the muscles and peripheral nerves. There is throbbing pain in the finger, and a specialist may recommend a puncture. Percutaneous aspiration allows you to take the secret while giving antibiotics or analgesics to relieve acute symptoms.
diagnosis
- Ultrasound diagnosis.Non-invasive study of inflammation and damage to soft tissues, muscles, ligaments, tendons, joint capsules using ultrasound.
- radiography.Assign Injuries: Dislocations and Fractures of Bone, Joint Disorders: Arthropathy and Arthritis of the Joints.
- analyze.General blood and urine tests, blood chemistry showing signs of inflammation, presence of infection, disease of bone and cartilage tissue.
- Magnetic resonance imaging.A high-precision joint diagnosis method with an information content of up to 99%.
Finger Injuries: Causes and Treatment
Regardless of the cause, NSAIDs are used to relieve acute sensations, fever, and inflammation. Effective: Nimesil, Phenybutazone, Indomethacin, Trafolk, Diflufenac sodium. If the finger joints are very sore, both ketorolac and tenoxicam are suitable for treatment. By instillation or intramuscular infusion, they relieve symptoms for 3 days.
Corticosteroid drugs - dexamethasone, prednisolone can also ease the catarrhal process. At the same time, swelling is reduced and metabolic processes in the cartilage are improved, which contributes to a rapid return to mobility. Chondroprotective agents thicken the bone tissue structure and prevent the deterioration of the degenerative process.
Physiotherapy - ultrasound and electrical pulse therapy, acupuncture to improve blood circulation. Therapeutic gymnastics help develop muscles and restore joint mobility. Patients are advised to revisit their diets, focus on protein and plant-based foods, and receive spa treatments.
treatment method
- Receiving Surgeons - Orthopedic Surgeons
- hand shock wave therapy
- Joint Plasma Lift
- Wrist PRP Therapy
- wrist block
- inject in brush
- Acoustophoresis
- electrophoresis
- hand ultrasound
- physiotherapy
- medical treatement
- Orthotics
- Magnetic therapy