Arthrosis of the hands is a degenerative disease, manifested by cracking and destruction of the cartilage of the articular joints. The most affected are the metacarpophalangeal, interphalangeal, distal and proximal joints, as well as the wrist itself. The ulna and shoulder joints are less commonly affected. Arthrosis of the hands
The disease makes it difficult to perform everyday work, especially associated with fine motor skills of the fingers. To restore normal mobility, complex treatment is needed. It is necessary to go to the hospital at an early stage.
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Arthrosis of the hands mainly develops in elderly patients who are older than 55 years. More often it is women who are ill.
- congenital malformations of the hands;
- arthritis, rheumatism, diabetes;
- professional activity associated with a constant load on the hands;
- elderly age;
- improper nutrition, metabolic disorders;
- bad habits;
- constant hypothermia.
Symptoms and stages
Unpleasant symptoms of hand arthrosis result from fraying cartilage. When cartilage tissue is destroyed, its cushioning properties are lost. The bones begin to rub against each other, provoking the development of inflammation and severe pain.
Typical symptoms of arthrosis of the hands:
- pains in the hand or fingers, which intensify during the day when performing various actions, and subside at night;
- morning stiffness;
- swelling and swelling of the articular joints;
- decreased mobility of joints and articulating bones;
- decreased brush compression force;
- finger lengthening;
- the appearance of nodules of Heberden and Bouchard (osteophytes or bone spurs).
Symptoms depend on the stage of arthrosis of the joints of the hand. There are 3 stages of the development of the disease:
- At the initial stage, arthrosis of the small joints of the hands is manifested by aching pain, as well as a crunch during flexion and extension of the fingers. Painful sensations mainly appear after physical exertion, with changing weather or at night. Swelling is noticeable in the area of the phalanges, there is slight discomfort when moving with your fingers.
- At the next stage, arthrosis of the interphalangeal joints of the hands is manifested by a more intense and constant pain syndrome, which most worries the patient at night. Bone growths form at the site of swelling of the articular joints. Fingers can be deformed, mobility of joints of hands worsens. A crunch accompanies all actions with a brush.
- Arthrosis of the distal interphalangeal joints in the third stage leads to the most severe symptoms. Conservative treatment is ineffective. On the x-ray, the destruction of the cartilage, which caused arthrosis of the fingers, is clearly visible. Symptoms of the disease – acute pain, an increase in bone outgrowths in size, a significant restriction of movements. The bone surfaces of the joints can grow together. In these places, mobility is completely absent, as is pain.
Which doctor treats arthrosis of the hands?
For the treatment of hand arthrosis, it is better to contact an arthrologist. If this specialist is not available in your clinic, then you should visit an orthopedist, rheumatologist, or surgeon.
Diagnosis involves the taking of an anamnesis, examination of the patient, laboratory and instrumental examination. The patient must undergo a general blood and urine test, as well as blood biochemistry.
- radiography ;
- CT or MRI ;
Radiography is usually enough to make a diagnosis, which results in the narrowing of the interarticular gap, under-cartilage sclerosis and the formation of osteophytes.
The treatment of finger arthrosis depends on the stage of the disease. At the initial stage, conservative therapy is enough. She suggests:
- taking medication;
- physiotherapeutic treatment (magnetotherapy, electrophoresis, laser therapy, paraffin or ozokerite applications);
- Exercise therapy;
- lifestyle changes;
- adherence to the diet.
In some cases, it is advisable to use an alternative therapy.
It is important to avoid injuries during treatment.It is necessary to reduce the load on the affected joint, for this it is worth using an elastic bandage or wristlets.
Treatment of arthrosis of small joints of the hands is possible by surgery. Small joints are held together or reconstructed. In case of damage to larger articular joints, for example, the forearm, they are partially or completely replaced.
Arthrosis of the interphalangeal joints of the hands is treated with the following drugs:
- NSAIDs to reduce inflammation and pain – Indomethacin, Diclofenac, Ibuprofen;
- analgesics for severe pain syndrome – Ketonal, Midokalm, Fastum or Nise gel;
- chondroprotectors for cartilage restoration – Arteparon, Structum, Teraflex.
In the second stage, when the manifestations are pronounced, it is more effective to inject drugs directly into the joint cavity. If there are signs of complications, then hormone therapy is used. Cortisol or hydrocortisone is administered intraarticularly.
Drug treatment of arthrosis of the hands is impossible without exercise therapy. Fixed fingers need to be developed.
You need to do therapeutic exercises on a daily basis, but it is worth stopping classes in acute pain syndrome.
A set of exercises:
- bend and unbend fists;
- alternately touch the little finger with the small pillow, and with the rest of the fingers – to the thumb;
- bend all fingers and then unbend;
- put your palm on the table and in turn raise each finger up, then slowly lower it.
To treat arthrosis of the phalanxes of the fingers using manual exposure. Massage techniques include tapping, kneading and stretching fingers. Massaging improves mobility and prevents joint deformation.
Traditional medicine is effectively used only at the initial stage to prevent complications. Recipes:
- Palm wrap with burdock leaves. You can make compresses based on this raw material. To do this, the leaves should be crushed and applied to the diseased joint at night. The course of treatment is 2-3 weeks.
- Oatmeal compress. You need to cook a thick oatmeal porridge, add 1 tbsp. l honey. Apply the resulting mixture to the joint for 7-8 hours.
- Alcohol grinding. Prepare a medicine based on honey, glycerin, iodine, and alcohol. All ingredients in equal proportions. Rub the resulting brushes with the resulting liquid no more than 2 times a day.
Folk remedies will relieve pain and reduce the inflammatory process.
Prevention of arthrosis of the hands is to eliminate predisposing factors. To strengthen the musculo-ligamentous apparatus, it is useful to do swimming and gymnastics.
Preventive measures are especially necessary for people with a hereditary predisposition, as well as for patients engaged in heavy physical labor.
The disease develops gradually, so the patient can seek treatment after years when severe complications appear. You need to visit a doctor already at the moment when there will be a crunch and mild pain.
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