Wrist Popping and Cracking: Causes

Popping and cracking in your wrist (also known as crepitus) can be an uncomfortable sensation that arises during many of your daily activities. Unfortunately, the origins of this joint noise are not always clear-cut. Paying attention to your symptoms can help you identify the potential cause, however. The information below highlights the most common reasons why your wrist is making noise.

ljubaphoto / Getty Images

Osteoarthritis

Osteoarthritis occurs when the cartilage that covers the ends of the bones in your wrist begins to thin and wear away. Normally, this cartilage helps the bones in your hand slide smoothly along one another when you move your wrist. When the tissue begins to degenerate, however, friction develops, and clicking and popping can occur with movement.

The increased friction associated with osteoarthritis can also cause new bone to build up in the joint, further impacting your range of motion and potentially causing popping and cracking

In some instances, a condition called Kienböck’s disease can also lead to wrist osteoarthritis. In this syndrome, the blood flow to one of the wrist bones—called the lunate—is impacted and the bone slowly dies. As this occurs, the bone collapses and normal hand motion is disrupted, leading to cartilage degeneration.

In addition, other systemic forms of arthritis (like psoriatic arthritis or rheumatoid arthritis) can also cause similar joint changes and lead to popping and cracking in the wrist.

Other Symptoms

In addition to joint noise, there are several other symptoms that can indicate you have osteoarthritis in your wrist. These include:

• Stiffness in the joints, particularly in the morning
• Puffiness or swelling
• Achiness deep within the wrist
• Difficulty dressing, cooking, or carrying items

Treatments

Osteoarthritis cannot be cured, but it can be treated. Icing, over-the-counter (OTC) pain medication, and avoiding irritating activities can be helpful after a painful symptom flare-up. Other treatment options include:

• A wrist splint: This may be useful for temporarily limiting painful movements and decreasing your popping or cracking.
• Increasing hand mobility: These exercises can help gently strengthen the surrounding muscles.
• Physical therapy: This may be recommended by your physician to guide you through appropriate techniques.
• A pain-relieving steroid injection: This may be suggested to reduce your soreness.

Unfortunately, in some cases, surgery may ultimately be necessary if your arthritis is severe enough. This can include the removal of one or more wrist bones, the fusion of several bones together, or a total wrist replacement.

When to See a Doctor

If your wrist symptoms are progressively worsening or if they begin to impact your daily activities, it is important to speak to your physician. Osteoarthritis is typically diagnosed with a thorough examination and an X-ray, which can help detect any changes to the joint space or new bone formation.

In some cases, an MRI (magnetic resonance imaging) may also be ordered as it provides a more detailed look at the bone and the surrounding structures. If your physician is trying to rule out rheumatoid or psoriatic arthritis, blood tests may also be necessary to provide a correct diagnosis.

Tendonitis

Muscles are attached or anchored to a bone by a thick cord-like structure called a tendon. Tendinitis occurs when one of these structures becomes inflamed or irritated. This condition can happen to anyone but is most often seen in people who perform repetitive activities like computer work or who frequently lift or carry objects.

In addition, sports with repetitive wrist movements like tennis or golf can also be to blame. Regardless of the cause, because this tendon inflammation alters the way your hand muscle functions, it can lead to a clunking feeling or noise when moving the wrist.

Other Symptoms

In addition to crepitus, another extremely common complaint with tendinitis is pain. This pain is usually much worse with activity and better (if not resolved) when you keep the wrist still. In addition to pain, symptoms can include:

• Redness
• Swelling
• Being warm to the touch
• Weakness

Treatments

One of the most important ways to treat tendonitis is to avoid or modify the activity that is causing the tendon irritation in the first place. Treatments can include:

• Taking a break from a sport
• Using a wrist splint to take some of the pressure off of the muscle during activities like typing
• Icing and using anti-inflammatory medications to reduce the pain, swelling, and inflammation.
• Cortisone injections to decrease pain
• Physical therapy to work on gradually strengthening the muscles in the area

In rarer cases, surgery may even be necessary if the typical early treatments fail to address your tendon condition.

When to See a Doctor

Tendinitis is usually relieved with some of the conservative treatment methods discussed above. However, if your symptoms are worsening or if the pain begins to linger even after the aggravating activity, it is important to speak to your doctor.

Be sure not to ignore the pain and push through it as this may lead to further tendon damage and ultimately to surgery.              

De Quervain’s Tenosynovitis

Another tendon-related issue that can cause noise at the wrist is de Quervain’s tenosynovitis. Muscle tendons run through a tunnel-like structure called a sheath that helps them glide smoothly as the muscle moves. In people with de Quervain’s, the tendon sheath at the base of the thumb gets inflamed, leading to increased friction in the area. This, in turn, causes a popping or snapping sensation near the inside of the wrist with thumb movement.

What Is the Finkelstein Test?

One way to diagnose de Quervain’s is by performing a Finkelstein test. To do this, with your hand turned on its side, thumb side up, make a fist with your fingers wrapped around your thumb, and then move your fist downward toward your little finger. If this movement causes pain under the thumb, you may have this condition.

Other Symptoms

Symptoms of de Quervain’s tenosynovitis include:

• Pain on the thumb side of the wrist and into the forearm, particularly with hand movements like gripping or twisting
• Swelling on the thumb side of the wrist and into the forearm
• Feeling like your thumb movements are “sticky” or labored as the condition becomes progressively worse

Treatment

Initial treatment for this issue involves:

• Icing the area
• Avoiding aggravating activities
• Wearing a thumb splint that restricts potentially irritating hand movements
• Using pain medication and getting steroid injections into the sheath

In more severe cases, surgery may be necessary to decompress the thumb tendons by cutting into the sheath itself. This is relatively uncommon and is only recommended if conservative treatments fail.

When to See a Doctor

If your thumb symptoms do not improve with the conservative measures listed above, it is a good idea to speak to your doctor. This is also true if you are unable to control your hand swelling or if your thumb movements are getting progressively more limited.

Your physician can perform a thorough examination and can recommend the treatments that are appropriate for you.

Joint Instability

Excessive or abnormal movement in the bones of the wrist can make the joint unstable and can contribute to popping or cracking noises. This type of instability can occur for a variety of reasons.

In some cases, a traumatic injury like a car accident or a fall onto an outstretched hand can cause a subluxation (a partial separation of a joint) or a dislocation (a complete joint separation). This may occur at one or several of your wrist joints. In certain instances, this type of injury may also be accompanied by a:

All of these can further contribute to wrist instability.

One frequently injured area that can contribute to wrist instability is the triangular fibrocartilage complex (TFCC). This group of ligaments and cartilage stabilizes the ulnar, or fifth-finger, side of the wrist. Following trauma to this area, the normal movement of your joints is altered and crepitus can occur with hand movement.

Other instances of joint instability occur as a result of a chronic condition. In some people, hypermobility disorders like Marfan syndrome or Ehlers-Danlos syndrome cause laxity, or looseness, in the body’s ligaments or connective tissue and excessive movement in the joints (also known as being double-jointed).

Ultimately, this hypermobility leads to frequent joint subluxation or dislocation, even during seemingly harmless movements or activities. This joint disruption can also cause crepitus and can eventually lead to early-onset osteoarthritis.

Other Symptoms

After a traumatic injury, you may experience:

• Significant pain and swelling in the area where the impact occurs
• Bruising in the hand, wrist, or upper arm
• Inflammation that causes the same areas to become warm to the touch
• Damage to your bones, ligaments, or cartilage that makes normal hand and wrist movements difficult or impossible to perform

Depending on the condition, chronic (long-term) causes of wrist instability can lead to a variety of other symptoms, including:

• Changes in flexibility
• Widespread pain
• Severe fatigue (despite a full night’s rest)
• Problems with your bladder or bowel functions

Treatment

Following a fall or other type of trauma, imaging is commonly needed to visualize the damaged area. X-rays typically are taken to rule out a fractured bone, and an MRI may be needed to assess other structures like the ligaments and cartilage.

Depending on the degree of damage, treatment can consist of:

• Anti-inflammatory medication
• Movement-restricting splints
• Cortisone injections
• Surgical repair of the bone or soft tissue

When treating the wrist hypermobility associated with chronic disorders like Marfan or Ehlers-Danlos syndromes, improving stability in your joints is important. This can include:

• Gentle strengthening exercises
• Physical therapy

In addition, pain and anti-inflammatory medications can be used to manage the joint soreness that can occur. A splint can also temporarily help reduce your wrist movement and decrease the pain or snapping associated with it.

When to See a Doctor

Anytime a high-velocity impact or fall occurs, it is important to immediately have the injury looked at by a physician. Failure to do so can increase the likelihood that more damage occurs, which will prolong your recovery even further.

In addition, if your wrist crepitus is accompanied by any of the following additional symptoms, it is a good idea to speak to a doctor:

• Widespread pain
• Hypermobility at multiple other joints
• Bowel or bladder dysfunction
• Severe daily fatigue

A thorough evaluation can help you get an appropriate diagnosis and determine whether you have a hypermobility disorder.

A Word From Verywell

Popping or cracking in the wrist can cause discomfort and can significantly impact your daily life. Despite this, however, it is important to not give up hope. In most cases, there are conservative treatments available that can relieve your symptoms. Be sure to speak with your doctor about what you are experiencing in order to come away with a plan that is right for you.

Carpel Tunnel Syndrome Overview And Facts About Cracking Your Knuckles I SOS Specialists

By: Dr. John Fatti, SOS Hand & Wrist Doctor 

Being a practicing Hand Surgeon for 29 years, I have seen many, many different conditions affecting the hand.  Today, I’ll talk about the most common one and one that is really rare.  The most common one is carpal tunnel syndrome (CTS)- everyone knows something about that!  But, did you know that it happens much more commonly in women?  Did you know that the symptoms mostly begin – at night?  Waking up from sleep having to shake the numbness out of your hand to return to sleep is THE MOST COMMON PRESENTING SYMPTOM of CTS.

It can be caused by repetitive work conditions (especially keyboarding).  But did you know that , by far, the majority of CTS patients do not work? Carpal tunnel syndrome eventually causes increasing numbness in your thumb, index, and middle fingers. Then the numbness becomes constant. Then you start to have your hand feel weak.  You drop things inexplicably.

Worried about symptoms of Carpal Tunnel Syndrome?

Contact our Hand & Wrist Specialists today!

CTS is diagnosed through a physical exam and a Nerve Conduction Study(NCS).  Did you know that the NCS doesn’t hurt?  If the test says it’s severe – then you need surgery.  If the test says it’s mild or moderate, did you know that we TREAT YOU WITHOUT SURGERY?  Did you know that 85% of the CTS patients I see in the office are made better WITHOUT SURGERY?

The surgery these days is fairly noninvasive – one way to do it is through an endoscope that is placed through a 1 centimeter cut in the wrist, and the carpal ligament is released from the inside!   No need to cut through the skin, and the muscle, to get to the ligament to cut it.  Depending upon your job, you can be back at work rather quickly!!  However, before you are doing push-ups, or water skiing – it’s about 6 weeks.

Learn more about our Hand & Wrist Center

The rarely seen thing that I want to talk about is something I have NEVER SEEN!  That is – problems with cracking your knuckles!  “Doc, am I doing something harmful if I crack my knuckles a lot?”   I get asked that question frequently because of my job – usually at parties, at the grocery store, etc.  What actually is that snapping sound when one cracks their knuckles?  I did some research into this.  When someone hyperflexes or hyperextends their knuckles, they create negative pressure within their joint spaces.  That causes the nitrogen molecules in the liquid form inside the joint to actually become gaseous – and those gas bubbles actually POP – thus causing the noise that you hear.  There are no scientific studies that have ever been published linking popping nitrogen bubbles in your finger joints with deleterious effects (arthritis) on those joints.

In closing:  be careful and take care of your hands!  Keep them where they belong and where they are SAFE!  It has been written that 25% of all Emergency Room visits are some form of hand trauma !!

Clicking and Popping | Hand Institute of Charleston

Clicking and popping can occur even in healthy joints, but sometimes it can indicate a hand or wrist problem that needs medical attention.

Is it harmful to “pop” or “crack” your knuckles?

We thought we’d just address this age old question before proceeding! This type of popping noise is caused by cavitation. Cavitation occurs when the joint is stretched, causing negative pressure in the joint which pulls nitrogen gas out of the joint fluid and causes a popping sound. There is no evidence that popping your knuckles causes arthritis.

When should you be concerned about clicking and popping?

If the clicking and popping is associated with pain, limiting your hand function, causing fingers or your wrist to get “stuck” or “lock up”; there may be a more serious underlying problem.

Common Problems Causing Clicking and Popping by Location

Finger/Palm:

• Trigger Finger is a condition in which the finger clicks or pops when you move it, and may even get stuck in a flexed or extended position. The click may actually be felt at the base of the finger in the palm, and there is usually some tenderness in that area.

Wrist:

• TFCC Injuries often cause pain and clicking that occurs when rotating the wrist (as in turning a door knob. The clicking is felt on the small finger side of the wrist.
• Scapholunate Ligament Injuries often cause pain more in the central and thumb side of the wrist, and you may experience more of a “clunking” sensation.
• Hand and Wrist Arthritis (Osteoarthritis) often causes clicking or “grinding” sensations in multiple joints

Ready to confirm a diagnosis and fix the problem?

Our Board-Certified Orthopaedic Hand and Wrist Surgeons are here to help! They can often diagnose the problem in one visit, and get you started with a treatment plan ranging from simple splinting and hand therapy to injections or surgical options when needed.

Call today for a clinic or telehealth appointment! 854-423-4263         Book Now

*The content on this website is not a substitute for expert medical advice or diagnosis, and is for educational purposes only.

‘My wrist cracks’. Characteristics, risks and treatment of scaphoid fractures

The

scaphoid is the part of the complex bone structure of the wrist that is injured most often. It is located in the carpus, a composition of eight bones arranged in two rows of four, whose function is to facilitate the connection between hand and forearm and, therefore, allow its movements.

The vulnerability and relevance of the scaphoid derives – precisely – from its situation as a ‘connector’ between the two rows of the carpus. Simplifying, the movements of this set of bones ‘revolve around’ the scaphoid.

We chat with Dr. Del Piñal about its most frequent causes, the associated complications and the most effective treatment to respond to this type of fracture.

Dr, why does the scaphoid break?

For the most part, scaphoid fractures have their origin in sudden falls or intense and sudden flexions of the hand. For this reason, they are common in the practice of sports prone to this type of scenario -football, basketball, handball, etc.- as well as bicycle or motorcycle accidents.

We could say that any strong activity involving impact on hand-risk may cause a fracture of the scaphoid. In fact, its incidence decreases as the age of the patients increases.

Carpus, large left bone (capitate bone). The scaphoid appears under the name of navicular bone (navicular, left). Illustration of the 20th edition of the ‘Gray’s Anatomy’ in the USA (1918).

It’s always been considered a  ‘treacherous’ fracture, why is it?

This kind of fracture has two fundamental problems. First, the scaphoid ‘floats’ in the joint, between the rows of the carpus, thus receives little blood supply, what makes it difficult to heal. In other words, it is the bone of the area that worst ‘glues’ after breaking.

Secondly, the ‘treacherous’ character to which you alluded, since they cause a bearable pain and relatively unimportant limitations, that sometimes the patient does not relate to a fracture.

Imagine that you are 18, 20 years old and you suffer a blow to the wrist, at that age we endure almost everything (…). The pain appears, continues for a few days, but they put a splint or an immobilization bandage -maybe even your own sports coach- and the discomfort subsides. Everything seems on track, but that’s not the case.

The undetected fracture unleashes processes in the joint that, if not addressed, will eventually lead to early arthrosis or scaphoid pseudoarthrosis.

What does this mean?

Serious problems The only solution for a scaphoid pseudoarthrosis is to operate it, since the bone has lost its intrinsic ability to heal. Thus, we have to provide what we could call ‘healing generators’, through the grafting of a bone fragment from the wrist itself.

On radiography, result of surgery after fracture of scaphoid. The intervention of this type of trauma involves the insertion of a surgical screw, which stabilizes the area and facilitates its mobility.

Besides the pain itself, I usually meet patients who tell me, ‘doctor, my wrist opens up’; to what I have to answer that no, that the wrist does not ‘open’, but that there is something that does not go well behind.

In other cases, the comments are ‘my wrist creaks when moving it’ or ‘cracks’. We may be facing  symptoms of a previous fracture of the scaphoid not detected.

From your point of view, Dr., what is the most appropriate treatment ?

Precisely because of the healing difficulties I told you, nowadays most scaphoid fractures are treated surgically. It is a delicate operation, which requires technical expertise, since the situation of the bone leaves little margin for error.

In a brief description, what we do is reduce the fracture in the most perfect way possible, through arthroscopy. We place the bones in the original position, to then insert a surgical screw that allows the break to weld.

This screw gives sufficient stability to the area, so that -in normal conditions- the patient can have mobility already from the day after the operation.

Sequence of percutaneous intervention of scaphoid, minimally invasive surgical technique. On the right, scar four days after the operation.

It is one of the great advantages of treatment with surgery, especially in patients who need to reduce recovery times due to work, sports practice, etc.

Therefore, operating not only do we get higher rates of consolidation of the scaphoid fracture, but we eliminate the need to wear plaster. We must bear in mind that the plaster could mean a recovery period of three months.

Sequence: scaphoid surgery. Posterior appearance of the intervened area and mobility recovery.

However,  the message with which I would like the blog readers to keep is that we are speaking about an intervention whose success rate is 95%, if it is carried out properly.

Wrist fracture-dislocation: the case of Pedro Munitis

As we have pointed out before, scaphoid injuries have a special incidence in those who practice contact sports, especially at a professional level. Football players are included in this segment.

This was the case of former Spanish international player Pedro Munitis, who at the beginning of 2008 suffered the aggravated ‘version’ of the scaphoid lesions, that is, the fracture-dislocation of the wrist.

Munitis, who played for Racing de Santander, Real Madrid or Deportivo de La Coruña -among others- was successfully operated by Dr. Del Piñal on January 8, 2008. The injury of the Cantabrian striker, caused by a ball impact, had occurred two days before . His return to the fields took place just over a month and a half later, on February 24.

The Annoying Wrist Pop and How Chiropractic Treats It

By Chris Brown

If you are like me, a popping from the wrist is an hourly occurrence. In my case, I can trace the popping directly back to a wrist injury when I was younger. However, oftentimes there is no specific cause for the popping sound in someone’s wrist. If it happens enough, one may wonder about any danger of future complications, but most have never sought a clinical evaluation. Chiropractic offers a non-invasive solution for wrist poppers that may alleviate their wrists and help prevent future injury.

What Is That Wrist Popping?

Popping in the wrist most often occurs from nitrogen gas being released (as most joint popping is caused) or when tendons snap over tissues in their path. The extensor carpi ulnaris tendon is the most common wrist tendon to create this popping or snapping.

Is the Popping Harmful?

Generally, if the popping doesn’t come with pain it should be harmless, though annoying. If pain starts to develop, however, it could be a sign that the cartilage or ligaments are injured, potentially leading to arthritis, bursitis, carpal tunnel, or tendonitis. Repetitive activities or trauma is often most to blame for a popping wrist becoming damaged. Commonly, athletes will partially dislocate or subluxate the extensor carpi ulnaris which can cause a permanent clicking in their wrists as the tendon now moves in and out of its normal path. Treatment and possible lifestyle changes might be needed to intervene and prevent further damage. Other than chiropractic, surgery is the most common treatment used. However, surgery can be an extreme and invasive option when compared to chiropractic manipulation.

How Does the Chiropractor Resolve Wrist Problems?

Chiropractors can help wrist problems by manipulating the tissue around the wrist and adjusting it to increase blood flow and mobility. This in turn may help relieve the popping noise and aid in healing of any structural issues. Sometimes, a misaligned or stuck bone is the cause of a wrist problem. If that is the case, the chiropractor can work to correct it in the session. A study of 55 elderly people with hand and wrist pain concluded that chiropractic work resulted in self-reported benefits and lessened pain.

For a wrist problem consultation, visit The Joint Chiropractic anytime during their convenient night and weekend hours. Walk-in sessions are encouraged, and prices are affordable without insurance. The Joint’s doctors of chiropractic are waiting to correct your joint dysfunctions.

To learn more about your health, wellness and fitness, see your local chiropractor at The Joint Chiropractic in Nashville, Tenn.

Story Link

Story Link

What causes the noise when you crack a joint?

« Back to Biology and Human Anatomy page

Answer

Escaping gases, movement and rough surfaces.

Thomas Gemini. Compendiosa totius Anatomie Delineatio… (Compendium of all anatomy delineated…). London: John Herford, 1545. Rosenwald Collection, Rare Book and Special Collections Division, Library of Congress.

Your joints can make a variety of sounds: popping, cracking, grinding, and snapping. The joints that “crack” are the knuckles, knees, ankles, back, and neck. There are different reasons why these joints “sound off”.

• Escaping gases: Scientists explain that synovial fluid present in your joints acts as a lubricant. The fluid contains the gases oxygen, nitrogen, and carbon dioxide. When you pop or crack a joint, you stretch the joint capsule. Gas is rapidly released, which forms bubbles. In order to crack the same knuckle again, you have to wait until the gases return to the synovial fluid.
• Movement of joints, tendons and ligaments: When a joint moves, the tendon’s position changes and moves slightly out of place. You may hear a snapping sound as the tendon returns to its original position. In addition, your ligaments may tighten as you move your joints. This commonly occurs in your knee or ankle, and can make a cracking sound.
• Rough surfaces: Arthritic joints make sounds caused by the loss of smooth cartilage and the roughness of the joint surface.

Is joint cracking harmful? If you are feeling pain when your joints pop, then you should seek a health care professional. In terms of knuckle cracking, some studies show that knuckle cracking does not cause serious harm. Other studies show that repetitive knuckle cracking can do some damage to the soft tissue of the joint. It may also lead to a weak grip and a swelling hand.

Published: 11/19/2019. Author: Science Reference Section, Library of Congress

Related Websites

Further Reading

• Ballard, Carol. How do we move? Austin, Tex., Raintree Steek-Vaughn, c.1998. 32p. (Juvenile).
• Gunn, Christine. Bones and joints: a guide for students. Edinburgh; New York, Church Livingstone, 1992. 186 p.
• Kingston, Bernard. Understanding joints: a practical guide to their structure and function. Cheltenham, Stanley Thornes, 2000. 240 p.
• Ward, Brian. Bones and joints. New York, F. Watts, c.1991. 32 p. (Juvenile).

Search Terms

Hand Arthritis | Summit Orthopedics

What is hand and wrist arthritis?

In a healthy joint, connective tissue, called cartilage, caps the end of the bones. And a thick liquid, called synovial fluid, lubricates it. This allows for smooth, normal movement.

When a joint develops osteoarthritis, it means that the cartilage has begun to wear away and the joint surface has become rough and irregular. Sometimes this prevents the joint from moving correctly. As the cartilage wears down further, the ends of the bones may begin to rub against each other. This results in further damage, increased pain, and bone spurs.

Although arthritis can occur in any of the joints of the hand and wrist, it is most often seen in the fingers and at the base of the thumb.

What is the difference between osteoarthritis and rheumatoid arthritis?

Osteoarthritis is the most common arthritis and may affect joints anywhere in the body.

Osteoarthritis:

• Affects virtually everyone as they age
• Is more common in women than in men
• Affects 60 percent of adults over age 60 and 80 to 90 percent of patients over age 75

Rheumatoid arthritis is an inflammatory disease that affects the entire body, especially the joints. Rheumatoid arthritis:

• May begin in your hands and wrists as well as your ankles and feet
• Often affects the same joints on each side of your body
• Does not have a known cause, although genetics play a role

What causes arthritis?

Many factors contribute to arthritis. They include:

• Prior traumatic injury
• Genetics
• Age
• Some inflammatory diseases

What are the common symptoms of hand and wrist arthritis?

Symptoms of arthritis in your hand or wrist can include:

• Pain (when severe, pain can wake you at night)
• Swelling
• Stiffness or a decreased ability to move the joint
• Clicking or grinding sensation
• Less pinch and grip strength

How is hand and wrist arthritis diagnosed?

Arthritis is diagnosed by an X-ray and a physical examination of your hand.

What are my treatment options for hand and wrist arthritis?

Although there are no known medications or treatments that can prevent arthritis, there are many treatment options available to minimize your symptoms. New medications and surgical treatments that provide pain relief will help you get back to the many everyday activities you used to enjoy.

Treatments for your osteoarthritis include:

• Lifestyle changes (modifying or stopping activities that cause pain)
• Exercise and strength training
• Heat or ice
• Splinting
• Massage
• Water therapy
• Pain medications, such as acetaminophen
• Over-the-counter anti-inflammatory medications, such as ibuprofen
• Prescription anti-inflammatory medications, such as celecoxib
• Cortisone tablets
• Cortisone injections
• Gentle exercise of joint
• Surgery

What can I expect my results to be after treatment?

Everyone responds to treatment differently. The primary focus of treatment is to reduce your pain, improve your motion, and slow the progression of the disease. With arthritis, treatment can be ongoing and may include adapting your everyday activities in order to decrease your symptoms and improve your function.

Talk to your Summit specialist about what you can expect with your specific situation. When surgery is recommended, it usually takes several months to get your strength back to normal.

Summit Orthopedics provides personalized hand and wrist expertise

The function of our hands is integrated through our wrists and arms to our shoulders; a problem anywhere along our arm may have a significant impact on hand function and quality of life. If you experience an injury or uncomfortable symptoms, our fellowship-trained hand and wrist surgeons are here to help. Summit physicians receive the highest levels of training and exclusively provide individualized care for conditions of the hand, wrist, and elbow.

Start your journey to better function and less pain. Find your hand expert, request an appointment online, or call us at (651) 968–5201 to schedule a consultation. Summit has convenient locations across the Minneapolis-St. Paul metro area, serving Minnesota and western Wisconsin. We have state-of-the-art centers for comprehensive orthopedic care in Eagan, MN, Plymouth, MN, Vadnais Heights, MN, and Woodbury, MN, as well as additional community clinics throughout the metro and southern Minnesota.

Related resources for you

• Check out more on Nerves in Hand
• Ask Dr. Parisi: Questions to Ask About Hand Surgery
• Ask Dr. Parisi: Questions for Your Hand Surgeon
• Learn about Summit’s Hand Services
• Watch video: Reasons for Hand Pain

PSYCHOSOMATICS OF THE HAND (shoulder, collarbone, elbow, wrist, fingers)

Psychosomatics Hands

This is a good article about how the body bio-LOGICALLY unloads our experiences, our impulses into the hands. Seven years ago, I took the basis of this article from Gilbert Renaud (Healing with Memory), and over the years the biology of hand diseases has been fully confirmed (see the link to the light version of the article with personal examples at the bottom of the article).

Psychosomatics of shoulder pain

Arthritis / fracture / dislocation of the shoulder of the leading arm (right-handed)

Main topic of shoulder pain: What value do I have from my point of view .

1) “I could have done better” – the manager constantly ponders, and as soon as his boss praises him, he “accidentally” severely injures his right shoulder with the opening door.

2) “I am not appreciated, nobody needs me” – an elderly woman thinks about herself in her family. After a wonderful anniversary, where many relatives have gathered to congratulate her, the woman is convinced of the opposite, and the next morning she wakes up with pain in her shoulder.

3) “I am a bad student” – the student is very worried about passing a certain exam, because she does not feel like a specialist in the subject being passed.When the exam is nevertheless passed, she begins to have spasms of the shoulder muscles for a while. This is a slightly different topic – muscles. But I cite an example with a shoulder, so that it is clear what effect the thought that you are imperfect can have on health.

4) “I feel inner emptiness, I feel unworthy to carry out any activity.”

The author of the article is psychologist Elena Guskova

5) “What kind of woman am I if I abandoned my child?” (from Gilbert Renaud, “Healing with Memory” method).

If the shoulder of the non-dominant hand is affected (left in right-handed people), then the main topic is no longer “how I judge myself”, but “ how others judge me” .

1) “What do I stand in the eyes of my family?” – this is how a father can think, worried that he has lost his job and cannot find it yet.

2) “Some kind of worthless child in the eyes of mother and father …” – n For example, if parents sarcastically ridicule the actions of their child.

3) “What kind of a terrible mother am I if I bring up my children so badly, and the children do not respect me?” – such thoughts can come to an elderly lady, and arthritis of the shoulder joint will begin.

Of course there are more options. Much depends on what images are in a person’s unconscious. For example, a heaviness in the shoulder may be due to the fact that a person “codes” their problem as a heaviness. Then the following questions will help approach the core experience:

Am I coping?

“Who is that bag in life that you have to drag with you?”

Or “Who doesn’t want to go, and you drag him along?”

The shoulder can also get sick if there was some serious attempt to get out of a certain frozen situation.As if there was a need to punch a passage with my shoulder.

I had a case of shoulder pain in a client, when the shoulder began to hurt exactly at the time of worries about finances. I had to work with the poverty program, complete it (as in the Satori Healing method (examples of how the method works in the Satori Healing Magic or Money rubrics).

GET FREE BOOK “PSYCHOSOMATICS OF FEMALE DISEASES”

5 Psychosomatics 9000 (key to exit)

Topics of conflicts in which the collarbone is affected are associated with the words: block, unblock, close, open.

For example, a woman had problems with her husband and could not divorce for a long time for various domestic reasons, and then she managed to leave her ex-spouse. Almost immediately after leaving, she breaks her collarbone.

I have a key to the exit.

Another example of a collarbone fracture. A woman gets into a car accident and breaks her collarbone. Time passes, but the bone does not heal, contrary to all expectations. It turns out that there are often conflicts between spouses in the family. At the same time, the very feeling of the situation sounds like “I can’t find a way out”.

That is, constant worries about the fact that “there is no way out”, “everything is blocked” do not allow the clavicle bone tissue to grow together. (More about non-union of bones in fractures in the article Psychosomatics of fractures).

Psychosomatics Elbow

Dislocations, arthritis, bursitis, a rare variant – fractures.

Psychological causes of elbow damage – conflicts, experiences associated with monotonous hard work. And also experiences associated with obligations fulfilled at the limit of possibilities.

“I have to endure. I have no desire to do this job. I don’t want to, but I have to do it. ”

It is unlikely that I can solve all this

Either: “I want to do something, but I cannot cope, it’s too hard for me”.

Elbow problems can be experienced by an alcoholic (when a person sits at a bar, he is leaning on his elbows). Or even not with an alcoholic, but with someone who sometimes drinks, and his wife reacts violently to this every time.

Psychosomatics Wrist

1) “I am terribly awkward”, “Everything is falling out of my hands.” Helplessness in everyday life.

2) The inability to keep the old ties in the family. If a person worries that his relations with family members have deteriorated, and then reconciliation occurs, his wrist may hurt.

3) Mediator conflict. “I am between two people and I have to constantly deal with issues related to this.”

Who can be an intermediary? Insurers, those in charge of negotiations at various levels, union workers, secretaries, those who work in the claims department. You can also be a mediator between two close people.

Beauty in the hands of the one who holds)

For example, a wife is an intermediary between a mother (mother-in-law) and her husband, constantly reconciling them. The wife may start having wrist problems. A much rarer option is the mediation of the husband between the mother-in-law and the wife.

4) “I have to part with someone, but I don’t want to” (for example, I have to fire someone) . “I want to be with someone, but they won’t let me.” For example, girls have their own company, and another girl wants to join her, but she is unobtrusively or directly pushed out.

GET A FREE BOOK “PSYCHOSOMATICS FOR CHILDREN”

Psychosomatics Fingers

With our hands we, women and men, are constantly doing something. We arrange our life. If life cannot be arranged, fingers begin to be amazed.

Were you worried that the guests would be unhappy with the treat? – Arthritis of the joints of the fingers. Failed to convince your child that you don’t need to make that decision? – The index finger is broken (the index finger is the finger that we use to point someone at something, including our children).

The mother-in-law came and said for a couple of weeks that you are an inept at the household? – Mother-in-law leaves, arthritis begins.

Any almost impossible task associated with what we do with our hands can affect our fingers.

If we do an impossible task with our head, then after resolving the conflict, there may be headaches or pain in the neck. If with hands, then hands are affected.

With burnout syndrome – when a person is tired of doing everything – he drops everything, and problems with his hands may begin.

Here, the main thing is not to panic, go through this pain and live on. If a person becomes afraid of arthritis, he puts himself in a vicious circle. If a person is sick and afraid, then he is AGAIN helpless and unsure of himself, which means that the conflict of self-depreciation grows even more, and then the healing phase begins again, bringing with it inflammatory processes. Thus, arthritis becomes chronic.

If you allow to accept that everything will work out, you will let in the energy of the adjustment of everything in space.

Therefore, if you have arthritic pain for the first time, try to connect the pains with your experiences and wait for them to pass. No panic, no more worries.

You also need to understand that sometimes a woman takes on the role of a man, and a man is hands. Therefore, if it seems to her that she is doing a man’s work and she does not succeed very well, then arthritis of the fingers may begin.

A detailed description of the experiences associated with with each finger can be viewed here https: // elenaguskova.ru / psihosomatika-paltsy-ruk /

And, as always, you need to remember that it is important not just to determine what experiences led to the disease. To heal, you need to completely transform your negative feelings, thoughts, sensations into something pleasant.

An article about the psychosomatics of hand diseases with personal examples on the LINK HERE.

Table of psychosomatics of diseases

Psychosomatics of neck pain

Psychosomatics of arthritis

Psychosomatics of colds

Psychosomatics of bronchitis in children and adults

Psychosomatics of rhinitis

Psychosomatics of rhinitis

experiences leading to illness in each individual case , I will be able to at the Satori Healing SEMINARS.

If you have any difficulties, I will be glad to help you with a consultation.

List of psychosomatics OTHER diseases https://elenaguskova.ru/psihosomatika-tablitsa-zabolevanij/

Comments after the text below ↓↓↓

SCHEDULE

SEMINARS ON-LINE about the terrible consequences of the use of antiseptics

Alcohol-based antiseptics, which are recommended for use during the coronavirus pandemic, can lead to serious skin problems.As dermatovenerologists told Gazeta.Ru, if you do not use a moisturizer after treating your hands, the substances contained in antiseptics will destroy the protective water-lipid layer of the skin, which can lead to inflammation, peeling and cracking.

During a coronavirus pandemic, in order to prevent infection, it is recommended to frequently wash your hands and use antiseptics with a high alcohol content. At the same time, overuse or misuse can lead to serious skin problems.Yulia Gallyamova, doctor of medical sciences, dermatovenerologist, told Gazeta.Ru about this.

“On the surface of the skin, keratinized cells are glued together by a hydro-lipid mantle, which consists of the secretion of the sebaceous and sweat glands, and is a film consisting of fatty acids, amino acids, cholesterol and lactic acid. Thus, they create an acidic hydrolipid mantle on the surface, impermeable to bacteria, viruses and allergens, ”the doctor said.

The WHO states that antiseptics to protect against coronavirus must contain at least 70% alcohol.At the same time, emphasizes Gallyamova, it strongly degreases the skin, destroying the protective water-lipid layer, and changes the acidity on its surface.

At the same time, WHO experts advise to wash hands frequently – preferably with alkaline or antibacterial soap. In this case, the process should take at least 20 seconds under running water.

“All this aggravates the situation, does not allow the skin to recover. The skin becomes easily permeable to various bacteria, viruses and allergens, while the acidity of the skin changes towards an alkaline environment, which is favorable for the growth of pathogenic microorganisms.

All this can lead to pustular skin diseases, allergic reactions such as dermatitis or eczema. But this can be avoided if we use official (ready-made, not of our own production – Gazeta.Ru) antiseptics, ”Gallyamova said.

Dzerassa Mildzikhova, dermatovenerologist-cosmetologist, researcher at the Center for Theoretical Problems of Physico-Chemical Pharmacology, Russian Academy of Sciences, agreed with her.

“Excessive use of antiseptics can have a negative effect on the skin – irritation, redness and inflammation.When the skin loses moisture, various dermatological problems arise: wounds and cracks, “the specialist told Gazeta.Ru.

She added that a number of agents are aggressive on the skin – in particular, alcohol. In addition, it is necessary to wash your hands in warm, not hot water – the second can aggravate the condition of the skin. “Otherwise, a serious infection can be brought through the cracks – for example, streptococcus or staphylococcus,” said Mildzikhova.

At the same time, Gallyamova notes that today most antiseptics add glycerin – it retains moisture, and also partially restores the lipid mantle of the skin.

“However, today’s situation dictates the need to use hand cream more often than before. I would advise putting it on the sink, next to the soap, so that it can be applied to the skin immediately after washing your hands.

Almost all hand creams are aimed at restoring the water-lipid mantle, but for comfort, I would suggest using creams that are less dense in texture during the day, apply dense greasy products at night, ”concluded the dermatovenerologist

Meanwhile, Mildzikhova said that wearing protective gloves also injures the skin.Sweat can be released when used, she says, which, when rubbed against latex, causes irritation and, in some cases, allergies.

“Allergies can be directly to latex or to powder, which the product is treated with – these factors cause contact dermatitis. In some cases, when patients have a history of a predisposition to allergies or eczematous manifestations on the skin of their hands, they should not wear gloves, ”she said.

The specialist advises to wear cotton gloves under latex gloves so as not to provoke the manifestation of the disease and to minimize contact with latex.

Note that earlier, the Ministry of Health of the Russian Federation issued recommendations for Russians in connection with the coronavirus pandemic. As an important measure to prevent contamination, experts advised washing your hands with soap and water as often as possible.

In the absence of access to water and soap, it is recommended to use disposable alcohol wipes or moisturizing sanitary napkins, as well as antiseptics or sanitizers.

At the same time, there are many recipes for homemade antiseptics on the network, which include alcohol, hydrogen peroxide, chlorhexidine and miramistin.Most home antiseptics also contain glycerin. However, experts warn that when creating them, it is difficult for a person to maintain the desired proportions, and a mistake can lead to serious consequences – irritation, burns and wounds.

90,000 Osteoporosis and spinal fractures – quiet, but dangerous disease not

Osteoporosis causes bones to become weak and fragile, so fragile that bones crack even with a simple fall or slight pressure, such as bending, hugging or coughing and sneezing.These fractures most often occur in the hip, wrist, or spine. But in this article, we will focus specifically on osteoporosis in the spine.

How does osteoporosis develop?

Bone is a living tissue that regenerates regularly. Osteoporosis occurs when new bone tissue is not aligned with old bone tissue. This complication is common in men, women, and children of all skin colors and races, but in general, white and Asian women and postmenopausal women are more likely to have this problem.Medication, a healthy diet, and certain exercise can help prevent bone loss or strengthen weak bones.

You can learn more about osteoporosis to have less painful aging.

Osteoporosis and spinal fractures

When osteoporosis weakens bones, bones are more likely to crack or break, even bones in the spine. The spine is one of the most common sites for bone fractures due to osteoporosis. These vertebral fractures are also called vertebral compression fractures.Imagine each bone in your spine is a square block. When a bone breaks, it is as if one of these boxes has been compressed or flattened. It can occur in one or more vertebrae of the back. This results in severe back pain when standing, walking, sitting, or lifting objects.

As you get older, your bones become thinner and weaker, and your chances of developing osteoporosis increase. As a result, women, especially those over the age of 50, are more likely to have a spinal fracture.According to statistics, at the age of 80, about 40% of women develop osteoporosis, and when there is more osteoporosis, the risk of spinal fractures is higher.

To prevent these fractures, the best way to prevent osteoporosis is to increase bone strength and of course to treat vertebral fractures and fractures.

Symptoms of a spinal fracture

Many people complain of back pain when they have a broken spine, but many have no symptoms. About two-thirds of spinal fractures are painless, making diagnosis somewhat difficult.But over time, the patient develops other symptoms.

Generally, fractures in the lower spine cause more pain and movement problems than those in the upper. Why? Compression fractures of the vertebrae usually occur near the waist line, as well as slightly above it (middle of the chest) or below it (waist), and pain is more common in these areas.

This pain is often worse with movement, especially when changing position. This is often relieved by resting or lying down. Coughing and sneezing can also make the pain worse.Although pain can spread to other parts of the body (such as the abdomen or lower legs), it is not uncommon.

The most common symptoms of a spinal fracture are:

• Sudden and severe back pain
• Pain that worsens when standing or walking
• Problems with bending or twisting the body
• Shortening of height
• Hunched back

How is a spinal fracture diagnosed?

To diagnose the cause of the pain, the doctor begins treatment with a clinical examination.Examines the alignment or smoothness of the spine and its condition. Apply pressure to specific areas of the back to determine if the pain is caused by muscle or bone injury. To make sure the spinal nerve is intact, your doctor will do a neurologic exam and check for numbness, reflex changes, or muscle weakness.

The next step is imaging tests, which provide the doctor with important information about the fracture and allow the doctor to determine if the injury is new (acute) or older (chronic).

To diagnose a spinal fracture, they scan the bone using X-rays or computed tomography (CT). A Bone Density Test is also performed with a Dual X-ray Absorbent Scan (DXA or DEXA) to obtain sufficient information about the condition of the bones.

The

MRI shows in more detail any damage to the soft tissue around the fracture (nerves and disc). Because of the way the bone is shown, an MRI can help the doctor determine the age of the fracture.In the event of a new fracture, the affected bone appears brighter than the surrounding one. This indicates inflammation in this area. If the fracture is old, the bone looks normal.

Treatment of spinal fractures caused by osteoporosis

Non-surgical treatment

Fortunately, most people with compression fractures heal within three months without the need for special treatment to repair the fracture. Simple measures such as a short rest period and limited use of pain relievers are all the patient needs to do.Patients are usually advised to do light exercise such as swimming or walking as soon as they can move. In some cases, the use of braces is recommended to limit abrupt and unusual movements and to improve vertebral fractures.

But if the fracture is associated with osteoporosis, the patient is at greater risk. In this case, in addition to the usual treatments for fractures, doctors must also treat osteoporosis.

Patients with osteoporosis should be evaluated with a bone mineral density test, and osteoporosis should be treated with standard osteoporosis medications such as Alendronate bisphosphonate (Fosamax), Actonel and Boniva.Bisphosphonates can help reduce acute pain, but their main benefit is improving bone mineral density. In the long term, they can reduce the incidence of new vertebral fractures by up to 50%.

Another bone drug, calcitonin (miacalcin, fortical), is less effective in improving bone mineral density but may relieve some pain, although it is not a substitute for pain relievers. It is an injectable bone repair (forteo) drug that increases bone mineral density and reduces the risk of vertebral fractures.

Surgical treatment

If the pain and fracture is severe and nonsurgical treatment does not respond, your doctor may recommend surgery.

In the past, the only option for vertebral fracture surgery was compression fractures of the vertebrae. Which required extensive surgery, but less invasive techniques are used today.

There are two methods of strengthening the vertebrae of the spine, called kyphoplasty and vertebroplasty.Patients suffering from vertebral fracture pain are usually candidates for treatment with these methods. However, a person with a pressure fracture greater than 70% of the height of the spinal column is not a good candidate for these two methods.

In kyphoplasty, a needle is inserted into the fractured vertebra using X-rays. A small device called a balloon is then inserted through the needle into the broken nut. The balloon is inflated from the inside of the nut, as a result of which the height and shape of the nut return to their original size, then this part of the balloon is removed, and the empty space is filled and reinforced with special cement materials.This surgery can be performed under general anesthesia or local anesthesia, and the patient can return to daily activities the day after the surgery.

Vertebroplasty is a technique similar to kyphoplasty, but does not use balloons to create empty space. Instead, cement is injected directly into the crack of the nut. After this surgery, patients are advised to return to their normal routine as soon as possible.

Treatment of vertebral compression fractures by spinal fusion

Sometimes compression fractures of the vertebrae do not heal properly.In such a case, the spine surgeon may suggest a technique known as fusion. In this surgical procedure, two or more vertebrae are connected. This surgical procedure is performed with precision instruments such as pins, implants, rods, and other equipment, usually made of titanium or stainless steel.

Can people with osteoporosis have spine surgery?

The management of osteoporosis patients requiring spinal surgery is challenging due to its potential side effects.Treatment for these people must be accompanied by several other procedures that require specialists, including a spine surgeon, primary care physician, endocrinologist, and physical therapist.

These patients should receive calcium and vitamin D. hormone replacement therapy, including estrogen receptor modulators, should be considered for elderly patients with osteoporosis. Bisphosphonates, or intermittent parathyroid hormone, are prescribed for people with significant osteoporosis of the spine and affect bone regeneration prior to treatment with anti-absorption drugs.

Usually, people with multiple vertebral fractures do not face the problem of vertebroplasty or kyphoplasty and need to use the vertebral fusion surgery. But many spinal implants require strong bones to hold the spine in place. Osteoporosis patients may have difficulty with this. Complications of fusion are more common in patients with osteoporosis over 65 years of age. In addition, patients with osteoporosis experience less bone recovery (adhesion).It is much more difficult to fix the spine in a weak bone.

The most common early complications of postoperative osteoporosis are stretching or weakening of the pedicle coils, pedicle fractures, and crushing fractures of the lateral vertebrae. Sometimes, even after three months, you will see that the rods have budged. In this situation, they often use larger, stronger screws to stay in place. Even additional bone grafts may be required to ensure fusion, and other products aid fusion (such as BMP).At the same time, the patient needs to use a lumbar brace for a longer period of time after surgery.

Finally, what happens if osteoporosis is left untreated?

The cumulative effect of multiple fractures can be devastating. Chronic pain, inability and difficulty in performing normal daily activities can lead to isolation, relationship problems, and emotional problems, including depression. Spinal fractures due to osteoporosis also increase the risk of premature death.

Most people with vertebral fractures due to osteoporosis have these fractures in the chest (mid-back) and lower back (back). One or two fractures can cause a slight decrease in growth, but multiple fractures can lead to a curvature or a so-called hump, which, in addition to appearance, also affects a person’s mobility and health. Sometimes these fractures become so painful that they prevent the person from moving normally. The patient will need a walker and a cane to walk and will not be able to sit for long.

As a result of these fractures, the spine gradually becomes more disordered. The upper body is pushed forward and rounded. The space between the ribs and the pelvis is closed. The chest wall is narrow and the abdominal organs are crushed, causing the abdomen to bulge forward. In very severe cases, breathing and digestion may be difficult. All of these conditions reduce the quality of life and, in acute cases, lead to death.

90,000 NERVOUS DISEASE – WARTS – Spark No. 20 (4451) from 19.05.1996

Health

Everyone wants to be beautiful in the spring, and the number of visitors to beauty salons is increasing. However, with commonplace warts, doctors are often in no hurry. And in vain

“N don’t take a frog in your hands – you will get infected with warts” – this is how children still frighten each other. Frogs have nothing to do with it, but it is very easy to get infected with warts. This mysterious disease of a viral nature is very easily transmitted from person to person, especially easily if the virus enters the damaged areas of the skin – combed, inflamed, on the smallest cracks, invisible to the eye.The virus was isolated by scientists, however, except for the fact of its existence, everything else in the history of warts is the field of scientific hypotheses. It is assumed, for example, that the disease is based on disorders of the central nervous system, that the virus affects the nerve endings … The same wart is attributed to benign neoplasms.

Warts of children and adolescents are most often affected, it is also unknown why. Adults are more likely to suffer from other benign tumors – papillomas – tiny flesh-colored balls on a thin stalk, and old people – from the so-called senile warts, but both of them are not of viral origin.

Each of the three types of warts – simple, flat and pointed – requires special treatment.

Simple or juvenile warts appear on the face, the back of the hands and look almost harmless: barely protruding yellowish-white papules (small tumors) that are slightly scaly. However, if left untreated, many white patches will develop around the “maternal” wart, which can eventually turn into brown plaques. Teenage girls often try to remove unpleasant stains themselves or plaster them with foundation.As a result, the wart can cover the entire face, becoming a source of distress. However, if the doctor manages to identify and remove the “maternal” wart, all her “daughters” can disappear in two or three days – and this is another mystery of the mysterious disease. It is these warts that most often lend themselves to treatment by purely psychological methods: hypnosis, folk conspiracies, “grandmother’s” means. One cosmetologist said that he sometimes achieved success by tying the girl’s wrist with a red thread and not allowing her to be removed until the warts disappeared.For similar purposes, adolescents are sometimes prescribed treatment with simple vitamins.

But flat warts with all these things cannot be overcome. They look more ugly – dense nodules of a grayish-yellow color, quickly becoming keratinized. The most sensitive areas of the hands and feet are affected – the back of the palms, between the fingers, around and under the nails. A particularly difficult option is plantar warts, which can appear even in a small child. They are most often discovered quite late, and it is more difficult to treat them from this.Plantar warts interfere with walking, cause pain, and can range in size from a plaque of a few millimeters to a chicken egg.

Genital warts resembling a bright pink sponge affect the groin folds and need immediate treatment by a dermatologist.

Anna ZAKATNOVA

---

The opinion of a specialist

O.S. Panova, Candidate of Medical Sciences, Director of the Center for Cosmetology Correction:

– P Experiences to treat warts on their own can have dire consequences.Outwardly, simple and flat warts are very similar to non-pigmented melanoma – a very dangerous malignant disease. Even a single wart needs to be shown to a doctor, and it is best to treat them in specialized medical institutions or in those beauty salons where you are guaranteed a dermatologist’s consultation. When removing neglected warts, it is worth asking whether an analysis of the removed tissue will be done. The statistics of skin diseases is growing steadily, including malignant ones, so you should not neglect basic precautions.

Prevention of warts – the same simple rules of personal hygiene, cleanliness, timely treatment of lesions on the skin. In order not to get unpleasant plantar warts, do not wear someone else’s and tight shoes, if you suffer from flat feet, seek the help of an orthopedist.

---

On-call pharmacy

N The doctor will recommend the necessary means of treatment, and now there is a choice in pharmacies. The special cream “Ferizol” perfectly softens the keratinized surface of warts.For the same procedure for plantar warts, a special plaster “Solkoderm” was made. But only specialists will help to completely get rid of unpleasant growths.

The two most commonly used methods are cryotherapy and electrocoagulation. At the first, the warts are treated with liquid nitrogen (its temperature reaches minus 187 degrees). As a result of such a “burn on the contrary,” a bubble is formed, it quickly peels off, the wart disappears.

Electrocoagulation is most often used in the treatment of juvenile warts.A device resembling a thick automatic pencil is used to apply a high-frequency electric current to the warts. The procedure is practically painless and effective.

Attention: under no circumstances try to remove warts with strong acids, this causes deep skin burns, but rarely leads to success.

---

By the way

In folk medicine there are ancient methods of treating warts: smearing with celandine juice, especially juice from the root part of the plant.It is also recommended to rub the warts with the juice of garlic and dandelion; in the fall, for the same purpose, they use gruel from the fruits of red mountain ash – it is applied to the wart at night and bandaged or fixed with a plaster.

For warts in children, folk medicine recommends wiping with a piece of ice, you can artificially: keep the ice while you wait.

There are also “psychotherapeutic” folk remedies: for example, cut an apple in half with a thread, rub the wart with halves of the apple, then tie it with the same thread and bury it: when the apple decays, the warts will disappear.A completely extravagant method of treatment was recommended by the notorious Huck Finn to the even more famous Tom Sawyer – to remove warts with a dead cat at midnight on Friday in the cemetery. It is possible that these exotic methods are also effective – after all, warts, as already mentioned, are a nervous disease. But take care of yourself – instead of a dead cat, resort to the achievements of progress. It is both safer and the nerves are more intact.

Shotgun Willy – Danny Devito

Don’t sniff the line, smoke a kilogram
After that, cash like a casino
And it’s wrapper like a burrito
Rest in peace Don Vito (bitch me)

Stick your back low
Sick with raps, but no hesitation
Who wants to smoke with this whole damn crew?
I do I do I do
Wrist won’t crack, but it froze like ooo
Coming to your neck like pew pew pew
Who wanna smoke with this whole damn crew?
I do I do I do

There is no such thing as friends
I promise they don’t exist (they don’t exist)
I have arrows hiding
Choppa can kiss you (can kiss you)
Yellow shorts on me, I look like I took my piss (how I poured)
How I pull up and shorty still wanna have kids of my own (have my fucking kids!)

I could just fuck and be kidnapped
Hey bitch she’s big and doll-like
My dick she could suck
Got bread like muffins
I’m back on my bullshit for me it’s nothing
Rap games Mike Tyson
It all took one hit
Shorty like me, how I touch
She’s about to suck my dick

There is no such thing as friends
I promise they don’t exist (they don’t exist)
I have arrows hiding
Choppa can kiss you (can kiss you)
Yellow shorts on me, I look like I took my piss (how I poured)
How I pull up and shorty still wanna have kids of my own (have my fucking kids!)

I’m too drunk to walk, I’ll drive
Where’s my funds, bitch, it’s in plain sight
Fuck that hoe now she’s my wife
I’m hitting like every night
I’m too drunk to walk I’ll be driving
Where my funds, bitch, it’s in sight
Fuck that hoe now she’s my wife
I hit the beat like every night
BITCH

Stick your back low
Sick with raps, but no hesitation
Who wants to smoke with this whole damn crew?
I do I do I do
Wrist won’t crack, but it froze like ooo
Coming to your neck like pew pew pew
Who wanna smoke with this whole damn crew?
I do I do I do

I occupied my mind by immersing myself in culture
Taking in the kitchen, but mostly doing cocaine

I feel like Danny DeVito
But still look good in the speedometer
Pull like Que Pasa Mijo
She suck my dick like Cheeto
Don’t sniff the line, sniff the kilo
After that, cash like a casino
It’s a wrapper like a burrito
This rest in the play Don Vito

Bitch I’m
Top ten like a Mojo watch
Hating me you’re a bozo
Don’t want smoke like ozone
Ice feeling like Frozone
Bitch I’m
Top ten like a Mojo watch
Hating me you’re a bozo
Don’t want smoke like ozone
Ice feeling like Frozone
Bitch I’m
Top ten like a watch Mojo
Hating me you’re a bozo
Don’t wanna smoke like ozone
Ice feeling like Frozone
Bitch I’m

Hand gangrene – Innovative vascular center

Hand gangrene is a condition of necrosis of the fingers, hand or large parts of the limb, which is caused by impaired blood supply or various injuries (mechanical or thermal).Gangrene means the death of a part of the limb and requires the removal of dead tissue, however, reducing the volume of amputation and preserving the function of the hand is possible only if the blood supply disturbances are eliminated. Fortunately, patients come most often at the first signs of the disease and surgeons have the opportunity to provide timely assistance.

Unique methods of treatment at the Innovative Vascular Center

The specialists of our clinic possess unique methods of microsurgical restoration of blood circulation in case of gangrene of the hand or critical ischemia.In the treatment of such a pathology, we adhere to the principle of sufficiency of revascularization and an accurate determination of the causes of the development of pathology. Sometimes it is not possible to restore blood flow by just removing a blood clot or bypass surgery. A common cause of the development of gangrene of the hand is compression or damage to the arteries of the shoulder girdle. When a similar pathology is detected, we carry out an intervention at this level. Our surgeons have extensive experience in operations for ischemia and gangrene of the upper limb – more than 100 patients with this pathology have been operated on.

Causes and risk factors

Occlusive diseases of the upper limb arteries

• Atherosclerosis of the upper limb arteries – the development of atherosclerotic plaques in the vessels.
• Obliterating endarterteritis – an inflammatory disease of blood vessels, leading to their blockage.
• Thoracic outlet syndrome – compression of the subclavian artery between the 1st rib and the clavicle, with congenital narrowing of this space.
• Embolism of the arteries of the upper limb – acute blockage of the artery by a thrombus that came with the blood flow from the cavities of the heart or enlargements of large arteries.
• Spastic disease (Raynaud’s disease) – persistent spasm of the small arteries of the fingers and hand, leading to their gradual overgrowth.

Arteries carry oxygen and nutrient-rich blood from the heart to the rest of the body. In some vascular diseases, arteries become narrowed or blocked, which can develop gradually or suddenly. With gradual development, chronic arterial insufficiency of the hand may occur, which leads to pain in the hand during exertion, ulcers of the fingers and their death.With an acute blockage, rapid death of the limb (ischemic gangrene) can develop. In this case, an urgent operation is needed to restore blood circulation, otherwise there is a high likelihood of a large amputation.

Traumatic gangrene of the hand

Severe injuries of the upper limb lead to damage to the vascular bundles, persistent tissue edema. Compression of tissues by edema, especially in a plaster cast, can cause a sharp decrease in blood circulation and death of soft tissues of the hand.

Deep burns and the addition of a secondary infection can cause death of soft tissues and a segment of the limb, which requires subsequent amputation. Frostbite of the fingers and hand leads to a similar result.

The development of gangrene of the hand is possible with mistaken injections of drugs into arteries instead of veins, this is especially common among drug addicts. The course of the disease in this case is accompanied by the rapid development of necrosis and general intoxication.

Types of gangrene

Dry gangrene: This type is more common in diabetics and people with autoimmune disorders, as well as in atherosclerosis of the arteries of the hands.Infection is usually not the main cause of dry gangrene. However, it is possible to attach a secondary infection and disintegration of dry necrosis.

As a result of poor blood circulation (ischemia), tissue death and drying occurs. Dry gangrene is dried tissue, the skin turning from brown or dark blue to black before dying off completely. Self-healing can rarely occur with the rejection of dead tissue, but most often the formation of a stump is required.

Wet gangrene: this type develops when a secondary infection is attached.Wet gangrene has a poor prognosis due to the high risk of sepsis. Burn injuries or trauma where the limb has been crushed or compressed can also cut off the blood supply to the affected areas, causing gangrene. Infection with this type of gangrene can spread throughout the body very quickly, threatening the patient’s life.

Gas gangrene: caused by bacteria that produce gas in the tissues. It is the most severe form and is mainly caused by the bacteria Clostridium perfringens.As the condition worsens, the skin turns pale and grayish, and when pressed, it cracks. Requires quick medical attention, as the patient can die within two days. Most often develops with gunshot wounds. Diabetics can develop even with minor damage to the skin.

Symptoms and signs

Symptoms of severe ischemia of the hand:

• Pain in the hand and fingers at rest or under the slightest exertion.
• Difficulty in active movements
• Decreased sensitivity of fingers and hands
• Skin pallor, collapsed veins

Symptoms of dry gangrene:

• Dry, wrinkled and blackened skin,
• Coldness and numbness

,

• Pus-filled wound with an unpleasant odor.

Wet gangrene symptoms:

• High fever,
• Decreased blood pressure,
• Swelling and severe pain in the affected area,
• Blisters or ulcers, may be foul-smelling,
• Skin discoloration
• Cracking when pressing on the skin in the affected area (with gas gangrene).

Complications

• Major wounds requiring reconstructive surgery
• Amputation (hand or finger)
• Sepsis
• Death

It is very important to start treating gangrene before it turns life-threatening.Early treatment can help reduce the damage from gangrene to some extent. To prevent illness:

• Control your diabetes
• Treat wounds well,
• Do not tighten with a doctor’s appointment in case of darkened fingers or pain in the hand.

Gangrene, if left untreated, can spread the infection into the bloodstream and cause life-threatening sepsis. Cases of self-amputation in dry gunren are rare enough to be taken into account as a factor in the refusal of surgical treatment.

Main outcomes:

• Amputation within healthy tissue – performed by general surgeons, does not allow any functionality to be preserved.
• Necretomy followed by plastic closure of wounds – is performed after restoration of blood flow and allows you to preserve the limb as much as possible, since only dead tissues are removed
• Sepsis and death of the patient – occur when the patient refuses surgical treatment in most cases of hand gangrene.
• Self-amputation – the rejection of dead tissue followed by spontaneous healing of the stump is an extremely rare but possible outcome of arm gangrene.

Dry hands and cracked fingers: causes and treatment

A problem with which thousands of people (not only diabetics!) Around the world are familiar. It is relevant both in winter and summer. Both children and adults suffer from it.

---

Parchment-dry hands and rough fingerpads that crack, ache, and bleed over time.A real attack that causes incredible discomfort. What is the reason and what to do?

Why the skin of the hands dries up and the fingers crack

Decompensation

Naturally, we put this reason first! When diabetes is poorly controlled, metabolism is impaired, the body becomes dehydrated, and the skin dries up, becomes sensitive and fragile.

Lack of nutrients in the diet

Any malfunctions in the work of the body are first of all displayed on the outside. If the skin is dry, “sticks” appear in the corners of the mouth, there is significant hair loss, and nails are flaking and breaking, perhaps your diet lacks healthy fats, vitamins A, E, C.Add unrefined oils, nuts, fatty fish, offal, citrus fruits to the menu. If you cannot fill the deficit with food, then you should pay attention to vitamin complexes.

Use of household chemicals

Let’s be clear: Not many people wear gloves when washing dishes and cleaning up. But household chemicals are sometimes so aggressive that they can corrode the skin and cause burns. In any case, the skin of the hands is not very comfortable from daily fiddling in soapy water.

Weathering

Wind and cold also lead to dry skin and dehydration of the upper layers of the skin. Remember how in childhood parents scared us with “tiptoes” on their hands and forced us to wear gloves?

Creams with glycerin

You’ve probably heard how well glycerin moisturizes the skin. Only its optimal proportion in the composition of the cream is no more than 5%, otherwise there will be the opposite effect. The role of glycerin in the cream is to attract moisture from the air to the surface of the skin and keep it there. When there is too much of this component, it draws water molecules not only from the air, but from the epidermis, thereby dehydrating it.

Favorite finger

100% do you have a favorite finger that you most often use to puncture your blood sugar? And this poor fellow gets day after day … And even more your beloved finger gets upset when you use the same lancet week after week. Dozens of punctures, black spots on the pad, non-healing microdamages, dryness …

Sanitizers with alcohol

Today, even those who did not know what a sanitizer was 3 months ago carry it in a bag.Alcohol sanitizers, which are recommended as a means of fighting coronavirus infection, are very drying to the skin.

How to restore dry hand skin. 7 actionable tips

1. All household chores and contact with household chemicals only with gloves!
2. Watch your sugars, drinking habits and diet.
3. Wear gloves during the cold season.
4. Use regenerating and repairing creams every time you wash your hands. It is convenient and economical in this case to use a large package with a dispenser, for example, Diaultraderm hand and elbow cream (700 ml)
5. Before going to bed and in the morning, the use of creams with urea will be effective.There are many of them on the market, but it is better to give preference to professional products for diabetics, since it has long been known that it has the richest composition among others.