What is cubital tunnel syndrome. How is it caused. What are the common symptoms. How is it diagnosed. What treatment options are available. How can it be prevented. When should you seek medical attention.

Understanding Cubital Tunnel Syndrome: A Comprehensive Overview

Cubital tunnel syndrome is a condition that affects the ulnar nerve as it passes through the cubital tunnel at the elbow. This tunnel, composed of muscle, ligament, and bone, can become a source of discomfort when the ulnar nerve becomes inflamed, swollen, or irritated. The resulting pain is often likened to the sensation experienced when hitting the “funny bone” in your elbow.

The ulnar nerve, which is responsible for this condition, originates in the side of the neck and extends down to the fingers. Its path through the elbow makes it susceptible to compression and irritation, leading to the symptoms associated with cubital tunnel syndrome.

Anatomy of the Ulnar Nerve

To better understand cubital tunnel syndrome, it’s crucial to grasp the anatomy of the ulnar nerve:

• Origin: Side of the neck
• Path: Runs down the arm, passing through the cubital tunnel at the elbow
• Termination: Ends in the fingers (specifically the ring and little fingers)

This extensive path makes the ulnar nerve vulnerable to compression at various points, with the elbow being a common site of irritation.

Common Causes and Risk Factors of Cubital Tunnel Syndrome

Cubital tunnel syndrome can develop due to various factors, some of which are within our control, while others are not. Understanding these causes can help in prevention and early intervention.

Lifestyle and Occupational Factors

Certain daily activities and occupational habits can increase the risk of developing cubital tunnel syndrome:

• Frequent elbow bending (pulling, reaching, or lifting)
• Leaning on elbows for extended periods
• Repetitive elbow motions in sports or work

Medical and Anatomical Factors

Some medical conditions and anatomical issues can predispose individuals to cubital tunnel syndrome:

• Arthritis in the elbow joint
• Bone spurs
• Previous elbow fractures or dislocations
• Anatomical variations in the cubital tunnel

In many cases, however, the exact cause remains unknown, highlighting the complex nature of this condition.

Recognizing the Symptoms of Cubital Tunnel Syndrome

Identifying the symptoms of cubital tunnel syndrome is crucial for early diagnosis and treatment. The condition manifests through various signs, primarily affecting the hand and arm.

Primary Symptoms

The most common symptoms of cubital tunnel syndrome include:

• Numbness and tingling in the hand, particularly in the ring and little fingers
• Increased numbness and tingling when the elbow is bent
• Nocturnal symptoms, often waking the individual from sleep
• Hand pain, which can vary in intensity
• Weakness in grip strength
• Clumsiness or difficulty with fine motor tasks
• Aching pain on the inside of the elbow

Differentiating from Other Conditions

It’s important to note that these symptoms may resemble other conditions, such as golfer’s elbow (medial epicondylitis). Therefore, a proper medical evaluation is essential for an accurate diagnosis.

Diagnostic Approaches for Cubital Tunnel Syndrome

Diagnosing cubital tunnel syndrome involves a combination of clinical assessment and diagnostic tests. This comprehensive approach helps healthcare providers distinguish cubital tunnel syndrome from other conditions with similar symptoms.

Clinical Evaluation

The initial step in diagnosis typically involves:

• A thorough medical history review
• Physical examination of the affected arm and hand
• Assessment of symptom patterns and triggering factors

Diagnostic Tests

To confirm the diagnosis and assess the severity of the condition, healthcare providers may employ several diagnostic tests:

1. Nerve Conduction Study: This test measures the speed of signal transmission along the ulnar nerve, helping to identify areas of compression or constriction.
2. Electromyogram (EMG): An EMG evaluates the function of muscles controlled by the ulnar nerve, providing insight into nerve health and muscle response.
3. X-ray: While not directly diagnosing cubital tunnel syndrome, X-rays can reveal bone spurs, arthritis, or previous fractures that may contribute to the condition.

These tests not only confirm the diagnosis but also help in determining the most appropriate treatment approach.

Effective Treatment Strategies for Cubital Tunnel Syndrome

Managing cubital tunnel syndrome often begins with conservative approaches, focusing on symptom relief and preventing further nerve irritation. The treatment plan is typically tailored to the individual’s specific symptoms and lifestyle factors.

Conservative Treatment Options

Initial treatment strategies often include:

• Activity modification: Avoiding activities that aggravate symptoms, particularly those involving prolonged elbow bending
• Splinting or bracing: Using a splint or foam elbow brace, especially at night, to limit elbow movement and reduce nerve irritation
• Elbow padding: Protecting the elbow from chronic irritation caused by hard surfaces
• Anti-inflammatory medications: Over-the-counter drugs like ibuprofen or naproxen to reduce inflammation and pain
• Nerve gliding exercises: Specific movements designed to improve nerve mobility and reduce irritation

Surgical Interventions

If conservative treatments prove ineffective, surgical options may be considered. Surgical approaches aim to relieve pressure on the ulnar nerve and may involve:

• Cubital tunnel release: Cutting the ligament that forms the roof of the cubital tunnel to increase space for the nerve
• Ulnar nerve transposition: Relocating the ulnar nerve to a new position where it’s less likely to be compressed
• Medial epicondylectomy: Removing part of the medial epicondyle to prevent nerve compression when the elbow is bent

The choice of surgical technique depends on the individual case and is determined by the surgeon based on various factors.

Preventive Measures and Lifestyle Modifications

While not all cases of cubital tunnel syndrome can be prevented, certain lifestyle modifications and preventive measures can significantly reduce the risk of developing this condition or experiencing recurrent symptoms.

Ergonomic Considerations

Implementing ergonomic practices in daily activities can help protect the ulnar nerve:

• Avoid leaning on elbows, especially on hard surfaces
• Use ergonomic workstations that promote proper arm and hand positioning
• Take regular breaks during activities that require repetitive elbow movements
• Use appropriate tools and equipment that reduce strain on the arms and hands

Exercise and Stretching

Maintaining arm flexibility and strength can help prevent cubital tunnel syndrome:

• Perform regular arm stretches and exercises
• Warm up adequately before engaging in sports or repetitive arm movements
• Include exercises that target the muscles around the elbow and forearm

Lifestyle Adjustments

Some general lifestyle changes can contribute to ulnar nerve health:

• Maintain a healthy weight to reduce pressure on joints and nerves
• Stay hydrated to promote overall nerve health
• Manage underlying conditions like diabetes that can affect nerve function

When to Seek Medical Attention for Cubital Tunnel Syndrome

Recognizing when to consult a healthcare provider is crucial in managing cubital tunnel syndrome effectively. While some mild symptoms may resolve with home care, certain signs warrant professional medical attention.

Key Indicators for Medical Consultation

Consider seeking medical advice if you experience:

• Persistent pain or discomfort that interferes with daily activities
• Numbness or tingling in the hand or fingers that doesn’t improve with rest
• Noticeable weakness in hand grip or difficulty performing fine motor tasks
• Symptoms that worsen over time despite conservative measures
• Any sudden or severe changes in arm or hand function

Emergency Situations

While rare, some situations require immediate medical attention:

• Sudden loss of feeling or movement in the arm or hand
• Severe pain accompanied by swelling or redness in the elbow area
• Signs of infection following any treatment or procedure

Early intervention can prevent the progression of symptoms and improve treatment outcomes, making it essential to address concerns promptly.

Long-term Outlook and Management of Cubital Tunnel Syndrome

Understanding the long-term prognosis and ongoing management strategies for cubital tunnel syndrome is crucial for individuals affected by this condition. While the outlook can vary depending on the severity and duration of symptoms, many people experience significant improvement with appropriate treatment and lifestyle modifications.

Prognosis After Treatment

The long-term outlook for cubital tunnel syndrome is generally positive, especially when addressed early:

• Many patients experience significant symptom relief with conservative treatments
• Surgical interventions, when necessary, have high success rates in relieving symptoms
• Recovery time varies but typically ranges from a few weeks to several months
• Some individuals may experience residual symptoms, particularly if nerve compression was severe or long-standing

Ongoing Management Strategies

Even after successful treatment, ongoing management is often necessary to prevent recurrence:

• Continued adherence to ergonomic principles in work and daily activities
• Regular practice of nerve gliding exercises and arm stretches
• Periodic check-ups with healthcare providers to monitor nerve function
• Prompt attention to any recurring symptoms

Adaptation and Support

For some individuals, adapting to life with cubital tunnel syndrome may involve:

• Modifying work environments or job duties to reduce strain on the affected arm
• Exploring assistive devices for tasks that remain challenging
• Engaging in physical therapy or occupational therapy to improve arm function and strength
• Joining support groups or seeking counseling to cope with any long-term impacts on daily life

By understanding the long-term outlook and committing to ongoing management, individuals with cubital tunnel syndrome can often maintain good arm and hand function and enjoy a high quality of life.

Cubital Tunnel Syndrome | Cedars-Sinai

Not what you’re looking for?

What is cubital tunnel syndrome?

Cubital tunnel syndrome happens
when the ulnar nerve, which passes through the cubital tunnel (a tunnel of muscle,
ligament, and bone) on the inside of the elbow, becomes inflamed, swollen, and
irritated.

Cubital tunnel syndrome causes pain
that feels a lot like the pain you feel when you hit the “funny bone” in your elbow.
The
“funny bone” in the elbow is actually the ulnar nerve, a nerve that crosses the elbow.
The ulnar nerve starts in the side of your neck and ends in your fingers.

What causes cubital tunnel syndrome?

Cubital tunnel syndrome may happen when a person bends the elbows often (when pulling,
reaching, or lifting), leans on their elbow a lot, or has an injury to the area.

Arthritis, bone spurs, and previous fractures or dislocations of the elbow can also
cause cubital tunnel syndrome.

In many cases, the cause is not known.

What are the symptoms of cubital tunnel syndrome?

The following are the most common
symptoms of cubital tunnel syndrome:

• Numbness and tingling in the hand or
  ring and little finger, especially when the elbow is bent
• Numbness and tingling at night
• Hand pain
• Weak grip and clumsiness due to muscle
  weakness in the affected arm and hand
• Aching pain on the inside of the
  elbow

The symptoms of cubital tunnel
syndrome may seem like other health conditions or problems, including golfer’s elbow
(medial epicondylitis). Always see a healthcare provider for a diagnosis.

How is cubital tunnel syndrome diagnosed?

In addition to a complete medical history and physical exam, diagnostic tests for
cubital tunnel syndrome may include:

• Nerve conduction test. This test measures how fast signals
  travel down a nerve to find a compression or constriction of the nerve.
• Electromyogram (EMG). This test checks nerve and muscle
  function and may be used to test the forearm muscles controlled by the ulnar nerve.
  If the muscles don’t work the way they should, it may be a sign that there is a
  problem with the ulnar nerve.
• X-ray. This is done to look at the bones of the elbow and
  see if you have arthritis or bone spurs in your elbow.

How is cubital tunnel syndrome treated?

The most effective treatment for
cubital tunnel syndrome is stopping the activity that is causing the problem. Treatment
may include:

• Resting and stopping any activity that
  aggravates the condition, such as bending the elbow
• A splint or foam elbow brace worn at
  night (to limit movement and reduce irritation)
• Using an elbow pad (to protect against
  chronic irritation from hard surfaces)
• Anti-inflammatory medicines (such as
  ibuprofen or naproxen)
• Nerve gliding exercises

If these treatments don’t work, the
healthcare provider may talk to you about surgery.

What can I do to prevent cubital tunnel syndrome?

To prevent cubital tunnel syndrome:

• Keep your arms flexible and strong.
• Don’t rest on your elbows, especially
  on a hard surface.
• Warm up before exercising or using your arms for sports or other repetitive movements.

When should I call my healthcare provider?

Call your healthcare provider if you have:

• Pain or trouble moving that affects your regular daily activities
• Pain doesn’t get better or gets worse with treatment
• Numbness, tingling, or weakness in the
  arm or hand

Key points about cubital tunnel syndrome

• Cubital tunnel syndrome is a problem with the ulnar nerve, which passes through the
  inside of the elbow. It causes pain that feels a lot like the pain you feel when you
  hit the “funny bone” in your elbow.
• Cubital tunnel syndrome may happen when a person frequently bends the elbows, leans
  on their elbow a lot, or has an injury to the area. Arthritis, bone spurs, and previous
  fractures or dislocations of the elbow can also cause it. In many cases, the cause
  is not known.
• The most common symptoms of cubital
  tunnel syndrome are numbness, tingling, and pain in the hand or ring and little
  finger, especially when the elbow is bent.
• Cubital tunnel syndrome can be treated
  with rest and medicines to help with pain and inflammation. Exercises may help, too.
  In some cases, surgery may be done.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells
  you.
• At the visit, write down the name of a
  new diagnosis and any new medicines, treatments, or tests. Also write down any new
  instructions your provider gives you.
• Know why a new medicine or treatment
  is prescribed and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that
  visit.
• Know how you can contact your provider
  if you have questions.

Medical Reviewer: Thomas N Joseph MD

Medical Reviewer: Raymond Turley Jr PA-C

Medical Reviewer: Stacey Wojcik MBA BSN RN

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

Not what you’re looking for?

Right arm pain: symptoms, causes and treatment

Updated: February 2020

Arm pain is a common problem. Besides the fact that they are heavily used in everyday life, our arms are made up of muscles, joints and tendons, any of which can be a potential source of pain. However, arm pain can also come from elsewhere in the body, in which case it is a sign of a more serious underlying condition. If you experience pain in your right arm, it is likely to be caused by a problem with your bones, muscles, tendons, joints or nerves.

Symptoms of right arm pain

Right arm pain can manifest itself in a number of ways. You could have a short or stabbing pain, and the pain may be confined to a specific area or more widespread. It may come on or get worse during a specific movement, get worse at night-time or ease off with rest, or be the result of an injury, and your arm may also become swollen or misshapen. The pain may also be accompanied by a burning or electric shock sensation, or pins and needles.

Causes of right arm pain

Right arm pain can have a number of causes. It could be a musculoskeletal pain such as a sprain, pulled or strained muscle, bursitis or tendinitis (tennis elbow). This is often the case for right-handed people. The pain could also be due to an issue with your joints, such as osteoarthritis in your shoulder or elbow, or with your nerves (e.g. a pinched nerve in your neck due to neck osteoarthritis for example, or a pinched peripheral nerve). Other problems that may explain a pain in the right arm include bone tumours (which can cause stabbing pains that get worse at night-time), a slipped disc, or overuse of the arm (e.g. from playing a sport).

Treating right arm pain

If the pain in your right arm is benign, it can be alleviated with rest and painkillers. If you have tendinitis, your doctor will prescribe rest for your arm along with anti-inflammatory drugs and physiotherapy. If the pain is due to a nerve problem, treating this underlying cause will help to relieve the pain. Finally, if the cause of the pain is a fractured bone in your arm, you will need to have a plaster cast and follow this up with a course of physiotherapy.

There are also some solutions which offer drug-free relief from certain types of arm pain. This is a key feature of the OMRON HeatTens range of pain relievers — using a combination of soothing heat and Transcutaneous Electrical Nerve Stimulation(TENS), these devices can give you effective relief from joint and muscle pain.

References:

John, T. (2018). Causes of pain in the right arm. Retrieved from www.livestrong.com/article/223661-causes-of-pain-in-the-right-arm/

Quinene, P. (2018) Causes of arm pain between the wrist and elbow. Retrieved from www.livestrong.com/article/236340-causes-of-pain-in-the-arm-between-the-wrist-elbow/

PassportSanté (2015). Arm pain. Retrieved from www.passeportsante.net/fr/Maux/Symptomes/Fiche.aspx?doc=douleurs-bras-symptome

Marsaudon, X. (2014). Pain in the arm. Retrieved from www.docteurclic.com/symptome/douleur-du-bras.aspx

Presles, P. (2013). Pain in the arm. Retrieved from www.e-sante.fr/douleur-dans-bras/symptome-maladie/683

Arm Problems, Non-Injury | HealthLink BC

Do you have an arm problem?

This includes symptoms like pain, numbness, and trouble moving the arm normally.

How old are you?

Less than 5 years

Less than 5 years

5 years or older

5 years or older

Are you male or female?

Why do we ask this question?

The medical assessment of symptoms is based on the body parts you have.

• If you are transgender or non-binary, 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.

Have you injured the arm in the past month?

Yes

Arm injury in the past month

No

Arm injury in the past month

Have you had arm 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

Arm surgery in the past month

No

Arm surgery in the past month

Do you have a neck injury or other neck problem?

Yes

Neck problem or injury

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

No

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

No

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 the arm blue, very pale, or cold and different from the other arm?

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

Yes

Arm blue, very pale, or cold and different from other arm

No

Arm blue, very pale, or cold and different from other arm

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 arm?

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

No

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

Are you having trouble moving your arm?

Pain or swelling can limit movement.

Is it very hard to move or somewhat hard to move?

“Very hard” means you can’t move it at all in any direction without causing severe pain. “Somewhat hard” means you can move it at least a little, though you may have some pain when you do it.

Very hard

Very hard to move

Somewhat hard

Somewhat hard to move

How long have you had trouble moving the arm?

Less than 2 days

Difficulty moving arm for less than 2 days

2 days to 2 weeks

Difficulty moving arm for 2 days to 2 weeks

More than 2 weeks

Difficulty moving arm for more than 2 weeks

Has the loss of movement been:

Getting worse?

Difficulty moving is getting worse

Staying about the same (not better or worse)?

Difficulty moving is unchanged

Getting better?

Difficulty moving is improving

Has the arm problem lasted for more than 2 weeks?

Yes

Symptoms for more than 2 weeks

No

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 and natural health products 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.

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.

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.

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.

Symptoms of a heart attack may include:

• Chest pain or pressure, or a strange feeling in the chest.
• Sweating.
• Shortness of breath.
• Nausea or vomiting.
• Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
• Light-headedness or sudden weakness.
• A fast or irregular heartbeat.

The more of these symptoms you have, the more likely it is that you’re having a heart attack. Chest pain or pressure is the most common symptom, but some people, especially women, may not notice it as much as other symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas.

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 colour 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 colour 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.

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.

After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.

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. 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.

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.

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. 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.

Post-Operative Problems

Neck Problems and Injuries

Arm Injuries

Carpal tunnel syndrome – NHS

Carpal tunnel syndrome (CTS) is pressure on a nerve in your wrist. It causes tingling, numbness and pain in your hand and fingers. You can often treat it yourself, but it can take months to get better.

Check if you have carpal tunnel syndrome (CTS)

The symptoms of carpal tunnel syndrome include:

• an ache or pain in your fingers, hand or arm
• numb hands
• tingling or pins and needles
• a weak thumb or difficulty gripping

These symptoms often start slowly and come and go. They’re usually worse at night.

How to treat carpal tunnel syndrome (CTS) yourself

CTS sometimes gets better by itself in a few months, particularly if you have it because you’re pregnant.

Wear a wrist splint

A wrist splint is something you wear on your hand to keep your wrist straight. It helps to relieve pressure on the nerve.

You wear it at night while you sleep. You’ll have to wear a splint for at least 4 weeks before it starts to feel better.

You can buy wrist splints online or from pharmacies.

Stop or cut down on things that may be causing it

Stop or cut down on anything that causes you to frequently bend your wrist or grip hard, such as using vibrating tools for work or playing an instrument.

Painkillers

Painkillers like paracetamol or ibuprofen may help carpal tunnel pain short-term.

But there’s little evidence to say they can treat the cause of CTS, so it’s important not to rely on them.

Hand exercises

There’s a small amount of evidence to suggest hand exercises help ease the symptoms of CTS.

Non-urgent advice: See a GP if:

• your symptoms are getting worse or are not going away
• treatment at home is not working

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

What happens at your appointment

A GP can usually diagnose CTS by asking about your symptoms and checking your hand.

If they’re not sure it’s CTS, they may refer you to hospital for tests, such as an ultrasound scan.

Treatment for carpal tunnel syndrome (CTS) from a GP

If a wrist splint does not help, the GP might recommend a steroid injection into your wrist. This brings down swelling around the nerve, easing the symptoms of CTS.

Steroid injections are not always a cure. CTS can come back after a few months and you may need another injection.

Carpal tunnel syndrome surgery

If your CTS is getting worse and other treatments have not worked, the GP might refer you to a specialist to discuss surgery.

Surgery usually cures CTS. You and your specialist will decide together if it’s the right treatment for you.

An injection numbs your wrist so you do not feel pain (local anaesthetic) and a small cut is made in your hand. The carpal tunnel inside your wrist is cut so it no longer puts pressure on the nerve.

The operation takes around 20 minutes and you do not have to stay in hospital overnight.

It can take a month after the operation to get back to normal activities.

What causes carpal tunnel syndrome (CTS)

CTS happens when the carpal tunnel inside your wrist swells and squeezes 1 of your nerves (median nerve).

You’re more at risk if you:

• are overweight
• are pregnant
• do work or hobbies that mean you repeatedly bend your wrist or grip hard, such as using vibrating tools
• have another illness, such as arthritis or diabetes
• have a parent, brother or sister with CTS
• have previously injured your wrist

Page last reviewed: 16 February 2021
Next review due: 16 February 2024

Shoulder, Arm & Hand Pain

All movement in the shoulders, arms and hands is controlled by the brain. From there, the brain is in contact with the rest of your body through billions of nerves that make up your nervous system.

Some nerves go straight to their destination point, but others mix with other nerves to form complicated nerve networks called a ‘plexus.’ The brachial plexus is made up of nerves that come out of the middle and upper back that supply information to the shoulders, arm, elbows, wrists, hands and fingers.

The nerves that make up the brachial plexus may become irritated as they leave the spinal column. This can occur when the spinal bones in the neck and upper back are misaligned and damage the very nerves they are supposed to protect. Any injury or trauma can cause the bones to become misaligned. Things as serious as an accident or fall or simply sitting at a desk with incorrect posture can create the vertebrae to become misaligned. Symptoms from damage to the brachial plexus can differ depending on location of the trauma.

Common causes of pain to the shoulder, arm, or hand are:

• Rotator cuff dysfunction
• Frozen Shoulder
• Brachial Plexopathy
• Tennis Elbow
• Tendonitis
• Neuritis and Bursitis
• Rheumatism
• Carpal Tunnel Syndrome

In addition, it is not uncommon to experience headaches, facial pain, dizziness, thyroid or nasal problems as a result of brachial plexus nerve irritation. Carpal Tunnel Syndrome symptoms include tingling and numbness in the hand, fingers wrist, shoulder, elbow and neck. The pain is described as incredibly intense and has been reported to awaken sufferers at night.

This pain is often caused by excess pressure in your wrist, which leads to inflammation. The compression of the median nerve causes the hand to “fall asleep” frequently and drop objects without warning. There continues to be an increase in CTS sufferers seeking help from chiropractors.

A chiropractor is able to analyze the body’s structure to locate and correct subluxations, which are irritated spinal nerves caused by pressure from the vertebrae. This will eliminate the pain and correct the underlying structural problem that is referring pain to the shoulder, arm, or hand.

You use your hands for almost everything. From cooking, to cleaning, to writing, and even brushing your teeth so many of your daily activities are directly depending on the health of the 29 bones and 34 muscles in each hand. Hand pain can occur from a variety of reasons ranging from old age, chronic damage from work related tasks, to injuries sustained from mechanical accidents. Injury to joins, nerves, bones, and tendons is generally approached very differently so it is important to evaluate the source of your pain. Contrast therapy which involves an alternating treatment of heat and ice is most commonly suggested for all hand injuries. 

Damage due to sports injuries or falls can damage the muscles, tendons, bones, and nerves in the wrist. Sports that include a lot of weight bearing activities such as lifting and gymnastics can cause a lot of damage over time. Skiers thumb is a common injury many people get from damaging or tearing the ulnar collateral ligament, the tissue connecting the thumb to the wrist. Damage to this tissue can reduce the thumbs ability to grip and extend. Skiers thumb most commonly arises after falling while skiing, falling whiling gripping ski poles generates enough force to stress the thumb and stretch or tear the ulnar collateral ligament.  

Other Causes of Wrist Damage:

• Neuritis: Inflammation of nerves
• Bursitis: Inflammation of bursa; small, fluid-filled sacs cushioning bones, tendons and muscles near joints. 
• Carpal Tunnel: Increased pressure on median nerve, causes numbness, weakness, and tingling in the hand an digits 1-4 
• Rheumatism: Inflammation of joints
• Osteopenia/ Osteoporosis: Low bone density
• Injuries to joints
• Broken bones
• Crushing injury: An injury caused by a compression force onto the body, usually is caused by a natural disaster or deliberate force 
• Tendinitis: Damaged tendon with inflammation pathology

TREATMENT

Within the first 48 hours of an injury due to a fall or accident you should rest and ice the injury. It is also important to keep your wrist elevated so it receives adequate circulation. Compression should be applied after inflammation has subsided. Anti-inflammatory painkillers are recommended for short term relief. Strength exercises are recommended to retrain stabilizers and rebuild and muscle loss due to the decreased movement from extended period of restriction. 

Imaging may be required in sever cases to rule out bone fracture before chiropractic treatment can be initiated. A trained chiropractor can restore range of motion to wrist joins and reduce inflammation and scar tissue build up in the wrist. Chiropractors can also recomend exercises and stretches to help facilitate the healing process. 

Wrist Exercises:

Wrist extension:

Extend your arm with your palm facing your body and gently secure position with opposing are. Hold Stretch for 30 seconds, repeat 3 times per day

Wrist Flexion:

Extend your arm with your palm facing away from your body and gently secure position with opposing are. Hold Stretch for 30 seconds, repeat 3 times per day

Finger Extensions:

With elastic band around the upper 2/3 of all five digits alternated between extension and relaxation. Stretch fingers out and hold extension for 15 seconds and rest for 15 seconds. Repeat 10 times. 

Shoulder Pain:

SHOULDER ANATOMY:

The shoulder is made up of three bones: the scapula, humerus and clavicle bones. Each of the bones articulates with each other in a joint, the most significant of which is the ball-in socket joint connecting the humerus with the scapula. The glenohumeral joint gives the shoulder its range of free motion, however in doing so it sacrifices stability of the articulating bones. The bones overcome this somewhat by relying on surrounding muscles and tendons (also known as the rotator cuff) to stabilize the bones. Therefore, any damage or injury to any of the stabilizers can be extremely painful and severely restrict the shoulders range of motion.

MOST COMMON REASON CAUSES OF SHOULDER PAIN:

• POOR POSTURE: Continuous poor posture overworks the muscles in the upper back and causes an imbalance within the body leaving the shoulders hunched forward to compensate. Overtime this strains the shoulder muscles and can lead to chronic shoulder pain.

• TRAUMA: Any damage to the rotator cuff tendons can lead to instability and reduce overall function of the shoulder.

• DEGENERATIVE DISK DISEASE: Damage to the spinal vertebrate can also severely impact the neck and shoulder as the damaged vertebrate now puts more pressure onto surrounding tendons and ligaments which they are not built for.

• TUMORS: A tumor in the shoulders tissue or bone also leads to sever imbalance and instability in the shoulder.

• STRAINS FROM OVEREXERTION: Overextending your shoulder can stretch the muscle fiber too much and cause tears within the tissue. Damaged tissue cannot adequately support the shoulder and may leave restrictive scar tissue after it has been healed.

• TENDONITIS FROM OVERUSE: Tendonitis is a common sports injury that arises from continued overuse of the shoulder tendons. Overtime little tears within the tendon cause inflammation and tenderness within the region.  

• DISLOCATION: A fall or traumatic injury may pop the head of the humerus bone out of the glenoid socket of the scapula. A medical professional must pop the shoulder back into place if the occurs as an untrained adjuster may fracture the bone while attempting to put it in place.

• COLLAR OR UPPER ARM BONE FRACTURES: Bone fractures within the shoulder are extremely painful and may take up to 6 weeks to recover from.

• ADHESIVE CAPSULITIS (FROZEN SHOULDER): Stiffness within the shoulder joint can occur as the capsules surrounding the shoulder muscle tendons thicken and restrict their movement. Frozen shoulder has no known cause though it is often associated with patients who have diabetes or have recently had to put their shoulder in a cast for an extended period of time.

HOW TO TREAT SHOULDER PAIN:

Chiropractic Adjustment

Massage

Physical Therapy

Cortisone injections

Stretches

Exercises

EXERCISES TO HELP WITH SHOULDER PAIN:

Doorway Exercise: 

With your arms against a wall and your hands in line with your ears, slowly lean into a wall and push your hands up. Repeat 5 times.

Back pull stretch:

SHOULDER STRETCHES:

Hand, Wrist and Arm Pain

RSI and hand, wrist and arm pain

What is RSI? RSI is a syndrome, a collection of symptoms, which appear when there has been overuse and repetitive strain on muscles and the fascia and connective tissue surrounding muscles and joints. This produces adhesions – literally “stuck” areas – and trigger points, areas of permanently contracted muscle fibres which cause pain in related areas. 

Wrist and hand pain, “Carpal Tunnel Syndrome” 

One of the most common forms of hand, wrist and arm pain is “Carpal Tunnel Syndrome” affecting the arms, wrists and hands. This is prevalent in busy office environments, where prolonged keyboard work is required. It is diagnosed as the impingement or entrapment of the nerves in the wrist, a narrowing of the wrist’s “carpal tunnel”. The question is “why is the carpal tunnel blocked?” This is most often due to trigger points and fascial restrictions in the neck, the shoulders and across the chest – the problem is therefore often not primarily in the carpal tunnel (wrist) itself, but in the areas where there are restrictions which cause the impingement at the carpal tunnel.

Your RSI, carpel tunnel syndrome, or hand, wrist and arm symptoms may even have started with neck stiffness or pain, or headaches. These symptoms often accompany the arm and hand symptoms. At the Trauma Recovery Clinic we will treat the soft tissue problem where it originates, not just where the symptoms are.

When a movement has been carried out repetitively, for instance when using a mouse, or when a non-neutral posture has been held for a long time, tensing over a computer screen, RSI can be the result and you may experience some of the symptoms listed below. 

Symptoms of RSI in the arms, wrists and hands

• Throbbing and persistent pain down the arms into the wrists, hands and fingers

• Deep throbbing or dull pain, pain ‘like toothache’ at rest or when using the arms or hands

• Shooting pains, ‘nerve’ pains down the arms, in the wrists, hands or fingers

• Tingling, ‘pins and needles’, burning sensations

• Inflammation

• Numbness, ‘cotton wool’ feelings

• Lack of any feeling in parts of the arms, wrists and hands

• Dull persistent pain at night

• Spread of pain across the chest and into the neck on using hands and fingers, as when typing or using a mouse

• Tightness or stiffness in the shoulders, neck or chest

• Pain on light massage just underneath the collarbones

• Weak grip or inability to grip or lift anything for long, e.g. a cup, fork, toothbrush

• Inability to turn door handles

• Inability to type or use a keyboard

• Inability to write or hold a pen

• Inability to drive, turn a steering wheel, change gear, operate the handbrake, etc.

• Reduction in range of movement or pain with movement

• Weakness, lack of strength, sometimes no strength at all

Physical techniques for RSI and Carpal Tunnel Syndrome

At the Trauma Recovery Clinic we use myofascial release and trigger point therapy for RSI conditions, backed up with remedial massage techniques such as soft tissue release, positional release, and other advanced bodywork modalities. With these techniques we release areas which are impinging on nerves, for instance in the wrist, and rebalance all the muscles and fascia, so that these structures can take the strain comfortably.

Using these techniques should bring about the following benefits:

• Diminishing or elimination of pain in the arms, wrists and hands

• Increased sensitivity to sensations and diminishment of numbness

• Decrease in sensations of pins and needles, ‘cotton wool’, tingling, or burning

• Increased strength in hands, wrists and fingers

• Improved grip for driving, lifting, and carrying out daily tasks

• Ability to type, write with a pen and perform fine motor functions with hands and fingers

• Decrease in autonomic nervous system (ANS) sensations of anxiety and panic associated with inability to use hands

• Decrease or elimination of pain and stiffness in neck and shoulders

Trigger point therapy

Trigger points are areas of muscle fibres which are permanently contracted and sometimes painful to touch. They cause the entire muscle to shorten and tighten, and refer pain to other areas. Treatment involves locating and releasing trigger points which are referring pain to the affected areas and causing narrowing and adhesions.

Very often we will work in an area which is removed from the area of pain. The result is a significant reduction or elimination of pain in the affected area, although it has not been directly treated.

Trigger point therapy is always accompanied by local myofascial release, because if the fascia in the area of a trigger point has not been released, the trigger point is likely to return.

Myofascial Release

As well as trigger point release we look for areas of fascia which have been adhesed and are restricting normal functioning in their own and other areas. We use specific techniques for releasing fascia and the nerves and other structures it bears down on when restricted. We also use soft tissue release and myofascial stretching to release restricted areas.

Stress-related symptoms

Autonomic nervous system responses to physical, emotional or physiological stress or trauma always involve tensing of the connective tissues, either causing or contributing to RSI symptoms. We use Dr. Peter Levine’s Somatic Experiencing approach to allow stressful or even traumatic experiences resulting in PTSD to be integrated into the mind-body easily and holistically so that we can get on with life without ANS responses causing pain or restrictions.

Movement testing and home exercises

When muscles, fascia and trigger points have been released we test again for movement, pain and strength levels and help you develop posture or ways of working which will prevent RSI from recurring. These may include exercises from Pilates or specific stretches. They will all be easily achievable and can usually be carried out discretely during the course of the day, even at the office.

How many sessions will be needed?

Usually, between 6 and 8, 55 minute treatments at the Trama Recovery Clinic bring about substantial decrease in symptoms. In some cases, a difference in mobility or change in sensation is felt after the first or second treatment.

We strongly suggest that you seek treatment to eliminate the soft tissue causes of RSI and Carpal Tunnel Syndrome before you undergo surgery for the symptoms.

What clients say about our approach to frozen shoulder and RSI

RW, Brighton

“For many years I experienced severe RSI in particular in the right arm. Last year this became extreme and made movement in my right shoulder very limited and painful. 

After two sessions with Anne my shoulder began to improve significantly and the other symptoms of RSI reduced to a manageable level. After six treatments I am well on the road to being free of pain and have regained the majority of my flexibility lost some years ago. 

I have found this treatment fantastic, especially as I have tried every other treatment – both conventional and complementary – with no particular effect. I have recommended it to many people and would tell anyone to give it a go!”

Pinched Nerve In or Near the Elbow

Topic Overview

A pinched nerve (nerve entrapment) in or near the elbow can cause elbow pain, numbness, tingling, or weakness of the arm, wrist, or hand. The nerve that most commonly gets pinched in or near the elbow is the ulnar nerve. It is located in the elbow area, on the little finger side when the palm is facing up. Less often, the median or the posterior interosseous nerve, a branch of the radial nerve next to the elbow area on the thumb side when the palm is facing up, may get pinched.

Examples of nerve entrapment syndromes that affect the elbow include:

• Cubital tunnel syndrome, which involves the ulnar nerve. Repeated injury to the elbow can cause scar tissue to form over the ulnar nerve as it passes through the groove in the middle of the elbow. The scar tissue pinches the nerve, causing elbow pain and numbness and tingling that can occur down into the ring and little fingers along with a loss of strength in the fingers. This syndrome is similar to carpal tunnel syndrome in the wrist.
• Pronator teres syndrome, which involves the median nerve as it passes beneath the muscles in the forearm at the elbow. The forearm tends to ache, and pain spreads down the forearm toward the wrist, hand, and thumb area.
• Posterior interosseous nerve syndrome, which involves compression of a branch of the radial nerve. Posterior interosseous nerve syndrome does not involve a loss of sensation, such as numbness or tingling, but may cause weakness of the wrist and fingers. This syndrome may be misdiagnosed as tennis elbow because pain is felt on the outside (lateral) part of the elbow in both of these conditions.

Treatment for these nerve entrapment syndromes includes rest, stretching, taking anti-inflammatory medicines, and occasionally surgery.

Credits

Current as of:
February 26, 2020

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP – Emergency Medicine
Adam Husney MD – Family Medicine
Kathleen Romito MD – Family Medicine

Current as of: February 26, 2020

Author:
Healthwise Staff

Medical Review:William H. Blahd Jr. MD, FACEP – Emergency Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine

90,000 Pain in the arms. Diagnostics and treatment in Izhevsk. Experienced doctors. Alan Clinic

Arm pain can be caused by a variety of reasons. The whole arm or some part of it may hurt. The pain can be of a different nature: it can be dull, burning or numb, shooting or piercing, etc., it can occur suddenly or develop gradually.

Usually, people who experience soreness in the hand complain about:

Pain in the hand is often the result of various injuries, overvoltage, can occur as a result of excessive physical exertion, prolonged work in an uncomfortable position.For example, an occupational disease widespread in our time among those who work at a computer for a long time has acquired the name “tunnel syndrome”. Pain in the arm can be one of the symptoms of diseases of the cardiovascular system, musculoskeletal system, nerve trunks and endings.

In the absence of visible external injuries, it is necessary to check the condition of the cervical spine, since the cause of pain can be protrusion or herniated disc.Pain in the hand is not always felt directly at the site of injury, with damage to the wrist, it often spreads to the forearm. Sometimes upper arm pain occurs as a result of heavy lifting. It can also be caused by an inflammatory process in the tendons of the shoulder muscles.

If the pain has already appeared, the discomfort does not go away for more than 3 days, or it recurs periodically for no apparent reason, it is worth going to an orthopedist.

Our orthopedic doctors

Neglecting your own health and letting the disease take its course, you open the way for serious joint diseases!

Important Information:
Dear Patients! If you are diagnosed with rheumatoid arthritis , you need to see a rheumatologist.With a rheumatological profile, in addition to joints, internal organs (heart, kidneys, etc.) may also suffer, so rheumatoid arthritis should be treated by a rheumatologist. The treatment of allergic, gouty and infectious arthritis is carried out by specialists of the appropriate profile (allergists, rheumatologists and cardio-rheumatologists).

Orthopedic doctors are successfully treating all other types of arthritis in children and adults (caused by sports and household injuries, overweight, age-related changes in the joints).

“Hands do not obey”: why do they hurt and how to treat them? | HEALTH

Our contemporaries often go to doctors with complaints of pain in their hands. Why do they appear and how to treat these ailments?

Old “friends”

Pain in the joints of the hands is one of the most common causes that brings people to the office of a rheumatologist. The hands are a very delicate mechanism that can withstand enormous loads.However, some diseases can practically immobilize the hand and cause severe joint pain. Arthralgia, or joint pain, not only worsens the quality of life, but also deprives a person of the opportunity to work and perform basic household activities. There are a lot of diseases that can cause this symptom. Conventionally, the reasons for severe pain in the joints of the hands can be divided into two large groups – inflammatory and mechanical. Hand pain caused by inflammation is usually accompanied by stiffness in the affected joint and is relieved by movement, and swelling and redness of the skin may also occur.

According to statistics, the most common chronic joint disease in the world is arthrosis. To one degree or another, up to 80% of the world’s population suffer from it. Moreover, the disease affects both men and women equally.

This ailment is associated with damage and destruction of the structure of the joints and is characterized by a decrease or loss of mobility. Most often, arthrosis overtakes people of working age – from 30 years old, and every year the number of cases is steadily and steadily increasing.In young people, arthrosis is much less common, but the likelihood of the appearance of the disease also exists due to congenital pathologies of the musculoskeletal system, injuries, excessive physical exertion and improper lifestyle.

“Osteoarthritis develops due to metabolic disorders in the joint, which in turn leads to the fact that the cartilage begins to lose elasticity,” says Tatyana Chelyshkina, a methodologist at the State Healthcare Institution of Healthcare of the Republic of Moldova. – Microcracks and subtle defects appear in the cartilage, which gradually become more pronounced.Moreover, the longer the disease progresses, the more extensive the damage to the cartilage tissue becomes. The formation of synovial fluid, which acts as a natural lubricant for the joint capsule, is also disrupted. The edges of the damaged cartilage become denser, and bone formations grow around the joint, which impede and limit the mobility of the limb, and make movements painful and stiff. ”

Therapy in the treatment of joint diseases, regardless of the cause, should be complex, and efforts should be directed not only to treating the underlying disease, but also to restoring hand functions, as well as relieving pain.At the same time, pain relief and functional development of the hand during rehabilitation are subject to general rules. So, the main remedy for relieving pain in the joints of the hands is medication, and medicinal ointments, which include anti-inflammatory and anesthetic components, help to enhance the effect of drugs. As part of complex therapy or in cases where medication is contraindicated, the doctor may prescribe non-drug
methods.

The disease of modernity

Now some scientists are talking about new types of diseases of the joints of the hands, which negatively affect the general condition of the body
person.

“My work is connected with a computer,” says our reader Anna Zhgutova. – Often my eyes get tired, and I’m already used to it. But lately, she began to notice that my arms are starting to hurt from working for a long time at the computer. What is the reason for this? ”

Some modern scientists have indeed come to the conclusion in their research that people whose profession is closely related to long-term work at the monitor begin to experience pain in their hands.

“Computers are increasingly intruding into most spheres of human activity, be it science, medicine, manufacturing or households,” says Anna Lushnikova, PhD in Biology.“Today, millions of people spend 8-10 hours a day at the display. Despite the fact that protective screens have appeared and the image quality has noticeably improved, the professional illnesses of programmers are not going to go down in history. For example, many computer operators experience severe pain in their arms, accompanied by muscle cramps. As a result, they develop a complex of neuromuscular disorders or a chronic disease of the hands. ”

Recently, there have been many hypotheses regarding the nature of this disease.One of them was formulated by English neurophysiologists. According to scientists, working with a computer keyboard resembles a musician playing the piano and requires significant muscle tension in the hands and fingers. Therefore, with prolonged monotonous work on the keyboard, the sensitivity of the peripheral nerve endings on the limbs decreases. Subsequently, a person experiences lethargy, hand cramps begin, and sometimes fine coordination of finger movements is lost.

Scientists recommend technologists to seriously engage in the design of personal computer keyboards.For example, change the fastening of the keys, since their vibration when pressed can serve as a resonator for strong excitation of nerve endings. It has long been known that tapping your fingers on a table or massaging your fingertips allows you to focus, improve attention and memory. Excessive “tapping” on the keyboard over time leads to an outrageous inhibition of the corresponding nerve centers, a decrease in the threshold of sensitivity and disruption of the connections of the nerve endings with the central nervous system.

Nip

Scientists from the University of California at San Diego (USA) have created neutrophilic enanoscopes that can neutralize and absorb inflammatory proteins – cytokines.It is they that are produced by cells in the joints during the development of rheumatoid arthritis.

American specialists have learned to influence the causes of this disease: a special nanodevice absorbs proteins that play a key role in the development of arthritis.

The nanoscope method stops the process at the very beginning: by acting as a decoy, it can intercept cytokines and prevent more neutrophils from signaling to the joints. As a result, joint inflammation and damage are reduced.Thus, the nanoscope literally “absorbs” proteins that contribute to the development of rheumatoid arthritis.

Types of diseases of the joints of the hands

■ Rheumatoid arthritis is a disease in which the body’s defense system fails and begins to perceive its own cells as foreign. As a result, the joint begins to gradually collapse, causing inflammation and severe pain in the affected area. Rheumatoid arthritis can manifest itself both in the elderly and at a young age – 25-30 years.It usually develops symmetrically – that is, the same joints on both hands are affected. Over time, they deform, which leads to curvature of the fingers and loss of mobility.

■ Gout – accumulation of crystals of uric acid and its derivatives in the joints. The disease is often called “meat-eating disease”, as it often develops in those who eat too much meat. Gout causes very severe excruciating pain in the joints of the legs, but as the disease progresses, the hands also begin to suffer. Around the affected joints, characteristic gouty bumps are formed, which cause burning throbbing pain at night, by the morning the pain sensations subside somewhat.

■ Osteoarthritis results from wear and tear of the articular cartilage. Typically, this disease begins to develop in old age. With osteoarthritis of the joints of the hands, pain is noted in the small joints of the hands, the metacarpal-wrist joint of the thumb, in the elbow and shoulder joints. Symptoms of osteoarthritis in the wrist joint include pain during physical exertion, painful sensitivity to pressure in the area of ​​the injured joint, and limited mobility.

■ Arthritis, which is always caused by various kinds of infectious diseases that cause inflammation of the joint, is very common in modern people.Meanwhile, there are two forms of arthritis: acute arthritis – it is characterized by severe pain, swelling, redness of the skin in the joint area and an increase in temperature; there is also chronic arthritis – this ailment reminds of itself with painful sensations only from time to time, for example, when a person does physical exercise or some kind of work.

See also:

Bystrumgel® – gel for pain in the hands

Many diseases of the musculoskeletal system are accompanied by such a symptom as pain in the arms.It can be mild or intense, short-term, prolonged, chronic, diffuse, localized. Regardless of the nature of the pain syndrome, it always causes some discomfort, therefore, to eliminate it, it is recommended to use an ointment or gel for pain in the hand. ²⁹

Why do your hands hurt?

Pain sensations can occur due to injuries, diseases of the osteoarticular apparatus and for other reasons. By its appearance, the pain can be divided into several groups ²⁹ :

• Bone.Often triggered by trauma or due to hormonal disorders, neoplastic or infectious diseases. Can be dull, deep, penetrating.
• Muscular. A multifactorial phenomenon that occurs during injury (sprains, tears, bruises), overwork, muscle inflammation. The cause of muscle soreness can also be systemic or rheumatic diseases, viral infections, impaired transmission of nerve impulses to muscle fibers, vascular pathology, muscle hypothermia. ^{29, 30}
• Soreness of ligaments, tendons. Most often caused by injuries (sprains) of the tendon-ligamentous apparatus. In intensity, it is much weaker than bone, but most often it has an acute character. Usually, when moving or stretching the affected ligament, the tendon discomfort increases.
• Articular. Mostly associated with joint inflammation, autoimmune diseases, vascular diseases, injuries. When moving, as a rule, the discomfort increases.

Sometimes painful sensations occur due to damage or infection of the joint capsule. It is usually accompanied by symptoms such as swelling of the damaged joint. Pain in tendons, ligaments, muscles can cause fibromyalgia (pain sensitivity disorder), compression of nerves that accompanies tunnel syndromes. ²⁹

Painful sensations are often radiating. They are not always caused by damage to the bones, joints, ligaments, muscles of the hands.For example, the shoulder may hurt due to pathologies of the spleen, lungs, gallbladder, the arm – due to myocardial infarction, etc. Therefore, before using an ointment or gel for pain in the joints of the hands, it is necessary to establish its nature. ²⁹

The hand from the computer mouse hurts

04.10.2018

If games for you is more than just an easy hobby, most likely you know how badly your right hand can hurt from a computer mouse (for left-handers – the left, of course).This problem is very common, almost every sixth gamer stacks with it. And today we want to talk about why a hand can hurt, what is tunnel syndrome and what can be done in order to avoid these pains.

Why does the hand hurt from the mouse?

Pain and fatigue in the arm is a typical problem for a person who works with a mouse for a long time. Not only gamers, but also office workers, managers, engineers, etc. It occurs due to an increased load (overstrain) in the muscles and tendons in the palm, as well as due to prolonged monotonous movements of the hand and fingers.This problem is scientifically called carpal tunnel syndrome or carpal tunnel syndrome.

In mild cases, everything goes away as soon as you stop using the mouse. But if you do nothing for a long time, the problem will progress. How to tell the difference between a tunnel syndrome that is already worth treating? It is characterized by constant pain in the arm. This means that your nerve is inflamed or damaged. This stage of the disease requires medical treatment and daily exercise, as well as the maximum refusal to work with the mouse and other monotonous “manual” work.In all other cases, regular exercise is sufficient.

In general, as you already understood, the main thing is to notice the onset of the disease in time. Here are its main features:

• Weak aching pain;

• “Goosebumps” on the skin after working with the mouse;

• Discomfort in the wrist or thumb area;

• Itching, trembling in the palm, sensation of electric current;

• Movement disorders – Difficulty buttoning, tying laces or ties, etc.etc.

How to deal with arm pain from a mouse?

To cope with tunnel syndrome, three conditions must be met:

• Correct body position;

• Regular gymnastics for the “working” hand;

• The right gadgets.

Correct body position

Under the correct position of the body in space, he usually calls such a landing at the computer, in which you do not experience undue overexertion.Doctors usually advise you to follow these rules:

• The angle between the brush and the table surface is 30-40 degrees;

• The angle between the shoulder and forearm is 90 degrees;

• The angle between the hand and the forearm is 180 degrees;

• Strong base under the elbows, lower back.

To achieve a perfectly accurate position at the table, it is worth measuring your position once, adjusting the table, its armrests, back and seat for yourself.A gaming chair will be the best option for providing maximum adjustment possibilities.

How to do hand gymnastics

As for gymnastics, you will need a few minutes for it, but it is worth doing it several times a day – taking breaks between work or game rounds.

So what should you do?

• Squeeze and unclench your fist with effort several times;

• Shake with relaxed hands, gradually lifting them to the sides and up;

• Interlace your fingers and make squeezing movements with them several times;

• Press your elbows firmly to your sides, while clenching your fingers into a fist, rotate with your brushes;

• Put your palms together in front of you, tightly squeezing the tips of your fingers, tilt your hands to the right and left;

It will also be useful to sign up for the gym – general physical activity and exercises with free weights have a positive effect on the muscles and tendons of the arms.Well, if the pain caught you by surprise in the middle of a tense battle and there is no time for gymnastics and other measures, just massage your forearm – the pain will immediately recede and will no longer bother you for a while.

And the third, no less important, is correct – the correct choice of the manipulator. Gaming mice from major manufacturers such as Razer, Logitech, Steelseries, ASUS are sharpened for long-term use, so their developers make every effort to make the device as ergonomic as possible.By choosing mice from a range of these brands, you can be sure that you are partially protecting yourself from tunnel syndrome.

Mice that won’t hurt your hand

However, in this case, it is worth considering personal characteristics – the size of the hand, the type of grip you are accustomed to, the shape of the back, and so on. The ideal option would be to choose a mouse “manually” – that is, not in absentia, in an online store, but with a trial of the mouse in hand. This way you can prevent unpleasant situations.

Well, in the end, we offer you several models that are worth paying attention to precisely because of their ergonomics:

the joint of the middle finger on the hand hurts

the joint of the middle finger on the hand hurts

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Arthritis of the fingers: causes and symptoms of joint disease. Effective treatment of finger arthritis includes a whole range of measures: drug treatment, physiotherapy, exercise therapy and proper diet. Content.Causes of finger arthritis Symptoms of finger arthritis How to treat finger arthritis What not to do with finger arthritis Nutrition for finger arthritis Healthy diet for finger arthritis. Finger arthritis is an inflammatory joint disease that affects the cartilage between the phalanges of the fingers. Over time, if left untreated, the disease spreads to the heads of the bones and leads to irreversible deformation of the fingers. In addition to joint pain, there are dizziness, pain in the eyes, chest pains, numbness in the fingers, and body weight falls.With gouty arthritis near the joints on the fingers, salt deposits are formed in the form of nodes – tofuses. Attacks are more likely to occur at night, after a heavy dinner or drinking. With arthritis caused by psoriasis, the symptoms are as follows: the nails are exfoliated, the fingers become swollen, and become thick. The pains in the arms are usually not too strong and torment the patient only in the morning. Infectious arthritis involves not only pain in the fingers, but also the presence of symptoms of intoxication of the body – nausea, urge to vomit (more often in children), chills.Pain in the joints of the hands limits their mobility, makes it impossible to perform work associated with fine motor skills for a long time. A person can be bothered by pain both during movement and at rest, there is reddening of the skin over the pathological joint, edema and a local increase in temperature. Varieties of pain in the joints of the hands. By the nature of the pathological process, the following groups of joint damage are distinguished: Arthritis – inflammation of the synovial membrane of the joint. If you have pain in your fingers, but there is no obvious numbness in your hands, you can safely turn off carpal tunnel syndrome and Raynaud’s syndrome from the list under consideration.Rheumatoid arthritis most often begins with inflammation and swelling of the metacarpophalangeal joints of the index and middle fingers (i.e., with inflammation of the joints located at the base of these fingers, in the area of ​​the protruding bones of a clenched fist). Inflammation of the metacarpophalangeal joints in most cases is combined with inflammation and swelling of the wrist joints. Pain in the joints of the fingers with rheumatoid arthritis is symmetrical. 1 degree of activity is manifested by minor arthralgias, rapidly disappearing stiffness.At grade 2, pain is disturbed at rest and during movement, combined with prolonged stiffness, restriction of movement, redness. Grade 3 is characterized by intense constant pain, persistent stiffness, swelling, hyperemia. Movement is severely limited. Gouty arthritis of the fingers is more common in women. One or more joints may be affected. The pains are usually acute, sharp, combined with edema, hyperemia, dysfunction, and an increase in overall temperature. joint pains are also disturbing in the interictal period – a sign of the chronic course of gouty arthritis.What is the danger of the disease. Gouty arthritis is dangerous because it can be complicated. The small articular joints of the hand and fingers often become inflamed, while the fingers become like sausages. The pain, inflammation and swelling are severe. Large tofuza appear on the back of the hand. And then come back with terrible pain! If you experience pain in your hands or feet, check right away that it is not gouty arthritis. Don’t expect the pain to go away forever. Alexandra Chebatkova 03/05/2021 at 10:43 # Reply.The joint has cartilaginous tissue, which for one reason or another changes. Defective areas are formed on it. They become thinner – osteophytes appear. Rub each finger on the other hand alternately with the thumb and forefinger of one hand: from the base to the nail, and then back. Wrap your hand around your finger and rotate as if you were sharpening a pencil. Bend and unbend your fingers at a fast pace, without clenching them into a fist, 15-20 times. Finger massage takes only a few minutes.Stage 1 – there are periodic aching pains at night, you will feel tension in the muscles, you may notice slight swelling. The fingers move without difficulty.

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90,000 Which doctor should I contact for pain in the hand

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The doctor at the reception examined me and recorded me for an ultrasound scan.He also prescribed hormone tests and recommended a follow-up appointment. Friendly, polite, competent and attentive specialist. I chose this doctor based on reviews, work experience and direction, because he is an operating surgeon in the direction that interested me. His recommendations are effective.

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12 October 2021

The reception went well.Everything was fast, professional and to the point. Andrey Alexandrovich carried out an examination, suggested an additional examination, which was not included in the insured event. He gave recommendations and prescribed the necessary treatment, which helped me. I was satisfied.

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The doctor is attentive, explains everything clearly and easily.She helped me a lot. Thank you very much! I am delighted with her. I can recommend this specialist to my friends, if necessary, and if necessary, I can apply again. I was very pleased with the quality of the reception.

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October 14, 2021

An excellent doctor, it is pleasant to communicate like a friend, sociable, sociable, cheerful.At the reception, Dmitry Gennadievich examined, consulted, and prescribed treatment. As a result, I received a good consultation, a favorable time, 15-20 minutes. I remained in a good, positive mood. The doctor explained everything clearly, answered all the questions. Maybe I’ll go to consultations, everything suits me.

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Competent doctor, pleasant to talk to.Andrei Ilyich had a wonderful consultation. I was very pleased with the way the doctor treated me and with his knowledge. Everything was amazing! I went to many doctors and they pushed me all the time for an operation, but this specialist said that I did not have an operational problem. The doctor conducted a survey, did an ultrasound of the legs, told me what my blood flow was and that my situation was superficial. Prescribed the necessary treatment and recommended wearing compression socks. I was very pleased with the reception, I will refer to him again.There would be more such specialists.

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At the reception, the doctor listened to me, held a consultation and sent me for an additional examination.He helped me in solving my question. The doctor is attentive, explains everything clearly and easily, a professional in his field. I can recommend this specialist to my friends, if necessary, and if necessary, I can apply again. I was satisfied with the quality of the reception.

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A wonderful doctor.Zarina Anatolyevna conducted an examination, told everything, answered all my questions and gave good recommendations. A friendly, qualified, attentive doctor. I will contact this specialist again. The only thing is that the doctor did not warn me that the procedures performed at the reception would be paid additionally.

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There are no words.It was very pleasant to treat the person. He is a very sick doctor and a master of his craft. I can only say good things about Sergei Alexandrovich Tokin. I got to him by accident. The doctor bandaged me and explained everything in an accessible way. I could recommend it to my friends.

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The doctor immediately shows a professional in his field, polite, pleasant to talk to, I would say on the same wavelength.The reception went well. Kirill Vladimirovich immediately advised and signed up for an operation.

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Anatoly Nikolaevich asked what my complaints were, conducted an examination, an ultrasound scan and, based on the results of the tests, prescribed treatment.He is a very friendly and attentive doctor. Enough time has been given to me. I chose a specialist based on reviews and work experience. I can say about the effectiveness of the appointments only after a couple of months.

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Show 10 reviews of 14,245 90,000 How to get rid of arm pain after injury

Injuries, in whatever form they were received, often cause acute and sharp pain.Depending on the severity of the fracture, pain can also be accompanied by various hematomas, an increase in limb volume (due to fluid accumulation), as well as anatomical deformity. In case of injury, it is extremely important to provide first aid correctly in order to relieve soreness during an injury, and also to minimize the likelihood of further complications.

Is a doctor’s consultation always necessary after an injury?

Many patients after an injury, unless of course a fracture, are in no hurry to see a doctor and ask the question: “Is it necessary to visit a traumatologist after an injury?” Yuri Forosenko – orthopedist-traumatologist of the Kiev city polyclinic number 17, claims:

“ It is necessary to see a doctor after injury for any type of injury, be it a sprain or a slight dislocation.Usually, the doctor performs an X-ray examination and gives a number of recommendations that must be followed by the patient for a speedy recovery. If you are unable to get to the nearest trauma center or department on your own, call an ambulance. If you feel that the injury is serious, try to unload the damaged area as much as possible: do not step on your foot, or, if your hand was injured, try to securely fix it in a static position “.

Even if at first glance the injury seems insignificant to you, do not be lazy and spend a little time consulting a traumatologist, because in the future this will significantly reduce the rehabilitation period and minimize the likelihood of complications after the injury.

Hand injuries. Types of wrist injuries

Anyone can injure a hand. To do this, it is enough to accidentally fall and land unsuccessfully, make a sharp grip or put an excessive load on the joint.Professional tennis players or golfers are most susceptible to injuries, however, ordinary people are, unfortunately, not insured from this unpleasant incident.

Treatment of an arm injury will depend on the type and extent of the injury to the upper limb. In traumatology, there are several types of hand injuries:

• Fracture;
• Bruise;
• Dislocation;
• Compression;
• Open wound;
• Ligament rupture;
• Tendon rupture.

Fractures

Fracture is perhaps the most unpleasant injury that requires a long rehabilitation period. This type of injury is accompanied by severe acute pain, instant swelling and sometimes a visual change in the anatomical shape of the hand. If you injured a limb in this way, try to immobilize it as much as possible, as excessive movements can lead to displacement of bone fragments, if any.In case of a fracture, it is necessary to immobilize the wrist with a bandage or splint as soon as possible and get to the nearest emergency room.

Bruises

In case of injury, several ligaments and muscles are injured at once, therefore an injury of this nature is quite painful. The bruise is accompanied by swelling, hematomas, pain and local warming of the damaged part of the limb. Just as with a fracture, a bruise requires early cooling and immobilization of the hand.To exclude a fracture in the nearest traumatology department, it is necessary to make an X-ray.

Dislocations

Dislocations are often the result of an unsuccessful fall on the arm. In this case, the hand is usually displaced in the dorsal direction. With such an injury, the patient is unable to move the limb, experiences severe pain, and a hematoma appears. In case of dislocation, it is necessary to immobilize the wrist using a special splint. In no case should you try to correct the dislocation yourself.Treatment should be carried out exclusively by a traumatologist directly.

Compression

This type of injury involves compression of the soft tissues of the hand, which was carried out by any heavy load. It is accompanied by hematoma and edema. Sometimes ruptured ligaments are likely. If your hand is pressed by any heavy object, you need to try to give it an elevated position and fix it, as well as apply a cold compress.

Open wounds

A wound, as such, can be either independent or an addition, for example, an open fracture or any other limb injury.The wounds are usually chopped, stabbed, or cut. In the case of chopped and cut wounds, it is necessary to apply a special bandage in order to stop the bleeding, and also treat the damaged area with an antibacterial agent. With a puncture wound, the bleeding is less intense, but the risk of infection is slightly higher, so it is very important to treat the puncture wound with an antiseptic and to apply surgical stitches as soon as possible.

Ligament and tendon ruptures

If you were struck by a strong blow or an unsuccessful fall, you may have a rupture of ligaments or even a tendon.Usually, in such cases, unbearable pain occurs, and the wrist joint becomes unstable. Also, the local temperature rises, and the soft tissues swell. Internal bleeding is sometimes possible. In the event of a rupture of ligaments or tendons, it is necessary to immobilize the limb and relieve the painful shock with the help of an analgesic. In the nearest emergency room, a plaster cast or splint is applied.

As you have already noticed, there are quite a few injuries to the upper limbs, so the treatment of the hand after an injury will depend on what type of injury has affected you.

How to get rid of arm pain after injury?

Are there any universal methods that can effectively treat arm pain after injury? Of course, in each case everything is individual and the rehabilitation period depends on the age, physique of the patient and many other factors. If we talk about some general method, the first thing that will help you get rid of pain in the damaged joint is a cold compress. Never treat a bruise or dislocation with iodine, warming ointments, or any other balm of unknown origin.This will only aggravate the situation, provoke an activation of blood circulation and increase the swelling.

To quickly get rid of pain after injury, the following three points must be observed:

1. Only cold compresses;
2. Sublime Position;
3. Immobilization of the injured area.

The first thing to do to relieve trauma pain is to apply a cold compress. This will help stop bleeding, if any, and relieve swelling.Next, it is necessary to immobilize (that is, fix) the limb in order to rid it of excess motor activity, which can only harm. It is also recommended to keep your hand in an elevated position so as not to interfere with the outflow of blood. If necessary, the doctor may prescribe analgesic, anti-inflammatory and other medications that will help in eliminating pain, swelling and promote the early resorption of hematomas.

After providing first aid, it is recommended that you go to the nearest trauma department as soon as possible to make an examination, establish a diagnosis, and then apply a splint, plaster cast or splint and get a competent doctor’s consultation.The rehabilitation period also directly depends on the nature and extent of the injury. However, remember that by strictly observing all the rules prescribed by the doctor, you can shorten the rehabilitation period as much as possible.

Bandage on the wrist joint for hand injury

Regardless of what kind of injury you are facing, the first thing you will need is to buy a wrist bandage. This will help to fix the damaged part of the body in a static position, will be an excellent prevention of complications, and will also speed up the rehabilitation period.There are various types of hand retainers, including:

• Orthoses / Splints . They are used for enhanced immobilization of the joint, effectively relieve the hand and have a good compression effect;
• Tires. Used for wrist and fingers. Perfectly fix the damaged area in a motionless state;
• Bandages . Applicable both in the early post-traumatic period and throughout the entire rehabilitation period.They are the prevention of joint instability and other complications that may arise due to insufficient fixation of the affected area.

You can buy an orthosis, a bandage on a hand or a splint on a finger in the Medtekhnika Ortosalon chain of stores. In our specialized store in Dnipro, Kiev, Kharkov, Odessa and other cities, you will find a wide range of fixation orthopedic products from the world’s leading manufacturers. Affordable prices and high quality are our main privileges.

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