Causes, treatment, and seeing a doctor

Pain in the palm of the hand can affect a person’s ability to perform everyday tasks. Causes can include injuries, infections, and conditions that affect the nerves, blood vessels, or tissues inside the hands.

In this article, we describe some possible causes of pain in the palm of the hand, along with other symptoms and treatment options. We also look into general treatment tips and when to see a doctor.

Injuries to the hand are a common cause of pain and other types of discomfort, particularly in people who regularly use heavy equipment, play sports, or work in hazardous environments.

Injuries can damage key areas of the hand, including nerves, tendons, and muscles.

Examples of injuries that may lead to pain in the palm include:

• knocks, blows, and forceful impacts, such as from dropping something heavy on the hand
• falling on the hand
• burns, such as from a cooking injury
• cuts to the palm
• insect bites or stings
• overusing or overextending the hand, such as during sports or very repetitive tasks

Other symptoms of a hand injury can include bruising, swelling, and stiffness. More severe injuries can result in damage to the structures and tissues inside the hand and wrist, such as the:

• joints
• bones
• tendons
• ligaments
• nerves
• blood vessels

Treatment

A person can often treat mild hand injuries at home, such as by:

• resting the hand as much as possible
• applying ice to the area for up to 20 minutes at a time
• taking over-the-counter pain relievers

People with more severe injuries, such as fractures or dislocations, should seek prompt medical attention. Also, see a doctor for hand injuries that get worse or do not seem to be getting better.

When a person has carpal tunnel syndrome, this tunnel in the wrist becomes compressed or inflamed, placing pressure on the median nerve and tendons that run through it.

Symptoms of carpal tunnel syndrome can include:

• pain in the wrist, palm, and fingers
• numbness or a tingling sensation in the palm and fingers
• weakness in the hand or a reduced ability to grip objects

Symptoms often begin gradually and may be worse at night or when a person first wakes up.

Risk factors for carpal tunnel syndrome can include:

• hand and wrist injuries that cause swelling
• regularly performing repetitive tasks with the hands
• a frequent use of vibrating hand tools
• pregnancy
• diabetes
• a family history of carpal tunnel syndrome

Treatment

Nonsurgical treatments for carpal tunnel syndrome can include:

• wearing a brace or splint
• avoiding or adjusting activities that may aggravate symptoms
• taking over-the-counter pain relievers, such as aspirin and ibuprofen
• receiving prescription medications, such as steroid or lidocaine injections
• trying yoga, acupuncture, or chiropractic therapies

For people with severe or difficult-to-treat symptoms, a doctor may recommend a surgical procedure to reduce pressure on the median nerve.

Share on PinterestA fever or general feeling of being unwell are potential symptoms of an infection.

If a cut or wound on the palm of the hand becomes infected, it can lead to pain and swelling.

Other symptoms of an infected cut or wound can include:

• pus or drainage
• redness around the area
• warmth in the surrounding skin
• a fever or generally feeling unwell

Treatment

It is essential for people with symptoms of a wound infection to seek medical treatment. An infection can lead to serious complications, such as cellulitis, abscesses, and sepsis.

Doctors usually prescribe antibiotics for people with an infected cut or wound. If the infection is significant, a doctor may need to surgically drain the affected area.

Peripheral neuropathy typically refers to conditions that affect nerves in the body’s extremities, such as the hands and feet.

In the hands and fingers, peripheral neuropathy can cause:

• severe pain, which may result from even a light touch
• a burning or tingling sensation
• numbness or a loss of sensation
• difficulty moving or using the hand, such as when grasping objects

The National Institute of Neurological Disorders and Stroke estimate that more than 20 million people in the United States have some type of peripheral neuropathy.

Diabetes and physical injuries are common causes of peripheral neuropathy. Other causes can include:

• autoimmune conditions, such as rheumatoid arthritis and lupus
• conditions that decrease oxygen supply to the peripheral nerves, such as atherosclerosis and vasculitis
• nutritional imbalances, such as vitamin B-12 deficiency
• infections that attack nerve tissues
• excessive alcohol intake

Treatment for peripheral neuropathy usually begins with addressing the underlying cause. For example, managing blood sugar levels may help reduce the effects of peripheral neuropathy in people with diabetes.

Doctors may also prescribe medications to help relieve pain, such as antidepressants, anticonvulsants, and skin creams.

Vasculitis is an inflammation of the blood vessels, and it can affect many parts of the body. There are numerous types of vasculitis and symptoms can vary considerably from person to person.

When vasculitis affects the hands, it may cause:

• shooting pains
• numbness, or a loss of feeling
• tingling sensations
• a loss of strength

Doctors do not fully understand what causes vasculitis. However, autoimmune disorders, infections, or certain blood cancers can sometimes trigger this condition.

Treatment

Treatment depends on the type of vasculitis and the location and severity of a person’s symptoms.

However, it often involves the use of anti-inflammatory medications, such as steroids. For more severe vasculitis, doctors may recommend cytotoxic drugs, such as azathioprine, methotrexate, or cyclophosphamide.

Share on PinterestA doctor may recommend pain relievers to treat palmar fasciitis.

Palmar fasciitis is a rare medical condition that causes inflammation of the palmar fascia, a thickened band of tissue that connects the palm to the fingers.

The inflammation can make it difficult or painful when a person tries to straighten their fingers.

Palmar fasciitis usually affects both hands and is more likely to occur in people with polyarthritis.

Another condition affecting the palmar fascia is Dupuytren’s contracture.

Treatment

Treatment options for palmar fasciitis include:

• deep tissue massages
• pain relievers
• steroid therapy to relieve inflammation

A doctor may also recommend treating any underlying medical conditions that may be contributing to palmar fasciitis.

People can often treat hand pain at home by:

• resting or immobilizing the hand, for example with a brace or splint
• applying an ice pack to the affected area for up to 20 minutes at a time
• taking over-the-counter medications to relieve pain and inflammation
• performing gentle stretching and strengthening exercises, such as grasping an exercise ball
• massaging the hands to promote circulation and relieve muscle stiffness

When pain is severe, or it gets worse or does not respond to home treatments, see a doctor.

Seek prompt medical attention for:

• severe hand pain
• severe hand swelling
• suspected dislocations or fractures in the hand or finger
• severe wounds or bleeding that will not stop

Pain in the palm often results from a minor injury or from overusing the hand.

However, hand pain can sometimes also be the result of an underlying issue, such as an infection, inflammation, or peripheral neuropathy.

If hand pain gets worse or does not get better with home treatments, see a doctor. Anyone who suspects that they have an infected wound or a broken or dislocated bone should seek prompt medical attention.

Causes, home remedies, and treatments

Overuse of the hand, an injury, and certain health conditions can cause pain in the palm, fingers, and wrist.

A person’s hands and wrists consist of many different structures, such as bones, muscles, and joints.

These structures work together to enable a person to perform various tasks. Hand pain can affect a person’s ability to carry out these tasks and reduce their quality of life.

This article will cover some potential causes of hand pain, possible treatments, and when to see a doctor.

There are numerous causes of pain in the palm.

Injury

Injuries to the palm can cause pain, swelling, bruising, and other symptoms.

Causes of palm injuries can include:

• knocks and blows
• landing on the hands during a fall
• cuts
• burns
• repetitive trauma from sports or other activities

Soft tissue injuries

A person’s palm contains various soft tissues, such as muscles, ligaments, and tendons.

Symptoms of soft tissue damage include:

• pain
• swelling
• inflammation
• bruising

Sometimes, a person can initially treat soft tissue injuries using the Rest, Ice, Compression, and Elevation (RICE) protocol. The RICE protocol involves:

Rest: Rest the injured area and avoid the activity that caused the injury.
Ice: Apply ice to the area for 20 minutes, several times a day. A person can try using cold packs or frozen bags of vegetables. A person should never apply ice directly to the skin.
Compression: Wear a compression bandage to prevent swelling and additional blood loss.
Elevation: While resting, raise the injury above the heart to help reduce swelling.

If the RICE protocol does not help reduce pain and swelling, a person should speak with their doctor.

Learn more about the RICE protocol here.

Fractures

A person’s palm contains five long bones called metacarpals. These bones connect the finger and thumb bones to the wrist bones. Trauma to the palm can result in breaks to one or more of the metacarpals.

The most commonly broken bone in the hand is the metacarpal that supports the little finger.

Generally, hand fractures heal well without surgery. Doctors can treat broken bones using splints or casts. More serious fractures may require surgical treatment. For example, some metacarpal fractures require surgery if the fractures affect the fingers’ alignment and range of motion.

Symptoms of a fractured hand include:

• swelling
• bruising
• tenderness
• pain
• inability to move a finger
• deformity

When does it hurt?

If a person injures their palm, they may experience pain when:

• lifting things
• holding things
• making a fist
• playing certain sports, such as basketball or golf

Learn more about fractures here.

Overuse

Overuse, also known as repetitive strain injury (RSI), occurs when repetitive movements cause the hand to become painful or tense. Pain and tension from muscles in the arms and shoulders can also radiate down to the hands.

Carrying out repetitive or high-intensity activities for long periods or holding the hands in awkward positions for too long can cause RSI.

RSI can occur in several different places in the hand, including the palms, though it is more common in the fingers or wrists.

According to the United Kingdom’s National Health Service (NHS), RSI can cause:

• pain
• stiffness
• throbbing
• tingling
• numbness
• weakness
• cramp

Treatment for RSI in the palm includes:

• identifying the cause and modifying it to reduce repetitive motions
• stopping the activity responsible altogether if necessary
• taking rain relieving medication, such as acetaminophen
• taking non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen
• using hot or cold packs

A doctor may also recommend physical therapy to treat RSI.

When does it hurt?

Repetitive motions can cause palm pain for a person with an RSI when they:

• grip objects
• push or press with the palm
• do certain sports

Playing golf can cause a person to develop Hypothenar hammer syndrome. This condition occurs when repeated blows from a golf club handle cause blood vessel damage in the palm.

A person should seek evaluation by a doctor before taking any pain medication.

Learn more about acetaminophen and ibuprofen here.

Other causes of palm pain

Other causes of pain in the palm may include:

• carpal tunnel syndrome, a condition that causes pain and numbness due to a trapped nerve
• other forms of nerve damage
• infection
• inflammation

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There are numerous causes of finger and thumb pain.

Trigger finger

Trigger finger, also called stenosing tenosynovitis, occurs when the ring of connective tissue at the base of a thumb or finger becomes swollen.

Swelling of this connective tissue can make it difficult for the tendon passing through it to move. Inflammation of the tendon due to rubbing against the swollen tissue can cause nodules to form. These nodules can cause a sensation of popping or snapping when a person bends their finger.

In severe cases, trigger finger can result in a person being unable to straighten their finger.

Treatment options for trigger finger may include:

• resting the finger
• immobilizing it with a splint
• gentle stretching exercises
• NSAIDs
• having steroid injections
• surgery

When does it hurt?

Trigger finger can cause pain when a person tries to straighten or bend their finger. Tender nodules at the base of the finger may also be sore to touch.

Learn about exercises to help trigger finger here.

Scleroderma

Scleroderma is an autoimmune condition that causes a person to produce an abnormal amount of collagen. Collagen is a protein that helps provide structure and strength to skin and connective tissues. However, too much collagen can lead to skin and connective tissues becoming hard and thick.

Scleroderma can cause the skin of the fingers to thicken and tighten, which can make them difficult to move.

A form of scleroderma called systemic scleroderma can narrow the blood vessels of the hand. This can lead to pain and tingling, which doctors call Raynaud’s phenomenon.

Early symptoms of scleroderma include:

• swollen or puffy fingers
• numbness and tingling in fingers or toes
• joint pain
• weight loss
• hands and feet are sensitive to cold

Scleroderma can also cause sores on the fingers and toes as it progresses.

Scleroderma is a chronic condition with no cure. However, steroids, blood pressure medications, and immunosuppressants can help relieve symptoms and prevent the condition from progressing.

When does it hurt?

Scleroderma can affect each person in different ways. Some people with scleroderma may have mild symptoms, while others will experience severe side effects.

Learn more about other autoimmune conditions that affect the skin and connective tissue here.

Raynaud’s phenomenon

Raynaud’s phenomenon occurs when blood vessels in the fingers or toes temporarily narrow. This narrowing of blood vessels can lead to finger and toes becoming:

• cold
• numb
• blue or white

Raynaud’s phenomenon often occurs due to cold temperatures or stress. A flare-up can last minutes or hours, and pain levels can vary. Once a flare-up passes, a person’s skin may tingle or burn.

Doctors are currently unsure of what exactly causes Raynaud’s phenomenon. However, it can be a symptom of other conditions, such as scleroderma.

There is no cure for Raynaud’s phenomenon. Most people with the condition can prevent symptoms by keeping warm. Some people may find that certain medications or surgeries help with symptoms.

Raynaud’s phenomenon caused by another condition may regress if the underlying cause is treated.

When does it hurt?

Raynaud’s phenomenon causes a person to experience pain in cold or stressful situations. This can include taking something out of a freezer or holding a glass of cold water.

Learn about what conditions can turn the nails blue.

Arthritis

Arthritis is a general term for damage to the cartilage. More than 100 different disorders can cause damage to the cartilage and pain, swelling, and stiffness in joints.

The most common type of arthritis is osteoarthritis. Osteoarthritis occurs when the cartilage that protects a joint wears away over time. This wear and tear cause the bones in the joint to rub against each other, leading to pain and stiffness.

Another common type of arthritis is rheumatoid arthritis (RA). It is an autoimmune condition that occurs when a person’s immune system mistakenly attacks the tissues in the joints. Rheumatoid arthritis can cause inflammation and pain. Over time, this inflammation can lead to permanent joint damage.

RA commonly affects the joints of the fingers and wrists.

Common symptoms of arthritis include:

• swelling
• pain
• stillness
• reduced range of motion

Treatment depends on the type of arthritis but can include:

• physical therapy
• weight loss
• acupuncture
• NSAIDs
• corticosteroid injections
• surgery

People with symptoms of RA may need to see a rheumatologist who can prescribe medications to help preserve their joints.

When does it hurt?

Different forms of arthritis may cause pain at other times. Arthritis may cause pain when:

• bending or straightening fingers
• trying to grip objects
• performing repetitive motions, such as typing or texting
• trying to pinch objects
• in cold weather

Learn more about arthritis in the hands here.

Carpal tunnel syndrome

Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed or squeezed.

Symptoms of carpal tunnel syndrome include:

• numbness, tingling, burning, or pain, especially in the thumb, index, middle, and ring fingers
• shock-like sensations in the thumb, index, middle, and ring fingers
• pain or tingling that travels up the forearm to the shoulder
• weakness or clumsiness of the hand
• dropping things

Most of carpal tunnel syndrome cases begin gradually and without a specific injury. As it progresses, symptoms may occur more frequently and for longer.

As carpal tunnel syndrome can worsen over time, early diagnosis is important.

Treatment options for carpal tunnel syndrome can include:

• wearing a splint or brace
• NSAIDs
• modifying activities that aggravate the condition
• nerve gliding exercises
• physical therapy
• steroid injections
• surgery

When does it hurt?

A person may experience pain due to carpal tunnel syndrome during tasks that bend the wrist, such as:

• during sleep
• using a phone
• driving
• reading a book

Learn about the best exercises for carpal tunnel syndrome here.

Other causes of finger pain

Other causes of pain in the fingers may include:

• extensor tendonitis, also known as mallet or baseball finger, happens when a sudden blow causes a person’s fingertip to droop
• ganglion cyst, which is a lump that forms on the finger or wrist
• RSI

Learn about other causes of pain in the finger joints here.

There are numerous causes of pain in the wrist. Some may occur anywhere on the body, and some are specific to the hand and wrist.

Ganglion cyst

Ganglion cysts are fluid-filled lumps that can develop near joints and tendons in the hand and wrist. These cysts can vary in size but are often harmless and disappear without treatment. Ganglion cysts often develop on the back of the wrist.

Although ganglion cysts usually do not need treatment, they can become painful or limit activity. A doctor can treat a ganglion cyst by:

• using splints and anti-inflammatory medication
• removing fluid from the cyst and compressing it
• surgery

Doctors do not know what causes ganglion cysts. However, they may occur alongside conditions such as:

• arthritis
• joint or tendon irritation
• injury
• changes in motion

When does it hurt?

A ganglion cyst may cause pain if it is pressing against a nerve in a person’s wrist.

Learn more about lumps on the wrist here.

Other causes of wrist pain

• fractures
• injury
• arthritis
• RSI

Learn about wrist tendonitis here.

A person should talk with a doctor for severe, persistent, or reoccurring pain in the hands or wrists or pain that:

• does not get better with home treatment
• gets steadily worse
• does not respond to treatment that a doctor recommends
• may be due to a fall or other injury
• occurs along with other symptoms, such as arm pain, a fever, or exhaustion

A person should seek immediate medical attention for:

• intense, sudden, unbearable hand pain
• a suspected broken wrist or arm
• a visible injury to the hand that causes very intense pain

The kind of treatment a person can use to soothe hand pain can depend on the cause of the issue.

Injury and overuse

It is possible to treat minor hand injuries to the palms, fingers, or wrists can using the RICE protocol.

Thoroughly wash and disinfect any minor cuts and cover them with a Band-Aid or another dressing.

Taping an injured finger to the one beside it can help keep the finger still. This can help the finger to heal and prevent pain from movement.

Anti-inflammatory pain medication can reduce pain in the fingers, palms, and wrists.

Learn about different types of finger splints here.

Arthritis

There are certain treatments a person can use at home to soothe arthritis pain in the wrists, fingers, and thumbs, including:

• using topical NSAID gels
• applying hot or cold packs to affected areas
• NSAID oral medication
• using a paraffin wax bath, which coats the hand in wax as a form of heat therapy
• exercising

Learn about CBD and arthritis here.

Carpal tunnel syndrome

Home treatments for carpal tunnel syndrome include:

• doing hand and wrist exercises daily
• increasing physical activity and exercise
• weight loss
• stopping smoking cigarettes or tobacco products
• modifying activities that cause or worsen symptoms
• reducing computer use

Learn about natural and home remedies for carpal tunnel syndrome here.

Scleroderma

The following home remedies may help a person relieve scleroderma hand pain:

• keeping affected areas warm
• stopping smoking cigarettes
• exercising hands

If a person finds that home treatments do not relieve their hand pain, they should speak to their doctor.

Learn about ways to quit smoking here.

There are many possible causes of hand pain. They range from injuries and overuse to degenerative conditions, such as arthritis.

Home remedies for hand pain include gently stretching, trying RICE therapy, and taking over-the-counter medications.

A person should see a doctor for severe, persistent, or reoccurring pain in the hands or wrists.

causes, diagnosis, treatment in Yaroslavl

Hand injuries can be different, both in the location and in the nature of the damage. They occur in everyday life, during sports and professional activities. Injuries, hands can lead to structural changes in tissues, up to sprains and fractures. Therefore, immediately after traumatization, it is recommended to contact a traumatologist who will prescribe an X-ray examination and other diagnostic methods to make an accurate diagnosis and assess the degree of damage to the limb.

In the Clinic “CONSTANTA” you are always ready to receive qualified specialists in the field of traumatology with rich practical experience. Even if it seems to you that the hand injury is minor and you can get by with home treatment, it’s not worth the risk – it’s better to visit a doctor who will conduct an examination and assess the extent of the damage. Our Clinic is considered one of the best in Yaroslavl, as we have innovative equipment that is actively used for the diagnosis and treatment of diseases. Competent employees are always ready to discuss with the patient the questions of interest to him and provide qualified medical assistance in the framework of a particular clinical case.

How do hand injuries appear?

Symptoms of hand injuries depend primarily on the degree of damage. Contrary to popular belief, some patients do not feel severe pain even with arm fractures. Therefore, without professional skills and knowledge, the patient cannot visually determine what kind of injury has been received.

The main signs of a hand injury:

• soreness at the site of injury;
• puffiness;
• hematoma formation;
• restricted mobility;
• tissue redness;
• local temperature increase.

Immediately after the damage, carefully inspect the brush: are there deep abrasions, cuts on the skin, are bone fragments visible. Even if the integrity of the skin is not broken, before contacting a doctor, carry out an antiseptic treatment. Use any antiseptic you have at home – hydrogen peroxide, chlorhexidine, diluted alcohol. Wipe or irrigate the area with an antiseptic solution to reduce the risk of secondary infection. Then apply a non-tight sterile bandage and go to an appointment with a traumatologist.

Many patients cannot accurately describe the mechanism of injury. If the pain intensifies even after first aid, the specialist may suspect the development of a compartment syndrome, which is characterized by an increase in pressure in the fascial space. A common cause of the development of compartment syndrome is shrapnel damage, which often leads to malnutrition of muscle tissue and the spread of the infectious process.

In most cases, hand injuries are not accompanied by prolonged pain and a high risk of complications. The most dangerous are open injuries, which can be complicated by the addition of an infection and occur with severe circulatory disorders (ischemia). In such cases, prompt medical attention is needed. Only a qualified specialist can assess the degree of damage to the soft and hard tissues of the hand, identify hidden and obvious blood flow disorders and injuries of large or small vessels.

Fortunately, up to 70% of hand bruises are mild and do not require hospitalization or serious treatment. Most often, patients injure their fingers during sports training and solving everyday problems. With age, bone density decreases, so even slight behavior or compression can lead to a crack or fracture.

Hand injuries often occur in childhood. They arise as a result of active games, during physical education. The problem of early diagnosis of injuries in children is that the child often cannot specifically describe his feelings and evaluate them. Even with cracks and fractures, some babies do not complain of severe pain, and sometimes children cry for a long time from a slight bruise, greatly frightening their parents. It is better to play it safe and still contact a specialist so that the doctor examines the site of damage and, if necessary, prescribes additional diagnostics.

Tendon injuries of the hand

Tendons are characterized by increased elasticity and ability to stretch. When muscle tissue contracts, it is the tendon that pulls the bone along with it, providing active movement. With tendon injuries, motor activity is sharply limited – the patient cannot bend and unbend the hand. Complete tendon ruptures require surgery. It should be carried out in the first few hours after the injury.

Wrist bruises

The classic bruise of the soft tissues of the hand is very common in the practice of traumatologists. It is accompanied by reddening of the tissue, moderate soreness and swelling, local fever. and no serious treatment is required in this case. Specialists are limited to local anesthetics, which help to quickly relieve swelling and relieve pain.

If, in addition to a bruise, a violation of the integrity of tissues is detected, it is necessary to use antiseptics, and, if necessary, antibacterial agents. This will prevent the spread of infection. In some cases, it is required to immobilize the limb until the diagnosis is clarified.

The quality of primary antiseptic treatment directly affects the purity of infectious complications. Many patients do not pay attention to the need to decontaminate the injury site before meeting with a traumatologist. After treatment with an antiseptic and dressing, it is recommended to apply dry cold to reduce the risk of bleeding and the formation of a large hematoma.

Fractures of the bones of the hand

The share of fractures of the bones of the hand accounts for up to 30% of all injuries of the skeletal system. As a rule, the injury occurs in everyday life, when falling with an emphasis on the brush. There may be a fracture of the wrist, phalanges of the fingers or metacarpal bones. An accurate diagnosis can be established by the results of an X-ray examination. Most often, specialists encounter bone fractures as a result of accidental injuries or when heavy objects fall on the hand.

Fractures of the metacarpal bones are open and closed, with and without signs of displacement, multiple, single, intra-articular and extra-articular. They can be combined with damage to other structures of the hand. Medical tactics are selected individually, based on examination data, taking into account the general well-being of the patient, his age and the nature of the damage. Diagnosis of hand injuries includes taking an anamnesis and conducting certain diagnostic tests. During the examination and communication with the patient, the doctor finds out the approximate time of the injury, the patient’s complaints, determines the presence or absence of movement restrictions.

Dislocations of the hand

Dislocation in the wrist joint occurs mainly during falls with an emphasis on the hand or during a direct blow with a fist or a heavy object. Also, the injury occurs with a strong arching of the hand. After injury, the patient complains of sharp pain in the area of ​​the wrist joint. Visually, you can determine the pronounced swelling of the tissues and severe pain during palpation. Motor activity in the joint is sharply limited. If during the injury there was compression of the median nerve, then there will be a loss of sensitivity in the innervated zone.

First aid for bruises and other injuries of the hand

Immediately after the injury, the patient should make sure that he received a minor bruise and that no bones are visible at the site of the injury. The wound is washed with warm water and soap, gently dried and antiseptic treatment is carried out. Then you need to apply dry ice for 5-10 minutes. After this time, the hand must be examined again, check the activity of the fingers and the range of motion.

In case of damage to the hand with a violation of the integrity of the skin, it is necessary to apply a bandage from a sterile bandage. When properly applied, the bandage completely covers the damaged tissue, does not hinder movement and does not cause any pain. Make sure that the bandage does not squeeze the skin. If the tissues begin to turn blue, sensitivity decreases, this indicates that the bandage must be urgently loosened or replaced.

Dry ice should be applied every hour for 5-10 minutes. Usually this is enough to reduce pain and prevent the appearance of a hematoma. Intermittent cold therapy is effective for minor bruises and injuries. More serious injuries require specialist advice and a comprehensive examination.

The main tasks of the first emergency aid for injuries of the hand:

• limb immobilization to prevent the development of complications;
• stop bleeding from a wound;
• prophylactic antiseptic treatment;
• reduction of swelling, pain, signs of an inflammatory reaction.

Patients are not always able to give themselves first aid for hand injuries, especially if the wound is bleeding and there is a pronounced pain syndrome. If you cannot adequately assess the complexity of the situation and your condition, it is recommended that you immediately contact medical professionals. They themselves will carry out antiseptic treatment, relieve pain and, if necessary, use immobilization.

Treatment of hand injuries

Tactics of treatment for injuries of the hand is selected individually, depending on the degree of damage. Closed soft tissue injuries are treated on an outpatient basis, using special tight bandages that help with sprains and joint damage. Additionally, the use of warm compresses is recommended, but their use is prohibited in the first three days after injury (due to the risk of infection and bleeding).

To reduce pain, local remedies with anti-inflammatory and antiseptic properties are used. Cold is applied for 2-3 days, and after that you can use heat compresses on medical alcohol. It is allowed to apply warming ointments to injured tissues to quickly dissolve bruises and reduce pain.

In case of damage to the joints and bones, immobilizing and plaster bandages are used for a period of two weeks. A good therapeutic effect for hand injuries has physiotherapy, which includes various procedures: UHF, electrophoresis using a 10% calcium chloride solution or 0.5% novocaine, diadynamic currents.

Patients with injuries of soft and hard tissues of the hand need to be examined by a qualified specialist. As a rule, it is enough to adhere to the general recommendations of a traumatologist in order to quickly recover. It is necessary to limit physical activity for the first 2 weeks, to protect the injured hand from negative external influences. The patient is prescribed cold, rest and elevated position of the limb. Often, for injuries, compression is used with elastic bandages, elastic bandages or splints. The first day the hand should be in an elevated position to ensure effective lymph circulation and prevent the occurrence of edema.

In the case of using a plaster cast, it is necessary to inspect the skin around the cast daily in order to detect areas with inflammation or discoloration of the tissues in time. If you notice cyanosis of the skin, you need to seek medical help to restore the normal blood supply to the tissues. If tissue areas with signs of an inflammatory reaction are found, it is recommended to use special lotions with anti-inflammatory and moisturizing effects.

Patients who suspect that they have a dislocation of the hand should immediately contact a traumatologist. The doctor will reposition the hand after high-quality anesthesia, and then fix the joint from the elbow to the base of the fingers with a plaster splint. If, even after reduction, the doctor determines the instability of the joint, additional fixation with Kirschner wires will have to be used. Compression of the median nerve requires surgery.

Rehabilitation after hand injuries

Rehabilitation is a mandatory step in the treatment of hand injuries. Rehabilitation measures may include physiotherapy techniques, massage, spa therapy, physiotherapy exercises, warming compresses, the use of therapeutic ointments. The effectiveness of rehabilitation depends on the motor activity and quality of life of the patient in the future. For the first months after the end of treatment, it is forbidden to expose the brush to increased physical exertion.

In our Clinic in Yaroslavl, you will be provided with the necessary assistance with hand injuries of any complexity. We are ready to answer all your questions and provide high-quality information support.

To ask questions or sign up for a consultation with a specialist, please call:
(4852) 37-00-85
Daily from 8:00 to 20:00

signs, symptoms, diagnosis and treatment in Moscow at the Center for Surgery “SM-Clinic”

General information

Kinds

Symptoms

Diagnostics

Operations for injuries of the tendon of the hand

Expert opinion of a doctor

Rehabilitation

Question answer

General

Tendon injury is one of the most common hand injuries that leads to difficulty in finger flexion, loss of fine motor skills, and other functional impairments.

The cause of the pathology can be a cut or stab wound of the palm, the brush getting into moving mechanisms, complex fractures.

Species

Symptoms

Diagnostics

The initial stage of the examination is a careful examination of the damaged limb. The traumatologist studies the position of the fingers, the nature of the wound, if any, clarifies the circumstances under which the injury was received. To assess the severity of damage, the doctor conducts several tests: asks the patient to bend and unbend his fingers, squeeze his palms, bend a certain finger under resistance.

Additionally, for a more detailed diagnosis of damage to the tendons of the hand and the selection of optimal treatment tactics, radiography is performed. In difficult cases, they resort to CT, MRI, targeted research using ultrasound of the segment at the level of which the injury was diagnosed.

Hand tendon injuries

Conservative treatment for injuries of the tendons of the hand is practically absent and includes only first aid and anesthesia. For any type of injury, surgical intervention is indicated.

Tendon plasty

The technique consists in restoring the full functions of the hand by inserting an autograft or biosynthetic material into the affected area. Plastic surgery is indicated for ruptures, improper fusion of ligaments, sprains and scarring of the tissue.

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Tendon suture

Represents an open intervention with the imposition of special sutures directly on the damaged connective fibers.

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The variant of the operation is selected depending on the nature of the injury, the age and characteristics of the general health of the patient, comorbidities.

Medical expert opinion

Rehabilitation

Q&A

Full recovery period can take from 2 to 4 months. The success of treatment largely depends on the speed of seeking qualified help and the patient’s actions during rehabilitation.

The choice of anesthesia depends on the nature and extent of the injury and the health of the patient. Local anesthesia with the use of local anesthetics and endotracheal anesthesia are equally used.

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Traumatology and Orthopedics Center “SM-Clinic”

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