Injury to palm of hand: The request could not be satisfied

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Common Hand and Wrist Conditions • Boston Orthopaedic & Spine

There are a number of hand and wrist conditions that can make everyday tasks challenging or painful. After all, we use our hands for almost everything we do! At Boston Orthopaedic & Spine, our hand specialists have the skill, training, and expertise to treat all types of hand and wrist pain.

Hand and Wrist Anatomy

The hand and wrist consist of dozens of bones, joints, ligaments, tendons, and muscles that need to work together seamlessly in a variety of positions hundreds of times a day. From performing minor repetitive tasks (like clicking a mouse) to suddenly stopping the force of the body during a fall, the hands and wrists are susceptible to pain and injury at all stages in life.

The hand consists of several small bones called phalanges, metacarpals, and carpals.
The wrist is where the radius and the ulna (the two bones of the lower arm) meet at the hand.
Between these bones is capsule, cartilage, and ligaments that allow for movement.

The carpal tunnel is an area where several tendons and nerves pass through the wrist. In carpal tunnel syndrome, these nerves and tendons are compressed.

Another common problem is pain at the base of the thumb, usually later in life, from arthritis. This is called basal (thumb) joint arthritis and can be treated with splints, injections, and reconstructive surgery, if needed.

Other common problems include bone fractures, dislocations, and inflamed tendons and ligaments from overuse.

Symptoms of hand, finger and wrist pain

Symptoms of hand, finger or wrist pain depend on the type of injury and mechanism of injury. The symptoms commonly include pain during use, swelling, and/or difficulty moving the affected area.

Treatment for hand, finger and wrist pain includes: over-the-counter pain medication, rest, ice, and elevation. In more severe injuries, immobilization or surgery may be necessary.

Common causes of hand, finger and wrist pain treated at Boston Orthopaedic & Spine

Arthritis

Arthritis is painful inflammation and stiffness of the joints, which can be caused by many types of degenerative or inflammatory conditions. There are many types of arthritis, including osteoarthritis, rheumatoid, post-traumatic, septic, and gout. Arthritis symptoms often include swelling, tenderness, sharp pain, stiffness, and sometimes fever and chills.

Basal joint (thumb) arthritis is a common type of osteoarthritis that occurs as a result of the degeneration of the cartilage that surrounds the thumb joint. Symptoms include pain, swelling, and difficulty with gripping or pinching motions (such as turning a key or opening a jar). Treatment includes anti-inflammatory medicines, splinting the thumb, and injections. Surgery is also a treatment option for severe cases of basal joint arthritis.

Carpal tunnel syndrome

Carpal tunnel syndrome is caused by a pinched nerve (median nerve) in the wrist that leads to radiating pain, weakness, or numbness in the palm side of the hand, wrist or fingers. Many people describe symptoms that improve from ‘shaking out the hand’. Treatment includes anti-inflammatory medicine, splinting the wrist, or corticosteroid injections. If symptoms do not improve with this treatment, surgery may be necessary to decompress the nerve, relieve the symptoms, and restore function.

Finger dislocations

Dislocation occurs when the bones in a joint are forced out of their natural position by a fall or rapid twisting injury. Finger dislocations are sometimes referred to as ‘jammed fingers’. Symptoms include obvious deformity of the affected area, swelling, pain, and difficulty moving the joint.

Dislocations are serious injuries that require immediate medical attention. First aid treatment includes removing any rings or other jewelry, applying an ice pack, and elevating the area higher than your heart.

Sprains & strains

Ligaments are tissues that connect two bone. Tendons are tissues that connect muscle to bone. In a ligament injury, the tissue can become overstretched, incur small tears, or tear completely. Symptoms of a ligament injury include swelling, pain, and a feeling of instability in the joint. In a tendon injury, the tissue can become overstretched, develop micro-tears, or rupture. Symptoms of a tendon injury include inflammation, tenderness, and pain that gets worse during use of the affected area.

Fractures

A fracture is a break in a bone. Broken bone symptoms include pain (intensified when the area is moved or pressure is applied), swelling, bruising, and loss of function. Fractures may also cause the area around the bone to appear distorted or deformed, especially in open fractures where the bone protrudes from the skin.

A distal radius fracture is a break in the arm bone (radius) that connects to the hand at the wrist joint. Falls or other accidental trauma from sports or car accidents can cause this type of fracture. Symptoms include pain, deformity, swelling, and inability to move the joint. Treatment includes immobilization in a splint or cast, and in some cases, surgery.

A scaphoid fracture is a break in the scaphoid, one of the small bones of the wrist. Scaphoid fractures are commonly caused by accidents in which the hand reaches out to break a fall. Symptoms include swelling and pain that worsens when gripping an object. The pain is maximal between the base of the thumb and the wrist. Treatment depends on where the fracture occurs on the scaphoid bone, and is based on how well the bones are aligned and where in the bone the fracture occurred, but can include casting or surgical fixation. The scaphoid has a complex blood supply which often prolongs healing.

Fingertip injuries

Injuries to the tip of the finger can occur from work, play, or trauma. These injuries involve a sharp cut, a crush, or a combination of these injury types. They often involve the skin, fingernail, nailbed, and bone. Treatment depends on the level of the injury and the health of the injured tissue. It is best to seek medical evaluation to determine whether surgery is required.

Ganglion cysts

Ganglion cysts are fluid-filled, benign tumors (cysts) that develop on the outside of a joint or tendon. They were historically called “Bible cysts” because treatment was to hit them with the largest book in the house, the Bible. These cysts develop under the skin as small sacs filled with a clear, jelly-like substance that may feel spongy or firm to the touch, depending on size. They are managed with rest, anti-inflammatory medications, aspiration, and in some cases, surgical removal.

Dupuytren’s contracture

Dupuytren’s contracture is an abnormal thickening of the tissue just beneath the skin. This thickening occurs in the palm and can extend into the fingers. Firm pits, bumps and cords (thick lines) can develop and cause the fingers to bend into the palm. Symptoms include a hard lump at the base of the ring and pinky fingers, a thick cord across the palm, and difficulty bending the fingers or flattening the hand. The cause is unknown, but it is most common in men over the age of 40 with northern European descent. Treatment includes physical therapy, immobilization, massage, injections, and surgery.

Mallet finger

Mallet finger occurs when the tendon that runs along the top of a finger is injured or torn. Symptoms include pain, tenderness, swelling, and inability to actively extend the finger joint. Treatment for mallet finger includes ice, immobilization with a splint, and anti-inflammatory medications. In rare circumstances, surgery may be necessary.

Nerve injury

A nerve injury can occur when the finger, hand, or wrist is cut, overstretched, crushed, or burned. Motor vehicle accidents, work injuries, and falls are common causes of nerve injury. Symptoms include numbness and difficulty moving the affected area. Treatment depends on the severity of the injury, and may include rest, immobilization, physical therapy, and in some cases, surgery.

Tendonitis

Tendonitis is inflammation of the tendons, the tissue that connects muscle to bone. Tendonitis is caused by overuse (repetitive motion) or sudden injury. Tendonitis symptoms include pain in the tendon area, swelling, and loss of motion.

De Quervain’s tendonitis is a form of tendonitis that affects the tendons in the thumb side of the wrist. Symptoms include pain, swelling, and difficulty gripping with the hand. Treatment includes rest, ice, immobilization, and anti-inflammatory medications. In some cases, corticosteroid injections or surgery may be advised.

Trigger finger

Trigger finger is a condition in which the tendons in the fingers or thumb ‘catch’ or become stuck in a bent position. Symptoms include pain, a popping sensation when using the affected finger(s), and stiffness. Treatment includes immobilization, anti-inflammatory medication, restricting the activities that caused the repetitive stress, and in some cases corticosteroid injections. If the symptoms persist, surgery may be advised to release the snapping tissue.

Pain in the palm of the hand

There are many causes of pain in the palm of your hand. You can often ease the pain yourself. But see a GP if the pain does not improve.

How you can ease palm pain yourself

If you see a GP, they’ll usually suggest you try these things:

Do

rest your hand when you can
put an ice pack (or a bag of frozen peas) in a towel and place it on your palm for up to 20 minutes every 2 to 3 hours
take paracetamol to ease the pain
remove any jewellery if your hand is swollen
wrap a bandage around your hand to support it – read more about how to apply a bandage

Don’t

do not use ibuprofen in the first 48 hours after an injury
do not use heat packs or have hot baths for the first 2 to 3 days after an injury

You can ask a pharmacist about:

the best painkiller to take
treatments for common skin problems
if you need to see a GP

Non-urgent advice: See a GP if:

the pain is stopping you doing normal activities
the pain is getting worse or keeps coming back
the pain has not improved after treating it at home for 2 weeks
you have any tingling or loss of sensation in your hand
you have diabetes – hand problems can be more serious if you have diabetes

What we mean by severe pain

Severe pain:

always there and so bad it’s hard to think or talk
you cannot sleep
it’s very hard to move, get out of bed, go to the bathroom, wash or dress

Moderate pain:

always there
makes it hard to concentrate or sleep
you can manage to get up, wash or dress

Mild pain:

comes and goes
is annoying but does not stop you doing things like going to work

Information:

Coronavirus (COVID-19) update: how to contact a GP

It’s still important to get help from a GP if you need it. To contact your GP surgery:

visit their website
use the NHS App
call them

Find out about using the NHS during COVID-19

Urgent advice: Go to an urgent treatment centre or A&E if you:

have severe pain
feel faint, dizzy or sick from the pain
heard a snap, grinding or popping noise at the time of the injury
are not able to move your hand or hold things
have a hand that’s changed shape or colour, such as blue or white

These might be signs of a broken hand.

Find an urgent treatment centre

What we mean by severe pain

Severe pain:

always there and so bad it’s hard to think or talk
you cannot sleep
it’s very hard to move, get out of bed, go to the bathroom, wash or dress

Moderate pain:

always there
makes it hard to concentrate or sleep
you can manage to get up, wash or dress

Mild pain:

comes and goes
is annoying but does not stop you doing things like going to work

Common causes of pain in the palm of your hand

Pain in the palm of your hand is often caused by bruising or injuring your hand.

Your symptoms might also give you an idea of what’s causing the pain in your palm.

Common causes of pain in the palm of the hand
Symptoms	Possible cause
Aching pain that’s worse at night, numbness or pins and needles, a weak thumb or difficulty gripping	carpal tunnel syndrome
Pain or tenderness in your palm at the base of your fingers or thumb, stiffness, clicking when you move your finger or thumb	trigger finger
Pain, swelling and stiffness that lasts a long time, may be hard to move fingers, may have a lump	arthritis
Sharp or burning pain, tingling or numbness, palm feels more or less sensitive to touch or heat	peripheral neuropathy
Heat, pain and redness in the palms	erythromelalgia

Information:

Do not worry if you’re not sure what the problem is. Follow the advice on this page and see a GP if the pain does not get better in 2 weeks.

You can also read about pain in other areas of your hand.

Page last reviewed: 1 May 2019
Next review due: 1 May 2022

Finger, Hand, and Wrist Injuries

Do you have a finger, hand, or wrist injury?

Yes

Finger, hand, or wrist injury

How old are you?

Less than 5 years

5 years or older

Are you male or female?

Why do we ask this question?

If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
If your symptoms aren’t related to those organs, you can choose the gender you identify with.
If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Has it been more than a month since the finger, hand, or wrist injury?

Yes

Finger, hand, or wrist injury over a month ago

Have you had finger, hand, or wrist surgery in the past month?

If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.

Yes

Fingers, hand, or wrist surgery in the past month

Do you think that any of your fingers might have frostbite?

Yes

Cold temperature exposure

Have you had a major trauma in the past 2 to 3 hours?

Yes

Major trauma in past 2 to 3 hours

Are you having trouble moving your fingers or hand normally?

Pain or swelling can limit movement.

Yes

Difficulty moving fingers or hand

Can you move the fingers, hand, and wrist at all?

Yes

Able to move the fingers, hand, and wrist

Unable to move the fingers, hand, and wrist

Have you had trouble moving the fingers, hand, or wrist for more than 2 days?

Yes

Difficulty moving hand for more than 2 days

Is there any pain in the fingers, hand, or wrist?

Yes

Pain in fingers, hand, or wrist

Has the pain:

Gotten worse?

Pain is increasing

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is improving

Do you have any pain in your fingers, hand, or wrist?

Yes

Finger, hand, or wrist pain

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

Has the pain:

Gotten worse?

Pain is getting worse

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is getting better

Has the pain lasted for more than 2 days?

Yes

Pain for more than 2 days

Is your hand blue, very pale, or cold and different from the other hand?

If the hand or arm is in a cast, splint, or brace, follow the instructions you got about how to loosen it.

Yes

Hand is blue, very pale, or cold and different from other hand

Is any part of a finger partially or completely cut off?

Yes

Part of finger cut off

Is it more than the tip of the finger or more than half the size of a dime, or can you see the bone?

Gently wash off any dirt, wrap the cut-off part in a clean cloth, put the wrapped part in a plastic bag, place the bag on ice to keep the digit cool and bring it to the hospital.

Yes

More than tip of finger severed

Was the finger or wrist twisted or bent out of its normal position, even if it is back in its normal position now?

Yes

Finger or wrist is or was dislocated

Is the finger or hand trapped in something, like a jar or a toy?

Yes

Trapped finger or hand

Is there an object stuck in your finger or hand, and you can’t get it out?

This could be something like a nail, a needle, or a large piece of wood, metal, or plastic.

Yes

Embedded object in finger or hand

Has your hand or finger been injected with something under high pressure, like oil or paint from a sprayer?

Yes

Hand or finger injected with something under high pressure

Is there any swelling or bruising?

Did you have swelling or bruising within 30 minutes of the injury?

Yes

Swelling or bruising within 30 minutes of injury

Has swelling lasted for more than 2 days?

Yes

Swelling for more than 2 days

Do you have weakness, numbness, or tingling in your arm or hand that has lasted more than an hour?

Weakness is being unable to use the arm or hand normally no matter how hard you try. Pain or swelling may make it hard to move, but that is not the same as weakness.

Yes

Numbness, weakness, or tingling for more than 1 hour

Do you suspect that the injury may have been caused by abuse?

This is a standard question that we ask in certain topics. It may not apply to you. But asking it of everyone helps us to get people the help they need.

Yes

Injury may have been caused by abuse

Do you think the problem may be causing a fever?

Some bone and joint problems can cause a fever.

Are there red streaks leading away from the area or pus draining from it?

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Have you had symptoms for more than a week?

Yes

Symptoms for more than a week

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

Your age. Babies and older adults tend to get sicker quicker.
Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

Try home treatment to relieve the symptoms.
Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Pain in adults and older children

Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

Major trauma is any event that can cause very serious injury, such as:

A fall from more than 10 ft (3.1 m)[more than 5 ft (1.5 m) for children under 2 years and adults over 65].
A car crash in which any vehicle involved was going more than 20 miles (32 km) per hour.
Any event that causes severe bleeding that you cannot control.
Any event forceful enough to badly break a large bone (like an arm bone or leg bone).

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Pain in children 3 years and older

Severe pain (8 to 10): The pain is so bad that the child can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
Moderate pain (5 to 7): The pain is bad enough to disrupt the child’s normal activities and sleep, but the child can tolerate it for hours or days.
Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.

Symptoms of infection may include:

Increased pain, swelling, warmth, or redness in or around the area.
Red streaks leading from the area.
Pus draining from the area.
A fever.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:

Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
Long-term alcohol and drug problems.
Steroid medicines, which may be used to treat a variety of conditions.
Chemotherapy and radiation therapy for cancer.
Other medicines used to treat autoimmune disease.
Medicines taken after organ transplant.
Not having a spleen.

When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood supply to the area. This can be serious.

There are other reasons for color and temperature changes. Bruises often look blue. A limb may turn blue or pale if you leave it in one position for too long, but its normal color returns after you move it. What you are looking for is a change in how the area looks (it turns blue or pale) and feels (it becomes cold to the touch), and this change does not go away.

Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.

Adults and older children often have several symptoms of shock. These include:

Passing out (losing consciousness).
Feeling very dizzy or lightheaded, like you may pass out.
Feeling very weak or having trouble standing.
Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.

Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.

Babies and young children often have several symptoms of shock. These include:

Passing out (losing consciousness).
Being very sleepy or hard to wake up.
Not responding when being touched or talked to.
Breathing much faster than usual.
Acting confused. The child may not know where he or she is.

You may need a tetanus shot depending on how dirty the wound is and how long it has been since your last shot.

For a dirty wound that has things like dirt, saliva, or feces in it, you may need a shot if:
- You haven’t had a tetanus shot in the past 5 years.
- You don’t know when your last shot was.
For a clean wound, you may need a shot if:
- You have not had a tetanus shot in the past 10 years.
- You don’t know when your last shot was.

With severe bleeding, any of these may be true:

Blood is pumping from the wound.
The bleeding does not stop or slow down with pressure.
Blood is quickly soaking through bandage after bandage.

With moderate bleeding, any of these may be true:

The bleeding slows or stops with pressure but starts again if you remove the pressure.
The blood may soak through a few bandages, but it is not fast or out of control.

With mild bleeding, any of these may be true:

The bleeding stops on its own or with pressure.
The bleeding stops or slows to an ooze or trickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning.
If the symptoms get worse, seek care sooner.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

Call your doctor now to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care in the next hour.
You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

Make an appointment to see your doctor in the next 1 to 2 weeks.
If appropriate, try home treatment while you are waiting for the appointment.
If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Put direct, steady pressure on the wound until help arrives. Keep the area raised if you can.

Finger, Hand, and Wrist Problems, Noninjury

Postoperative Problems

Cold Temperature Exposure

Soft Tissue Injury: Wrist and Hand

Reference Number: HEY-257/2021
Departments: Orthopaedics

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Introduction

This leaflet has been produced to give you general information about your injury. Most of your questions should be answered by this leaflet. It is not intended to replace the discussion between you and the healthcare team, but may act as a starting point for discussion. If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team.

What is a soft tissue injury?

The term soft tissue refers to muscles, ligaments and tendons that surround and support our joints. Injuries to the soft tissue around the wrist and hand can occur due to a fall, overuse or direct impact.

What are the symptoms?

A soft tissue injury to the wrist or hand may result in the following:

Pain.
Heat, redness or bruising.
Swelling.
Stiffness and loss of function.

What if I need pain relief?

To manage your pain it is advised that you regularly take simple pain relief which can be bought over the counter. If you have allergies or conditions which prevent the use of pain relieving or anti-inflammatory medication, please seek advice from your doctor or a pharmacist.

What should I do in the first 72 hours after the injury?

The most important initial treatment is aimed at controlling the pain and swelling by following the principles of RICE:

R – Rest

Complete rest is not advisable but it is important that you prevent putting the wrist under strain in the early stages of healing. Ensure you continue to move the shoulder, elbow and fingers as normal, as it is common to quickly become stiff in these areas.

I – Ice

Ice will help reduce the pain in your wrist and so should be applied for 10-15 minutes. This will help to reduce the swelling.

There are many different ways in which ice can be applied however it believed crushed ice, in the form of frozen peas for example, is the most effective. Whichever method you choose it is important that you wrap the ice in a damp towel, in order to prevent it from ‘burning’ the skin.

Please note:

Only use an ice pack on areas that have normal skin sensation i.e. where you can feel hot and cold.
Do not apply over an open wound.
Do not apply an ice pack to an area that has poor circulation. When you apply ice to your skin, check the skin every five minutes and stop using it if:

the area becomes white, blue or blotchy.
the area becomes excessively painful, numb or tingles.

C – Compression

You may have been given a tubigrip to wear to help control your swelling. It is important this is removed if you develop any signs of poor circulation such as tingling, numbness, blueness of the skin of the hand and increasing pain. The tubigrip should be removed when you go to bed at night as when you are asleep you cannot monitor these symptoms.

E – Elevation

If you have swelling in your wrist or hand sit on a chair and place your elbow on cushions so that it is level or slightly higher than your shoulder. In this position, point your hand towards the ceiling then open and close your hand as this will help to reduce any swelling further.

What not to do

Consuming alcohol, massaging the injured area and applying heat can all be detrimental in the early stages of healing and therefore should be avoided. It is important to note that smoking may also delay the healing process.

Rehabilitation and recovery

If you follow this basic advice your injury should take around 6 weeks to heal. However, everyone recovers from injuries at different rates and it is dependent on the severity of the injury and the presence of any other medical problems. It is possible that you may be back to normal in 2 weeks however it is also possible you may suffer symptoms for up to 3 months.

After 72 hours it is very important you try to start using your wrist and hand normally again when doing everyday tasks like washing, dressing and eating. The exercises below will help you to regain full function, flexibility and strength.

1. Rest your forearm on a table with your hand over the edge. Using your wrist only, move your hand down towards the floor.

Hold the stretch 10 seconds in each direction.

Repeat 10 times.

2. Interlock your fingers of both hands as shown in the picture below.

Gently use the uninjured wrist to move the thumbs upwards towards you. Hold 10 seconds.

Now move the thumbs away by moving the wrist in the opposite direction toward the floor. Hold 10 seconds.

3. Bend your elbow and tuck it into your side.

Turn your palm as far as possible upwards without moving your elbow. Feel the stretch and hold for 10 seconds.

Now turn your hand back over so your palm faces downwards, feel the stretch and hold for 10 seconds.

4. Touch your thumb to the tip of your index finger on the same hand.

Now slide your thumb down this finger as far as possible until you feel it stretching. Hold 10 seconds

Repeat the same exercise as described above while touching your thumb to your middle finger, then your ring finger and finally your little finger. Each time hold the stretch 10 seconds.

5. Support your elbow on a table with your wrist straight and fingers pointing towards the ceiling.

Bend your fingers into your palm as tightly as you can and feel them stretching.

Hold the stretch 10 seconds.

Now stretch your fingers as wide as you can and feel them stretching. Hold the stretch for 10 seconds.

6. Hold your hand with the palm of your hand facing upwards.

Touch your thumb to the base of your little finger and hold for 10 seconds.

Now stretch the thumb out the opposite way if you assist this with your uninjured hand then do not force the stretch and hold for 10 seconds.

All photos with kind permission of ©Physiotec™

You should try to practice these 10 times, 3 to 4 times per day. You may experience more discomfort when you start the exercises however this is normal and does not mean you should stop. If your symptoms remain worse for more than two hours after the exercises, then you should decrease the number of each exercise that you do and build up again slowly.

Repetitive wrist and hand movements and lifting objects heavier than a teacup should be avoided to begin with. However, as your movement improves and pain reduces, little by little you can increase the amount of weight that you are able to lift. Progressing from lifting a tea cup to a heavy shopping bag for example would not be advisable, as is likely to result in overloading of the soft tissue and could consequently lead to further injury.

When can I return to normal activities?

If your job involves regular activities using your wrist and hand you must ensure that you practice similar tasks so that you build your strength and function up gradually.

If you participate in an active hobby then it is advised that you do not return to this until you have full strength, full range of movement and you can use your wrist normally without experiencing pain or swelling.

If you play a sport, practice specific activities like throwing a ball to prepare the wrist and hand and build this up gradually before returning to full training sessions and competition.

Do I require further treatment?

You may be advised that you require physiotherapy following this type of injury, unless your symptoms are minimal on your initial appointment. Your physiotherapy could be at a variety of locations in the Hull and East Riding area.

You can self-refer to physiotherapy by contacting the following number depending on the location of your doctor:

Hull GP patients self-refer to Healthshare: (01482) 300003
East Riding GP patients self-refer to East Riding Physiodirect (01377) 208300 or self-refer online at chcpmsk.org.uk

On occasions the clinician may wish to refer you to the physiotherapy team within the hospital trust. If this is the case they will advise you of this and you should receive an appointment at Hull Royal or Castle Hill Hospitals within 5 to 7 days of your attendance at the Emergency Department. If you have received no contact within this time please call the physiotherapy admin team on (01482) 674880.

When to seek further help

If 10 days following your injury you are unable to use the wrist or hand and it remains painful and swollen, despite following the above advice, please contact the physiotherapy team that you were advised to contact in the section above.

Finger, Hand, and Wrist Problems, Noninjury | CS Mott Children’s Hospital

Do you have a finger, hand, or wrist problem?

This includes symptoms like pain, numbness, and trouble moving the fingers, hand, or wrists normally.

Yes

Finger, hand, or wrist problem

How old are you?

Less than 5 years

5 years or older

Are you male or female?

Why do we ask this question?

If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
If your symptoms aren’t related to those organs, you can choose the gender you identify with.
If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Did you injure the finger, hand, or wrist in the past month?

Yes

Finger, hand, or wrist injury in the past month

Have you had finger, hand, or wrist surgery in the past month?

If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.

Yes

Fingers, hand, or wrist surgery in the past month

Do you think that any of your fingers might have frostbite?

Yes

Cold temperature exposure

Has sudden, severe weakness or severe numbness affected the whole arm or the whole hand?

Weakness is being unable to use the arm or hand normally, no matter how hard you try. Pain or swelling may make it hard to move, but that is not the same as weakness.

Yes

Severe or sudden numbness or weakness in the whole arm or hand

When did it start?

Think about when you first noticed the weakness or numbness or when you first noticed a major change in the symptoms.

Less than 4 hours ago

Numbness or weakness began less than 4 hours ago

From 4 hours to 2 days (48 hours) ago

Numbness or weakness began from 4 to less than 48 hours ago

From 2 days to 2 weeks ago

Numbness or weakness began 2 days to 2 weeks ago

More than 2 weeks ago

Numbness or weakness began more than 2 weeks ago

Do you still have any weakness or numbness?

Weakness or numbness that does not go away may be more serious.

Yes

Numbness or weakness is now present

Has the weakness or numbness:

Gotten worse?

Numbness or weakness is getting worse

Stayed about the same (not better or worse)?

Numbness or weakness is unchanged

Gotten better?

Numbness or weakness is improving

Is your hand blue, very pale, or cold and different from the other hand?

If the hand or arm is in a cast, splint, or brace, follow the instructions you got about how to loosen it.

Yes

Hand is blue, very pale, or cold and different from other hand

Is there any pain in the fingers, hand, or wrist?

Yes

Pain in fingers, hand, or wrist

Has the pain:

Gotten worse?

Pain is increasing

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is improving

Do you have any pain in your fingers, hand, or wrist?

Yes

Finger, hand, or wrist pain

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

How long has the pain lasted?

Less than 2 full days (48 hours)

Pain less than 2 days

2 days to 2 weeks

Pain 2 days to 2 weeks

More than 2 weeks

Pain more than 2 weeks

Has the pain:

Gotten worse?

Pain is getting worse

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is getting better

Do you think the problem may be causing a fever?

Some bone and joint problems can cause a fever.

Are there red streaks leading away from the area or pus draining from it?

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Have you had trouble moving the fingers, hand, or wrist for more than 2 days?

Yes

Difficulty moving hand for more than 2 days

Has swelling lasted for more than 2 days?

Yes

Swelling for more than 2 days

Have you had finger, hand, or wrist problems for more than 2 weeks?

Yes

Symptoms for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

Your age. Babies and older adults tend to get sicker quicker.
Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

Try home treatment to relieve the symptoms.
Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Symptoms of infection may include:

Increased pain, swelling, warmth, or redness in or around the area.
Red streaks leading from the area.
Pus draining from the area.
A fever.

Pain in adults and older children

Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood supply to the area. This can be serious.

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Pain in children 3 years and older

Severe pain (8 to 10): The pain is so bad that the child can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
Moderate pain (5 to 7): The pain is bad enough to disrupt the child’s normal activities and sleep, but the child can tolerate it for hours or days.
Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:

Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
Long-term alcohol and drug problems.
Steroid medicines, which may be used to treat a variety of conditions.
Chemotherapy and radiation therapy for cancer.
Other medicines used to treat autoimmune disease.
Medicines taken after organ transplant.
Not having a spleen.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning.
If the symptoms get worse, seek care sooner.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

Call your doctor now to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care in the next hour.
You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

Make an appointment to see your doctor in the next 1 to 2 weeks.
If appropriate, try home treatment while you are waiting for the appointment.
If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Cold Temperature Exposure

Finger, Hand, and Wrist Injuries

Postoperative Problems

Palm Pain – Symptoms, Causes, Treatments

Disease or injury of any of the structures in the hand or palm can result in palm pain. Symptoms may arise from neuromuscular conditions, inflammatory conditions, infections, or diseases that affect the blood flow to the palms.

In addition, palm pain can be caused by underlying conditions that involve the body as a whole, such as diabetes. Peripheral neuropathy, a disorder that causes dysfunction of nerves that lie outside your brain and spinal cord, when it is associated with diabetes can lead to damage of one or more of the nerves in the palm resulting in pain, numbness, and a tingling or burning sensation.

Traumatic causes of palm pain

A number of common injuries, either to the palms or to the nerves that provide feeling and movement to the palms, can cause palm pain. Examples include:

Inflammatory causes of palm pain

Inflammation, including inflammation due to infection or arthritis, can cause symptoms that may be present in both palms, one palm, or just a small part of a palm. Examples include:

Neuromuscular causes of palm pain

A number of conditions that affect the muscles or nerves in the body can produce palm pain. These conditions include:

Carpal tunnel syndrome
Cerebral palsy
Dermatomyositis (a condition characterized by muscle inflammation and skin rash)
Hand-foot syndrome (HFS), also known as palmar-plantar erythrodysesthesia (PPE), a side effect of chemotherapy
Raynaud’s disease (spasms of small blood vessels of the fingers and toes, reducing blood circulation; Raynaud’s phenomenon is secondary to many autoimmune disorders such as lupus)

Other causes of palm pain

Other types of chronic diseases and conditions can lead to palm pain. These disorders include:

Benign and malignant tumors
Blood clots
Diabetes (chronic disease that affects your body’s ability to use sugar for energy)
Peripheral artery disease (PAD, also called peripheral vascular disease, or PVD, which is a narrowing or blockage of arteries due to a buildup of fat and cholesterol on the artery walls, which limits blood flow to the extremities)
Transient ischemic attack (temporary stroke-like symptoms that may be a warning sign of an impending stroke)
Vasculitis (inflammation of the blood vessels, which can lead to atherosclerosis, stroke, heart attack, and other cardiac conditions)

Serious or life-threatening causes of palm pain

In some cases, hand tingling or numbness (including the palm), or weakness may be a symptom of a stroke, which is a life-threatening condition that should be evaluated immediately in an emergency setting.

Questions for diagnosing the cause of palm pain

To diagnose your condition, your doctor or licensed health care practitioner will ask you several questions related to your palm pain including:

How long have you had the pain in your palm?
What other symptoms are you experiencing?
When do your symptoms occur?
Are your symptoms worsened or relieved by movement or specific activities?

What are the potential complications of palm pain?

The potential complications of palm pain depend on their cause. Getting prompt treatment of fractured bones, injuries, or infections can help you avoid serious complications, such as deformity or widespread infection. Palm pain associated with serious medical conditions, such as stroke, may have long-term and even potentially life-threatening complications. Left untreated, conditions that cause palm pain may lead to the following complications:

Adverse effects of treatment
Amputation
Joint deformity and destruction
Muscle weakness
Necrosis (death) of tissues and gangrene, which may require removal of the dead tissues or amputation
Paralysis
Physical disability
Sepsis (life-threatening bacterial blood infection)
Spread of cancer
Spread of infection

Fell and Landed on Palm of Hand

August 8, 2018
Bentley & More LLP

Falls are a silent, pervasive threat across the United States. Though most slip and fall research focuses on the elderly population, over 800,000 people go to the hospital annually for fall-related injuries. One common set of injuries from a fall is a broken wrist, hand or finger. The hand injury most often is the result of someone attempting to break the fall with the palm outstretched on the way down. Aside from age, there is no predictive factor for hand injury or fracture, although risks increase from osteoporosis and poor physical health. If you’ve recently suffered this kind of injury, contact a Santa Ana slip and fall lawyer.

Dangerous Conditions Lead to Fall Injuries

Falls, in general, are more likely to occur in certain circumstances. Inclement weather – ice or rain, for example – can cause the ground to become slippery, increasing the chance of falling. Labor-intensive work environments are also more dangerous, particularly in places like warehouses or on construction sites. According to the CDC, one out of every five falls results in serious injury such as broken bones.

Hand and Wrist Fractures From Falling

It may seem less dangerous to injure a hand, wrist or finger compared to a rib or hip, but broken hands are severe complications which take a long time to heal and can have major impacts on a person’s life. While it is natural to extend the hands to break a fall, this is the primary reason that hand or wrist injuries occur. The hands, wrist and fingers have a number of small bones. A fracture in any of these tiny bones can be severe. Not only is it incredibly painful, it is very common for complications to arise during the healing process. It is these small bones which are most vulnerable during a fall.

One common wrist injury is a scaphoid fracture, where the scaphoid bone – one of the eight carpal bones forming the base of the wrist, just below the hands – is broken. This injury often occurs from collision to the palm of the hand – either during a fall, sports activity, or even motor vehicle accident. It is not always obvious that something has broken the scaphoid bone. Although there is often intense pain when moving the thumb or forefinger, the wrist won’t appear deformed during this type of injury and may require a doctor’s diagnosis.

The most common bone fracture in the United States is called a Colles’ fracture, and it involves the radius – the largest of the two forearm bones. Often known simply as a broken wrist, these injuries represent 10% of all bone injuries annually. The worst Colles’ fractures may see bones broken in multiple locations or sticking out of the skin. Surgery is only rarely necessary, but the healing process is long and requires immobilization, meaning the injured arm is unusable for the duration of the time to heal.

Because they are so small, finger bones are easier to break than other parts of the body. Despite their size, they are also severe injuries that can put a hand out of commission for months at a time. Depending on the severity of the fracture, a finger injury may require a splint for up to three weeks.

Complications and Compensation for Falling on Hands

Injuries to the hands, wrists or fingers often require months of rest and recovery. Depending on the injured party’s circumstances, this may mean a short-term loss of wages and income. If the injury occurred in the workplace, it may be possible to receive workers’ compensation for the fracture, depending on the circumstances that led to the fall.

Regardless of the situation, a hand injury – though small in size – has huge implications. Complications from injuries to small bones, such as scaphoid fractures, often occur during the healing process. Small bones do not heal as easily as larger ones, and this may result in longer recovery time or even require surgery. If your fall occurred because of someone else’s negligence, contact a Orange County personal injury lawyer to see how they can help you get compensation for your hand or wrist injury.

Hand injury | Clinic ALODERM, Moscow

We treat hand injuries

We guarantee full restoration of your physical activity

We use new, effective therapeutic techniques. Thanks to unique approaches, we restore the well-being of patients with any diagnosis. Hand injury rehabilitation is based on proven medical advances.

We guarantee

Treatments that provide a beneficial therapeutic effect;
Diagnostic tests using modern equipment;
Close, confidential contact with patients;
Individual approach during therapy and rehabilitation;
Complete restoration of well-being.

Causes of hand injuries

Hand injuries are diagnosed depending on the location and nature of the injury. They cause structural changes in tissues. More than half of patients go to doctors for bruises, sprains, or ruptures of the ligaments.
Damage can be caused by:

Strong blows to the wrist, hand and fingers;
Unexpected falls with an emphasis on the upper limbs;
Fall, in which a person rests on the palm in an open state;
Extreme sports;
Industrial accidents resulting from careless handling of tools.

As soon as you feel pain in the area of the hand, wrist, make an appointment at our clinic without wasting a minute. Our doctors with experience will determine the reasons, select the most appropriate therapy regimen.

Signs of trauma, common types

There are several types of hand injuries. This is a bruise, damage to ligaments, dislocation of fingers, cuts, fractures, thermal lesions. Bruising is a common sight. There is swelling of soft tissues.Hemorrhage occurs, the temperature rises. Delayed treatment can lead to disastrous results. The hand becomes inactive. The pain spreads throughout the body. The patient cannot move, constantly complains of poor health.

To find the most effective way to restore physical activity, you need to establish the symptoms of hand injury. It could be:

Loss of arm mobility;
Swelling of the injured area;
Difficulty moving around the wrist;
Deterioration of general health;
Numbness of forearm and affected arm that hangs down;
Presence of hemorrhages in the skin;
A characteristic bluish tint of the skin of the hand.

It is not uncommon for patients who experience pain in the area of the hand to develop a disease such as a golfer’s elbow. It can be caused by practicing this sport or an increased load on the forearm. Signs are palpable pain when flexing the fingers. The grasping reflex is weakened when squeezing the hand.

We do not recommend self-healing. Do not postpone this process, contact our clinic the same day you found the first signs of damage.For this, the doctors of our clinic carry out medical procedures, perform the rehabilitation of the patient. Based on the analyzes received, a diagnosis is established, according to which a full course of restoration of the hand after injury is developed.

We can cure even severe cases

The consequences of a hand injury can be irreversible if you do not seek the help of our specialists in time. Doctors accurately determine the nature of the damage and the specifics of the development of the disease. Further, a rehabilitation course is developed, based on the results obtained, after the therapy.Certified pharmacological preparations are used for treatment. They will help relieve swelling, pain and inflammation. If the skin is damaged, then antiseptics and antibacterial agents are used.

We will restore the patient to normal state of health and normalize physical activity. We will cure diseases at all stages of trauma development. The clinic has the necessary equipment for this, the experience of doctors and effective methods of treatment.

Our clinic is equipped with multifunctional instruments.It allows you to achieve consistent results. To restore the health of patients, muscle tone, we offer:

Ultrasound of bone and cartilage structures, ligamentous and muscle tissues.
Joint injections. Highly technological and modern drugs are used;
Shock-wave therapy (SWT) using the latest non-invasive shock-wave therapy device BTL-6000 SWT Topline;
Laser physiotherapy (LFT) based on a non-invasive laser therapy device;
Electromyostimulation / myoneurostimulation / myostimulation (EMS).

We guarantee a complete restoration of your physical activity.

90,000 Hand injuries: who is to blame and what to do? | Be Healthy

As you know, when a person falls, he instinctively tries to extend his hand to soften the blow. It is at this point that wrist injuries often occur.

Unfortunately, no one is insured against hand injuries, and after all, just a small fracture or dislocation is enough to lose the opportunity to live and work normally for a long time.

Vasily Shurov, chief consultant for orthopedic products at Medi, tells about the types of hand injuries and the most modern methods of their treatment. Orthopedic traumatologist

– Vasily Alexandrovich, what hand injuries do surgeons most often face?

In the first place are patients with fractures: the bones of the arms are quite fragile, so they break most often. Dislocations, sprains, and ligament ruptures are a little less common.The type of injury largely depends on which part of the arm is injured: shoulder, elbow, wrist or hand.

Shoulder

– Let’s start with the shoulder. It is most likely broken very rarely?

Not as rare as people think. According to statistics, 9-12% of all fractures are shoulder fractures. But, of course, the most common shoulder injury is dislocation. From 50 to 60% of all dislocations occur with the shoulder, which is due to its anatomical structure: a weak ligamentous apparatus and a powerful muscular corset.That is why a dislocated shoulder is much more common than, say, a dislocated knee.

– It is usually considered that a dislocation is a trifle, because it can be corrected.

You can. But the fact is that when dislocated, the joint is damaged, which means that there is a high probability that the problem will recur again. Knowing about the possibility of a relapse, a person gets nervous, becomes constrained in movements, hesitates to raise his hand, take some kind of weight …

– It turns out that you can’t do without treatment?

Exactly.Let me explain why. First, with repeated dislocations, a clamping of a nerve or vessel can occur, which is fraught with serious consequences. Secondly, with dislocations, the muscle corset is loosened, which means that repeated dislocation can occur at any time.

– How is shoulder dislocation treated?

Surgically – fix the head of the humerus.

– Is it a difficult operation?

Not the easiest one. In addition, it often has to be done on an emergency basis.If the dislocation of the shoulder is serious (severe pain, complete dysfunction of the arm), the patient is urgently taken to the ambulance to the hospital, where the dislocation is corrected and an operation is performed.

– Let’s say the operation was successful. What’s next?

Next, you need to behave reasonably: in the postoperative period, do not make movements that can provoke a relapse, specially train to pump up the muscle corset. The use of special orthoses is also even more beneficial.

– What are orthoses?

A kind of painful joint fixators. In case of shoulder dislocations, the Omomed orthosis, which is produced by the German company Medi, is optimal. It is made in the form of a clutch that is put on the arm, and elastic straps go from it to the opposite armpit. Depending on how the straps are tightened, the degree of movement of the shoulder joint can be adjusted. Thus, the person gets the opportunity to slowly develop the damaged shoulder.Omomed orthosis is a professional orthopedic product , which has proven itself in athletes (skiers and volleyball players), whose shoulder joints are often “broken” due to overload.

– How long should this orthosis be worn?

A few months at least. It all depends on the severity of the injury.

By the way, it is useful for athletes and people involved in heavy physical labor who have had shoulder injuries in the past as a belay.

Elbow

– Let’s move on to the elbow. Vasily Alexandrovich, tell me why the bruise of the elbow is so painful?

The radial nerve passes in the groove of the elbow, therefore, at the moment of injury, a person feels an acute pain – as if he had been struck by an electric current. But such a bruise will not do much harm, as they say, it will hurt and stop. Much more dangerous is the disease, which has the official name epicondylitis – popularly also called “tennis elbow” or “golfer’s elbow”.

– Is it an occupational disease for athletes?

Not only. This problem is usually faced by those whose activities are associated with monotonous repetitive hand movements in a certain static position of the body. Most of the muscles responsible for the function of the hand are attached to the so-called epicondyle of the humerus in the region of the elbow joint. When a person often makes repetitive hand movements (such as a tennis player serving), these epicondyles can become inflamed, resulting in severe pain and limited mobility.

– And how to save a sore elbow?

Medi has an elbow brace – Medi elbow strap, designed specifically for the treatment of epicondelitis. The air cushion of the product evenly distributes pressure, fixing the problem area, which creates favorable conditions for healing.

– Got it. What else can happen to the elbow joints?

Arthritis and arthrosis. In principle, these diseases can affect any joint, but when the hands are affected, this creates especially serious problems, because in our daily life we constantly use them.

– And how to deal with this scourge?

Consult a doctor. He will prescribe the necessary medications, physiotherapy. Well, I would also recommend using high quality elastic bandages. They improve blood circulation, support and relieve the joints. For problems with elbows, Epicomed is especially effective – a bandage with three-dimensional viscous, adjustable compression level and silicone support for the lateral surfaces of the elbow. If the disease is neglected, this bandage must be worn at all times so as not to suffer from constant pain.If the condition is not so severe, it is recommended to wear it before serious physical exertion, when the diseased joint is especially vulnerable.

Wrist

– Many of those who work at the computer for a long time complain that their wrists often hurt.

This is the so-called tunnel syndrome – the scourge of programmers and typists, in a word, everyone who types a lot. The fact is that in the wrist, the bones form very narrow tunnels through which tendons, nerves, and blood vessels pass.With constant flexion-extension of the wrist while typing, edema may occur in the tunnel, which compresses the nerves and blood vessels. Since the nerves are affected in the first place, the person begins to feel severe pain in the wrist, he has problems with the functions of the hand.

– So he is practically unable to move his fingers? What then is to be done?

First, there are drugs that relieve swelling and nourish damaged nerves. Secondly, the problem can be solved with surgery.Thirdly, the same orthoses can provide effective assistance to the patient. For example, Medi CTS, which fixes the hand in a neutral position – the nerve is not under pressure. Thus, the orthosis actually performs the function of a splint or a cast, only it is much lighter and more comfortable.

– But you can’t work at a computer in such an orthosis?

Not allowed. It is used in cases when the disease has reached its peak – a person can hardly move his fingers. Previously, in a similar situation, the patient was put on a heavy plaster cast, and now they put on a light, comfortable product.Considering that with this disease the hand must be fixed for a long time (up to 2-3 months), comfort is of great importance here.

– And if the disease is not so neglected?

In this case, the Manumed finger orthosis is used. The product fixes the wrist in a physiologically correct position so that neither the nerves nor the tendons are pinched. At the same time, all fingers are free, so you can safely work at the computer. By the way, I noticed that these products are very often bought by professional programmers for preventive use.It seems to me that this is a very correct approach: if you know that you are at risk, then you should hedge yourself and protect yourself from potential problems.

– Everything is clear with the tunnel syndrome. What about wrist injuries?

They also happen. Especially among young people who are involved in extreme sports. As you know, when a person falls, he instinctively tries to extend his hand to soften the blow. It is at this point that wrist injuries often occur.Therefore, everyone who is actively involved in sports is advised to protect their wrists with special orthoses (their athletes are often called “wristbands”).

Brush

– What do the hands usually suffer from?

The most unpleasant thing here is the fractures of the fingers. The fact is that fingers are very difficult to cast. But, fortunately, now they produce special finger splints called protect.Finger stax. They are very lightweight, made of plastic, put on a wrist and fixed with a bandage.They have gained a lot of popularity with traumatologists because they are really very simple and convenient.

– But gypsum is still in use today. Does it have any advantages?

Compared to these tires? No, just flaws. In terms of functionality, the tire is a complete analogue of gypsum. But at the same time, they are lightweight, comfortable and inexpensive. They are easy to apply, you can always take them off, see how the fracture is healing, and then put them back on. With plaster, this is impossible.

– Vasily Alexandrovich, what other hand injuries are there?

Fractures of the metacarpal bones that are in the palm. Usually such injuries occur with inexperienced fighters. And here fighters bring great harm, in which heroes all the time beat enemies with their fists. If you try to repeat this not in the movies, but in life, then, most likely, the one who hits will receive a more serious injury than his victim. In this sense, films are best not to be trusted.

– Well, what if the injury did happen?

For such fractures, the Medi CTS orthosis is well suited, it fixes both fingers and wrists with high quality.But I would recommend that you simply not bring yourself to this kind of injury. For those who have not been boxing before, it is better to resolve all conflicts peacefully. Because it is always better to avoid injury than to treat it later, albeit with the most modern orthoses.

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90,000 Treatment of a bruised hand in St. Petersburg

A bruise of the hand is a soft tissue injury without serious damage to the bone structure. A bruise is diagnosed in the event of a blow, fall or crush.Most of these injuries do not require serious treatment, however, ignoring the inflammatory process in the tissues can lead to serious consequences, up to the loss of hand functionality.

Symptoms of a contusion of the hand

pain at the site of injury;
Discomfort not only in the wrist, but also in the fingers and shoulder;
edema that does not disappear for several days;
The appearance of a hematoma on the palm or back of the hand;
numbness, weakness of the arm;

90,013 difficulty with movement;

decrease in sensitivity;

Consequences of hand contusion

With severe pain syndrome, trophoneurotic disorders can develop, in more rare cases, bone dystrophy.Also, the serious consequences of a bruised hand include a violation of the innervation of the hand, leading to complete or partial paralysis in the future.

Treatment of a bruise of the hand after a fall and other injuries

If you have several of these symptoms, you should contact the emergency room for help.

After the initial examination, an X-ray is usually prescribed, thanks to which it is possible to immediately exclude fractures, dislocations and cracks in the bone. If there are open tissue damage, then a disinfectant treatment is performed with a special solution.

Then an immobilizing bandage is applied, thanks to which the hand is immobilized and fixed in one position. The specialist must choose one of the possible ways to stop the bleeding.

For severe pain, analgesics are prescribed, and special ointments are applied to the site of the injury.

In rare cases, if a doctor diagnoses a deterioration in the patient’s condition, which indicates an increase in swelling and compression of the nerves of the hand, it is necessary to resort to surgery by dissecting the carpal ligament.A Kocher probe is inserted into the section to protect the tendons and nerves, and then sutures are applied.

Our clinics in St. Petersburg

You can get detailed information and make an appointment by calling
+7 (812) 640-55-25

90,000 Carpal tunnel syndrome – Medical center ARS; +371 67201007

Do your hands go numb or hurt?

What is the cause of tingling in the hands?

Loss of sensation and pain in the hands can be caused by various reasons, therefore, a thorough examination is required first.The most common cause of sensory loss is compression neuropathy or nerve compression. There are over 20 types of neuropathy. The two most common diseases are carpal tunnel syndrome .

The name of the disease “compression neuropathy” indicates the essence of the disease – a pinched nerve. This usually occurs in the narrowest places along the path of the nerve, which is why this disease is called a canal (tunnel) disease. The nerve is compressed in the carpal tunnel of the wrist or in the cubital canal – a narrow channel in the middle of the elbow .Carpal tunnel syndrome is more common than cubital tunnel syndrome.

The most common cause of compression of the nerve is heavy, repetitive hand work. This disease occurs in those who constantly overload their hands. However, this disease also occurs in people with work in which the hands are not overloaded.

What is carpal tunnel syndrome?

Nerve compression is most often formed in the wrist – in the carpal canal. This is the opening between the bones and the transverse ligament of the wrist, through which the median nerve and flexor tendons pass, which provide sensitivity to the fingers.

What causes carpal tunnel syndrome?

Compression of a nerve can cause excessive stress, prolonged, repetitive movements, various diseases and injuries. As a result of prolonged squeezing, nerve fibers die, causing disturbances in the sensitivity of the skin and the mobility of the fingers and palm.

Symptoms

The first symptoms are tingling in the fingers, a burning sensation and pain, more often manifested in the leading hand. If a person is right-handed, then the compression of the nerve is formed in the right hand, since the main load falls on this hand, in left-handed people – on the contrary.

Causes

Carpal tunnel syndrome is more common in people with monotonous manual work, with excessive stress on the hands and fingers, when performing the same movements, when working with raised arms or when holding hands in a tense position. Historically, carpal tunnel syndrome was called milkmaid disease, because it was most often found in women who milked cows with their hands all their lives. Modern work has become easier, hard manual labor has replaced technology, computers and modern devices, but the prevalence of this disease has not changed.It is not always associated with hard and / or monotonous work – it also affects people who do nothing hard every day. In women, carpal tunnel syndrome occurs 4 times more often than in men. Most often it occurs in people with metabolic disorders or hormonal disorders, in patients with diabetes mellitus, with a weakened thyroid gland, with rheumatoid arthritis.

What are the most common manifestations of the disease?

progressive tingling and pain in the hands, especially at night;
Sensation of swelling, numbness of fingers in the morning;
impaired mobility of the hand, impotence in the hand;
the grip with the brush is lost, it becomes impossible to hold objects in the hand.

For information: a nerve clamped in the wrist, untreated for a long time, radically worsens the quality of life – sensory disturbances in the fingers become more pronounced, wrist muscles wear out over time, the palm loses its strength and ability to perform even simple routine work.

If do not start treatment in a timely manner, then pain and tingling, as a rule, spread throughout the arm and the functioning of the palm is disrupted .

DIAGNOSTICS

Visit a neurologist or neurosurgeon to determine the cause of the tingling sensation and initiate appropriate treatment. In order to select an appropriate treatment that will relieve nerve compression and help repair damaged nerve fibers, the location and extent of nerve damage should be clarified first. Diagnosis is critical as it determines the treatment that is different for each case.

Consultation with a neurosurgeon.If the complaints become persistent and do not go away within 2-3 weeks, it’s time to go to the doctor. It is important to find out the cause of the complaints, if necessary, conduct examinations to decide on the appropriate treatment tactics.
Neurography. The speed of passage of motor and sensory nerve impulses is measured to determine the nature and level of damage to nerve fibers.
Ultrasonography (ultrasound). Provides additional information about changes in tissues near the nerve – tendons, joints, and bones.

Additional Diagnostic Capabilities

If there is a suspicion that tingling and pain in the hands is causing some other disease, then X-ray, electromyography, computed tomography, magnetic resonance imaging, laboratory tests, etc. can be used to clarify the diagnosis.

With computed tomography, you can clearly see the development of bones, cartilage, radziņus, compacted ligaments.
Electromyography helps to identify nerve vitality and conduction potential.
A blood test is performed to determine if there is inflammation in the body.
Ultrasonography (ultrasound) is performed, for example, if there is a suspicion of enlargement of the joint capsule or the presence of an obscure mass near the nerve.
Magnetic resonance imaging (MRI) is done when a nerve is suspected to be pinched elsewhere, such as in the cervical spine. The examination shows the structure of the nerve, the spinal cord, and the roots of the spinal cord.

What are the treatment options?

The main goal of treatment is to reduce / eliminate nerve compression.There are various methods and means to help temporarily eliminate discomfort and alleviate the existing condition.

There are several possibilities depending on the degree of nerve damage.

Gentle mode. In the case of mild compression neuropathy, when symptoms first appear, it is recommended to protect the hands more.
Drug therapy. In mild cases, drug therapy with local injections is used.For them, both anti-inflammatory drugs and steroid injections or blockades are used.
Physical therapy. Ultrasound with medicated ointment, magnetic therapy, electrophoresis and other procedures help to reduce swelling and release a pinched nerve. A special orthosis, which allows you to keep the hand in the correct position, also helps well.
Operation. A traditional method or a newer and less traumatic endoscopic method is used to release a compressed nerve.
- Conventional surgery / conventional surgery is performed under local anesthesia. A small tissue incision is made in the wrist or on the inner surface of the elbow joint, the canal is opened and the compressed nerve is released. A gentle regimen should be observed for a month after the operation.
- The endoscopic method is much more gentle on the patient compared to the surgical methods used. This method is especially recommended for patients with a high risk of complicated wound healing (diabetes mellitus, peripheral arterial disease, metabolic, etc.diseases). During the operation, through a small skin incision, a miniature endoscope is inserted into the carpal or cubital canal – a video camera and microscopic surgical instruments, with the help of which the compressed nerve is released.

Endoscopy has a number of advantages over surgery:

minimum cosmetic defect
short and less painful postoperative period
Rapid recovery

The operation gives a long-term result – the ability to work normally again and get a good sleep. Endoscopic surgery is performed at the ARS Day Hospital. The patient can return home on the same day immediately after the operation.

At the ARS day hospital, the following is performed:

Minimally invasive (endoscopic) surgical treatment of stenosing neuropathy (carpal, cubital, tarsal and other canals)

Treatment of carpal and cubital canal syndrome is performed:

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Treatment Damage to the distal attachment of the biceps tendon

The biceps muscle is located in the front of the shoulder.It is attached to the bones of the shoulder and forearm by tendons – tough fibrous tissue. Distally (in the area of the elbow joint), the biceps tendon is one, and it is attached to the tuberosity of the radius. In the area of the shoulder joint, there are two tendons (long and short head of the biceps), and they are attached to the upper pole of the glenoid cavity of the scapula, and the coracoid process of the scapula.

Distal biceps tendon injuries are rare (3-5 cases per 100,000 population, or 2-3% of total biceps tendon injuries).They are most often caused by sudden trauma and tend to cause greater arm weakness than injury to the proximal biceps tendons. The force of flexion and supination of the forearm is reduced by 35-40%.

The ruptured distal biceps tendon does not attach to the bone and does not heal. Other arm muscles allow for fairly good elbow flexion without the bicep tendon. However, they cannot fulfill all the functions of the elbow, especially the movement of pivoting the forearm from palm down to palm up.This movement is called supination.

Surgery to repair the ruptured tendon is usually recommended to restore arm strength to near normal levels. However, nonsurgical treatment is a reasonable option for patients who may not require full arm function.

Anatomy
The biceps muscle has two tendons that attach the muscle to the shoulder and one tendon that attaches to the elbow. The tendon in the elbow is called the distal biceps tendon.It attaches to a part of the radius called a tuberosity, a small bump in the bone next to the elbow joint. The biceps helps us flex and rotate the arm.

Biceps tendon rupture may be partial or complete.
A complete rupture separates the tendon completely from the attachment point to the bone. In most cases, the tears of the distal biceps tendon are complete. This means that the entire muscle is detached from the bone and contracted towards the shoulder. Rupture of the biceps tendon of the elbow is rare.

Cause

The main cause of a ruptured distal biceps tendon is sudden injury.
Injuries to the biceps tendon in the elbow area usually occur when the elbow is pointed directly against resistance. Less commonly, it is possible to injure this tendon when the elbow is strongly bent against a heavy load.
Lifting a heavy box is a good example. You are taking on a weight without realizing the true weight. You tense the muscles and tendons of your biceps, trying to keep your arms bent, but the weight is too heavy and forces your arms to straighten.When you resist, the load on the biceps increases and the tendon pulls away from the bone.

Risk factors

Most often, the distal biceps tendon is torn by men aged 30 years and older.
Smoking negatively affects the strength and quality of the tendons.
Corticosteroid medications increase muscle and tendon weakness.

Symptoms

Rupture of the distal biceps tendon causes the muscle to enlarge asymmetrically closer to the shoulder joint.Bruising and swelling in the elbow is also common.

When a tendon ruptures, there is often a “crackle” in the elbow. The pain is severe at first, but after a week or two it may subside. Other symptoms include:

swelling in the front of the elbow
Visible bruises on the elbow and forearm
Elbow flexion weakness
weakness when turning the forearm (supination)
A bulge in the upper arm created by a shortened muscle
Lack of tendon subcutaneously at typical site.

After discussing your symptoms and how the injury occurred, your doctor should examine your elbow. The supination force of the forearm is checked – the patient is asked to turn the forearm against resistance. The supination strength is compared with the strength of the opposite, intact forearm.

Instrumental examination

Radiography. X-rays cannot show soft tissue such as the biceps tendon, but it can be useful in diagnosing other problems that can cause elbow pain.

Ultrasound. This imaging technique can show the free end of the bicep tendon bouncing in the arm.

Magnetic resonance imaging (MRI). The best image of soft tissue. May show both partial and complete ruptures of the biceps tendon.

Treatment

Surgery to attach the tendon to the bone is necessary to restore full strength and function to the arm.

Non-surgical treatment may be considered if the patient is elderly and less active, or if the injury has occurred in the non-dominant arm and the patient can tolerate a lack of full arm function.Nonsurgical treatment can also be an option for people who have health problems that increase the risk of complications during surgery.

Non-surgical treatment options are focused on relieving pain and maintaining the best possible arm function. Treatment recommendations may include:

exercise restriction. Avoid lifting heavy objects and working overhead. To relieve pain and reduce swelling, your doctor may recommend using a bandage for a short time;
nonsteroidal anti-inflammatory drugs.Medicines such as ibuprofen and paracetamol reduce pain and swelling;
physiotherapy. After the pain has subsided, your doctor may recommend rehabilitation exercises to strengthen the surrounding muscles to restore as much movement as possible.

Surgical Treatment

Tendon repair surgery should be performed within the first 2-3 weeks after injury. After this time, the tendon and muscle begin to scar and shorten, and it may not be possible to restore arm function during surgery.There are several different techniques for attaching the distal biceps tendon to the bone.

The usual surgical option is to attach the tendon with sutures through holes drilled in the radius. Another method is to attach the tendon to the bone using small plastic or metal implants (called anchors). Each approach has its own pros and cons.

Complications of surgical treatment:

The arm can be immobilized in the splint immediately after surgery.Resistance exercises, such as light biceps contractions or the use of elastic bands, can be gradually added to your rehabilitation plan.

Be sure to follow your doctor’s treatment plan. Since it takes more than 3 months for the biceps tendon to completely heal, it is important to protect it by limiting your activities.

Light work may begin shortly after surgery. But hard work and vigorous activity should be avoided for several months.Although this is a slow process, adherence to the rehabilitation plan is the most important factor in getting back to whatever activities you enjoy. Nearly all patients have full range of motion and strength at their last doctor’s appointment.

Weakness of the muscles of the shoulder and arm

Weakness in the hand is hard not to notice, it is a very uncomfortable sensation. If weakness in
in one or both hands occurs after heavy physical exertion, after prolonged
pressure on the arm or after a minor injury to the arm, it is more likely to be transient muscular
weakness, strength in the arm recovers after a short rest.If weakness is in hand
occurs without any reason, is accompanied by other symptoms, for example, pain in
spine, headaches, hand numbness, high blood pressure, then
this is a serious reason to see a doctor.
Weakness in the arm occurs due to muscle disorders, disorders in peripheral nerves
(neuritis, tunnel syndrome, radicular syndrome), diseases of the central nervous system
systems (stroke, myasthenia gravis, multiple sclerosis).Diseases of the shoulder, elbow,
wrist joints can also lead to weakness in the hand. Stretching the tendons of the arm muscles
often accompanied not only by limitation of movement, but also weakness in the hand. Weakness in the hands
is a manifestation of general weakness in diseases such as diabetes, anemia, diseases
thyroid gland.
Weakness in the arm is a serious symptom of a health disorder. In some cases
the occurrence of weakness in the hand requires an immediate call to an ambulance, for example,
if weakness appears in the same leg, headaches, speech impairment, high arterial
pressure – these are symptoms of acute cerebrovascular accident.Weakness in the left arm
may be one of the initial manifestations of myocardial infarction. A gradual increase
weakness in the arm combined with weakness in other limbs, numbness in the arms, requires
exclusion of autoimmune diseases of the nervous system.
In the clinic “Eleos” qualified specialists – neurologist, therapist, cardiologist –
diagnose and, if necessary, prescribe treatment. Drug therapy,
physiotherapy, massage, acupuncture, exercise therapy and
non-traditional methods of treatment will help you restore lost health and
return to normal life.

90,000 Treatment of Dupuytren’s contracture

A non-inflammatory process, in which there is a change in the tendons of the fingers, is referred to as Dupuytren’s contracture disease . The disease occurs as a result of changes in connective tissue, which grows, shortens the tendons and disrupts the movement of the fingers and their normal position relative to the palm.

When the tendon is shortened, it becomes impossible to straighten the finger.The average age of patients with this disease is after 40 years.

Dupuytren’s contracture develops gradually, reducing the mobility of the fingers, covering the tendons with scars.

Causes of Dupuytren’s contracture:

increased stress on the hands and palms;

90,013 tendon injuries;

90,013 damage to the palm;

lingering alcoholism and tobacco smoking;
pathological conditions of the immune system;
hereditary predisposition.

Symptoms and stages of disease development

Violation of flexion of one or more fingers with Dupuytren’s contracture of the hands , begins with small tubercles appearing on the surface of the palm. Seals are important to watch out for. It is advisable to see an orthopedic doctor at this stage. Medinef is one of the specialized clinics offering treatment for Dupuytren’s contracture in St. Petersburg. An experienced orthopedic surgeon will advise and prescribe several types of treatment.

In order to choose the right treatment, it is necessary to determine stages of Dupuytren’s contracture of the hand :

The 1st is characterized by the presence of cords and nodular formations on the palm;
2nd is characterized by right-angle bent fingers;
3rd implies significantly reduced sensitivity of the fingers, while the skin of the hands is cracked, looks like parchment.

If a diagnosis of Dupuytren’s contracture of degree 1 is made, then you can try to apply a blockade, including an anesthetic and a hormonal drug, which must be selected by a doctor.The specialists of our clinic will help you choose a conservative treatment, but it should be understood that injections or massage, physiotherapy – all this can only temporarily improve the condition of the sore hand, but not stop the development of Dupuytren’s contracture of the palm .

Operation as the most effective treatment option

The only method that gives a complete cure is Dupuytren’s contracture operation . In the clinic “MEDINEF” , the removal of Dupuytren’s contracture is performed on an outpatient basis.

Thanks to surgical intervention, the traumatologist surgeon will restore the mobility of the fingers and remove the scar tissue. The operation is performed under both local and general anesthesia. Its duration depends on the degree of the disease.

Our clinic provides treatment for Dupuytren’s contracture with the participation of experienced specialists in the field of orthopedics and surgery. Helping patients even in difficult cases of the course of the disease.

The use of modern methods of treatment allows you to quickly return the mobility of the hand and return to the previous way of life.

Details of the action and pre-registration by phone: 8 (812) 603-03-03

We are located at St. Petersburg, st. Botkinskaya d. 15, building 1
(5 minutes walk from the metro station Lenin Square, exit to Botkinskaya street).