Middle finger hurts

Middle Knuckle Pain in the Finger | Causes and Treatments

Pain in the middle knuckle of the finger is usually caused by trauma from an injury or inflammation of the joints within the hand. Rheumatoid and psoriatic arthritis can cause swelling and knuckle pain. Read below for more information on causes and treatment options.

7 most common causes

Illustration of a doctor beside a bedridden patient.

Polymyalgia Rheumatica

Rheumatoid Arthritis

Psoriatic Arthritis

Jammed Finger

Illustration of various health care options.

Middle knuckle finger dislocation

Illustration of a doctor beside a bedridden patient.

Non-serious finger injury

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Pain in the middle knuckle of the finger symptoms

Pain in the middle knuckle of the finger, or any finger, is usually the result of swelling. Swelling is the result of fluid buildup that gets trapped in your body’s tissues. Most people first notice swelling because the affected body part may appear larger than normal.

Common characteristics of pain in the middle knuckle of the finger

Often a painful or swollen middle finger can be easily identified by comparing its size to the size of your other fingers; however, sometimes the swelling may not be visibly obvious and difficult to discern.

Common accompanying symptoms

If your pain is not accompanied by obvious swelling, you may experience other symptoms that may include:

Stiffness
Limited range of motion
Stretched or shiny skin
Skin pitting: Skin that dimples or pits after pressing on the affected area for a few seconds
Warmth or redness of the affected area
Visible deformity

If you notice any of these symptoms, make an appointment with your doctor promptly in order to follow up on your symptoms, get a diagnosis and receive appropriate care.

Causes of pain in the middle knuckle of the finger

Any condition that causes accumulation of fluid in the tissues of your finger will cause swelling and accompanying pain. Swelling can occur throughout the body due to a variety of causes, but swelling in just one part of the finger has limited triggers. A swollen finger or painful middle knuckle may not seem serious initially, but without prompt medical follow-up and care, your symptoms could worsen.

Inflammatory

Pain in the middle knuckle of the finger is often the result of injury and the resulting inflammatory response.

Rheumatologic: This category includes inflammatory conditions involving the body’s tissues and joints. Conditions such as arthritis and gout cause inflammation that easily brings fluid into the tissues leading to swelling, redness, and tenderness of single fingers and often the big toe.
Infections: The skin is home to many bacteria that can easily get into the finger via a cut, bite or other puncture. The bacteria will infect the tissues of the finger and cause entrance of fluids into the tissues that result in inflammation, swelling and other associated symptoms. Viral infections can also cause swelling of the finger in people with jobs that require exposure of the finger to body parts such as the mouth (dentists, nurses, healthcare professionals). This condition is known as herpetic whitlow.

Environmental

The finger is susceptible to many outside forces that can result in pain and injury.

Trauma: Trauma to the finger that causes pain and swelling can include simple mishaps such as jamming one’s finger on a wall or serious accidents that result in broken bones.
Weather: Sometimes extremely cold or hot weather can trigger swelling in people with pre-existing conditions such as Raynaud’s syndrome. Observe for any patterns in your finger swelling and tell your doctor in order to investigate an underlying condition.

This list does not constitute medical advice and may not accurately represent what you have.

Rheumatoid arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that affects the lining of the joints, causing them to become thickened and painful. It can also affect other parts of the body such as the heart, lungs, eyes, and circulatory system.

Rheumatoid arthritis is an autoimmune disease, which means the body's immune system turns against itself for unknown reasons.

Most at risk are women from ages 30-60. Other risk factors are family history, smoking, and obesity.

Early symptom include warm, swollen, stiff, painful joints, especially the fingers and toes; fatigue; and fever. Usually, the same joints on both sides of the body are affected.

If untreated, irreversible joint damage and deformity can occur, with other complications. Early diagnosis can allow preventive treatment to begin as soon as possible.

Diagnosis is made through physical examination; blood tests; and x-ray, CT scan, or MRI.

There is no cure for rheumatoid arthritis, but the disease can be managed to improve quality of life. Treatment includes nonsteroidal anti-inflammatory drugs; steroids; anti-rheumatic drugs; physical therapy; and sometimes surgery to repair the joints.

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Psoriatic arthritis

Psoriatic arthritis is a complication of psoriasis, which causes the skin to become thickened, red, and scaly. Arthritis may appear before or after the psoriasis appears.

Both conditions are autoimmune diseases, where the body attacks itself, and are thought to be caused by genetic and environmental factors.

Most susceptible are people from 30 to 50 years of age with a family history of the disease and who already have psoriasis.

Symptoms include the joints on one or both sides of the body becoming painful, swollen, and hot; swelling and deformity of the fingers and toes; pitted, flaking fingernails; foot pain in the heels and soles; and joint pain in the low back pain.

It is important to seek treatment, as psoriatic arthritis can permanently damage the joints, eyes, and heart.

Diagnosis is made through physical examination, x-rays, and MRI. Blood tests and joint fluid tests can confirm psoriatic arthritis.

Treatment includes over-the-counter, nonsteroidal anti-inflammatory drugs; anti-rheumatic medication; immunosuppressants; and steroid injections for the joints. Surgery to replace damaged joints may also be tried.

Polymyalgia rheumatica

Polymyalgia rheumatica (PMR) is a chronic condition that involves inflammation, aching pain, and morning stiffness. It affects muscles close to the middle of the body, including the shoulders, hips, and back. Its cause is not known, but it is more common in people over 50 years old.

You should consider visiting a healthcare provider within the next day to discuss your symptoms. PMR can be evaluated with a review of your symptoms and medical history. Your provider may also perform a blood test. Once diagnosed, it can be treated with prescription steroid medication, which can improve symptoms within one week.

Non-serious finger injury

Finger injuries are very common & rarely need medical treatment.

You can treat this at home with ice and rest. An X-ray would be necessary to rule out a fracture if you had swelling and difficulty moving the finger.

Rarity: Common

Top Symptoms: recent finger injury, finger pain from an injury, swollen finger, severe finger pain

Symptoms that always occur with non-serious finger injury: recent finger injury

Symptoms that never occur with non-serious finger injury: bent or crooked finger

Urgency: Self-treatment

Middle knuckle finger dislocation

The middle knuckle is called the proximal interphalangeal (PIP) joint. A PIP joint dislocation occurs when trauma causes the bones of the finger to dislodge, resulting in a very painful and swollen joint.

You should visit your primary care physician within the next 24 hours. This injury is very painful, and is usually treated by a hand specialist. Surgery is not usually required, and treatment consists of icing the affected area, splinting the finger, and anti-inflammatory and pain reducing drugs.

Rarity: Rare

Top Symptoms: bent or crooked finger, finger dislocation at the knuckle connected to the palm, pain in the middle knuckle of the finger, finger pain from an injury, swelling of the small knuckle of the dmiddle index finger

Symptoms that always occur with middle knuckle finger dislocation: bent or crooked finger, finger dislocation at the knuckle connected to the palm

Urgency: Primary care doctor

Jammed finger

Jammed fingers are common in sports but may occur during daily activity.

You should visit a physician or urgent care center in the next day. Generally, surgery is not required and splinting is sufficient.

Gout

Gout is a form of arthritis that causes sudden pain, stiffness, and swelling in a joint. The big toe is often affected, but it can also happen in other joints. Sometimes, the joint gets hot and red. Gout is caused by uric acid crystals. Risk factors for gout include obesity, eating a lot of meat, drinking beer, age (older), sex (male), and family history.

You should see a healthcare professional to see if uric acid crystals have accumulated in the joint. Gout can be diagnosed based on symptoms, but it's also common to take a sample of joint fluid for testing. A physician can give you a prescription for anti-inflammatory medications and/ or pain medications. There are also medications to stop your body from making too much uric acid. Sometimes, a shot in the joint can help with symptoms also.

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Pain in the middle knuckle of the finger treatments and relief

At-home treatments

If you note pain in the middle knuckle of your finger after trauma such as jamming or hitting your finger:

Rest, Ice and Elevate: Put an ice pack on your finger or place your finger in ice water every 15 minutes. Maintain your finger elevated and still to minimize further irritation and prevent continued fluid accumulation in your tissues.
Protect: If the pain and swelling persist, you can protect the affected finger from further trauma by attaching it to an adjacent finger using tape or a self-adhesive wrap. The affected finger will be less likely to move which prevents further inflammation and fluid accumulation.

When to see a doctor

If your swollen finger persists for a prolonged period of time and worsens despite not seeming related to a traumatic event, make an appointment with your doctor. Depending on the cause your doctor may initiate:

Antibiotics: Your doctor will prescribe antibiotics if your swollen finger is due to a bacterial infection. The antibiotics will combat the infection and allow the body to lessen its inflammatory response.
Rheumatologic medications: There are many different types of medications that combat rheumatologic conditions that may be causing your swollen finger. Talk to your doctor to discuss and come to an agreement about the best type of treatment.

When it is an emergency

Seek medical care immediately if:

Your finger appears deformed
You cannot straighten your finger
The area becomes hot and inflamed and you develop a fever
Swelling and pain increases significantly and persists
The finger becomes numb and turns white or pink

These symptoms may be related to a more serious cause such as a broken finger resulting in decreased blood flow to the finger and/or hand.

FAQs about pain in the middle knuckle of the finger

What is a rheumatoid nodule?

A rheumatoid nodule is one of the most common skin manifestations of rheumatoid arthritis. Rheumatoid arthritis is a chronic disease that causes inflammation of the joints and results in painful movement and stiffness, especially in the fingers, wrists, and ankles. Nodules are large, painful bumps that often develop in the joints of the fingers and also on the elbows, forearm, back, heel and many other areas.

What is a Heberden node?

A Heberden node is a common skin manifestation of osteoarthritis. Osteoarthritis is a chronic disease caused primarily by degeneration of joint cartilage. A Heberden node is a hard, bony swelling that results over time due to chronic degeneration and resulting inflammation. These nodes often occur in the middle and index fingers. See this image here of nodes in someone with osteoarthritis.

What is the difference between a middle finger fracture and a middle finger dislocation?

A fracture occurs when the bones in a body part break. A dislocation does not involve breaking bones but rather only displacement or misalignment of bones. The distinction is important as fractures and dislocations are treated differently. If you experience trauma to the finger that results in severe pain and visible deformity, make an appointment with your healthcare provider to get the appropriate diagnosis and care.

What is herpetic whitlow?

Herpetic whitlow is an infectious lesion on the finger or thumb caused by the herpes simplex virus. See an image of this type of lesion here. This is often a side effect of oral herpes infection and is a common hazard in occupational settings such as dentistry and healthcare where individuals are repeatedly exposed to infected secretions.

How can I prevent infection of my middle finger?

Proper hand hygiene is the key to preventing skin infection. Wash the hands regularly with soap and water, avoid putting the hands in the mouth and make sure to cover cuts and abrasions with bandages.

Questions your doctor may ask about pain in the middle knuckle of the finger

Did you injure your finger?
Do any of your body parts (e.g., toes, hands, ears) feel cold?
Did you get a manicure and/or pedicure in the past few days?
Where on your finger is the pain worst?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Jeffrey M. Rothschild, MD, MPH.

Associate Professor of Medicine, Brigham and Women’s Hospital

Dr. Rothschild has been a faculty member at Brigham and Women’s Hospital where he is an Associate Professor of Medicine at Harvard Medical School. He currently practices as a hospitalist at Newton Wellesley Hospital. In 1978, Dr. Rothschild received his MD at the Medical College of Wisconsin and trained in internal medicine followed by a fellowship in critical care medicine. He also received an MP...

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15 Causes, Types, Diagnosis & Treatment

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Overview

Finger pain is a throbbing, cramplike, or achy pain that’s felt in any of your fingers, including your thumb. It often results from an accident or a medical condition.

In most cases, finger pain isn’t serious and will go away on its own. However, unexplained finger pain can be a sign of a more serious medical condition.

Be sure to visit your doctor if you experience ongoing or unexplained pain in your fingers.

The most common cause of finger pain is a hand injury. Injuries to the finger can cause an open cut, a bruised or fractured bone, or muscle and tissue damage.

Common injuries that result in finger pain are:

broken fingers, which are often caused by jamming the finger during contact sports or while improperly handling heavy-duty equipment
cuts
broken fingernails

Medical conditions that affect the nerves, muscles, or bones can also cause finger pain.

For example, osteoarthritis (OA) causes the breakdown of cartilage. This breakdown causes bones to rub together and triggers pain and stiffness. In the hands, OA can affect the joints at the base of the thumb, in the middle of the finger, and near the nail bed.

Other conditions that can cause finger pain include:

rheumatoid arthritis (RA)
osteoporosis
muscular dystrophy
multiple sclerosis (MS)
carpal tunnel syndrome
systemic sclerosis, a rare autoimmune disorder
Raynaud’s phenomenon, a disorder that effects blood vessels
boils
nodules
cysts
tumors

A compressed or pinched nerve in the arm, wrist, or hand can also contribute to finger or thumb pain.

Finger pain may feel dull and achy, or it may be sharp and cramplike. The pain may start suddenly and then go away.

Pain accompanied by swelling

If you have a broken finger, it’ll usually be swollen, purple or blue in color, and extremely painful. In some cases, the bone might be physically separated and visible through the skin.

Throbbing pain or pain when moving

Carpal tunnel syndrome and other medical conditions that affect the nerves and muscles in your arm and hand can cause:

throbbing pain in the hand and fingers
pain when moving the affected fingers or when moving your wrist
difficulty typing or writing
hand tremors

Sharp shooting pain

A finger dislocation occurs when the bones of your finger or thumb dislocate from their joints. In some cases, the dislocation is visible.

You may also experience throbbing pain or a sharp shooting pain.

Pain at the site of injury

A cut on your finger may cause pain at the site of the injury. Depending on how deep the cut is, you may also feel pain that spreads or radiates to surrounding areas of your hand.

Pain accompanied by lumps

If you have a growth on your hand, such as a boil or nodule, you may experience the following symptoms along with your finger pain:

a fluid-filled lump
a hardened area of skin
a movable lump under the surface of the skin
a lump that’s tender to the touch

If you have a cut or growth on your finger, your doctor may be able to diagnose the condition based on a physical examination alone. If you have pain when using your fingers and there’s no obvious cause, more information will be needed.

Your doctor will ask questions about your medical history, medications you take, and your occupation. Using this information, your doctor can decide which tests are necessary for a proper diagnosis.

Common tests for diagnosing finger pain include blood tests and imaging tests, such as X-rays.

An X-ray can show any fractures and abnormal growths within the finger. If an X-ray isn’t enough to determine a diagnosis, your doctor may order additional imaging tests or a nerve study. A nerve study looks for nerve damage or nerve dysfunction.

Finger pain caused by cuts, scrapes, or burns will often heal without treatment. You simply need to give the area time to heal. You can take over-the-counter pain medications to help ease your discomfort.

Why my fingers hurt

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In just 12-24 sessions, depending on the intensity of treatment and the stages of the development of the disease, you will get rid of pain and discomfort in the fingers, increase mobility, normalize sleep and be able to live a full life

It is important to understand

If pain is found in the fingers, it is necessary to select an individual set of therapeutic exercises, study the technique of their implementation and exclude exercises due to contraindications.

With this symptom, it is important to regularly attend treatment sessions, complete a full course of treatment in a specialized Center, and in the future you need to maintain your health in a preventive regime on your own.

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Contents of the article:

Why do my fingers hurt?
Pain in the fingers: causes
Rheumatoid arthritis
Psoriatic arthritis
Infectious arthritis
Gout
Osteoarthritis
Stenosing ligamentitis
Pain in the joints of the fingers
Pain in thumb joint
Pain in the fingers on the left hand
Left thumb
Left index finger
Left middle finger
Left ring finger
Little finger

The human body is like a mechanism with many parts, each with a specific function.

Human hands and fingers perform a wide variety of tasks, whether it be lifting weights, assembling jewelry, making small parts or complex surgery.

Very often people complain about the appearance of pain and numbness in the joints of the fingers. Such sensations can appear after physical work, as well as after sleep.

But the visit to the doctor is constantly delayed. In vain, because late treatment and the lack of identification of the problem gradually lead to more serious problems.

Why do my fingers hurt?

Pain in the fingers on the hand may be inflammatory or mechanical in nature.

Pain occurs in the morning in the form of stiffness of the fingers, and the condition can last for more than an hour.

Pain in the fingers: causes

The following diseases lead to pain:

Rheumatoid arthritis

In some patients, the pain that occurs is associated with an inflammatory disease present. In this case, small joints are affected, but if left untreated, such a process can go to the internal organs.

First the metacarpophalangeal joints become inflamed and start to hurt. Gradually, there is swelling and slight redness of the skin, which becomes hot to the touch. Gradually, the pain increases and it becomes difficult to squeeze the hand into a fist.

Defeat involves both hands. The main feature of this disease is that the pain is felt at night and in the morning, and by the evening they disappear.

Psoriatic arthritis

With this disease, pain appears between the bone and the distal phalanx, which is noticeable when examining the surface of the skin. In this case, the fingers swell strongly and resemble "sausages" in appearance, and the skin acquires a reddish-bluish color. The work of the hands and fingers becomes difficult.

Infectious arthritis

The resulting acute pain persists for several hours and even days, and the joint becomes hot to the touch. A person has a fever and chills.

Gout

The main symptom of the disease is the appearance of unbearable pain in the tips of the phalanx or in the entire finger. The disease often affects people over 50 years of age.

Osteoarthritis

The disease is non-inflammatory and often affects older women. In addition to the sensation of pain, deformation, thickening and some limitation of joint mobility are noted. The main causes of such a disease can be heredity, metabolic disorders, as well as the features of daily work.

Stenosing ligamentitis

A person complains of pain when working with the hand, and often the palm does not unbend back and seems to jam a little. When performing extension, a characteristic click is heard, and the symptoms are similar to arthritis. To establish an accurate diagnosis, the necessary x-ray studies are prescribed.

When rhizarthrosis is detected, pain is felt in the thumb. Such a disease often appears after an infection, severe poisoning, trauma, and joint overstrain. The pain is present in one place of the finger and is seriously aggravated by turning the key, opening a tight cover or rotating the door handle. The thumb hurts a lot when performing any action, and then the pain persists even at rest. Over time, the joint on the hand is deformed with loss of activity.

Rheumatism is characterized by a sudden onset of pain. Swelling and slight redness, swelling and inflammation of the fingers begin, their mobility is lost. The patient's body temperature gradually rises and the appearance of skin rashes is noted. Treatment is serious and is prescribed only by a doctor.

Tunnel syndrome appears in people who work almost constantly on the computer. Often the disease is diagnosed in young people who are fond of various computer games.

Pain in the joints of the fingers

Often pain is caused by various inflammatory processes that go unnoticed in the joints. When the hands freeze, soreness appears with blue skin, which then gradually turns red. As a result, when an injury occurs or when the wrist joint is squeezed, paroxysmal pain usually occurs. Acute discomfort, tingling sensation indicate the development of cervical osteochondrosis.

The causes of the onset of the disease influence the duration of such symptoms. If pain symptoms in the hands are ignored, their motor activity is disturbed. In the absence of treatment for diseases of the fingers, the joints are irreversibly deformed. As a result, the person becomes disabled.

The most dangerous possible complications of the disease:

beginning of necrosis of all bone tissues;
osteomyelitis with purulent process;
osteolysis with resorption of bone elements;
generalized sepsis with infection.

Pain in the joint of the thumb

Such pain occurs due to various factors, for example, due to heredity or household injury. So, the thumb allows you to perform grasping actions, so damage to it seriously limits the capabilities of each person.

If close relatives had degenerative pathologies, then the future generation may acquire the same problems. They also reduce immunity and lead to the appearance of pain in the hands of smoking, regular consumption of alcohol and salty foods.

People over 50 often experience arthritis and various degenerative changes, resulting in pain in the thumbs.

When unpleasant pain occurs, a comprehensive examination is required to identify the main cause of the disease. Moreover, the mechanism of the appearance of pain is different. With gout, the deposited salts cause swelling and slight redness of the skin on the hands. The articular interstitial structure changes, so various unpleasant sensations appear.

Finger pain on the left hand

To rule out systemic diseases, it is important to separate the different types of pain that are felt in the left hand. Painful symptoms can be caused by a number of reasons:

Severe pain in the fingers is quite common due to various problems with the blood vessels.

Pain affecting the thumb is a direct signal that nerve damage in the neck has occurred.

Aching pain that occurs in the fingers is a signal of quite serious problems in the sixth vertebral cervical root.

With a serious foraminal hernia located between the V and VI bodies of the cervical vertebrae, the little finger begins to hurt, as well as the thumb.

The middle finger quite often affects the left-sided hernia of the C4-C5 vertebrae.

The entire affected hand or certain areas of the hand may cause concern. When diagnosing, the presence of any injuries should always be excluded.

Left thumb

The thumb differs from other fingers in its smaller size due to the presence of only two phalanges, the bruise of which is dangerous and quite painful.

The sixth root of the neck is responsible for the normal functioning of the thumb, which is damaged by a posterior interdiscal hernia located between the III and IV vertebrae. Often, the fingertips become numb due to growing problems with the median nerve that runs in the cervical region.

Left index finger

This finger rarely bothers a person separately from the whole hand and depends on the VII left root on the neck. The pain affects the middle finger located next to it, and discomfort is given even to the cervical region. Currently, the disease can be diagnosed by MRI.

Left middle finger

Quite rarely, this finger starts to hurt in a person by itself. For all its actions, the VII vertebral cervical root is responsible. With damage to the cervical region, there is constant weakness in the arm.

Left ring finger

Painful manifestations can be felt in the ring finger, and the little finger is also affected. The nature of the pain can only be determined by a highly qualified doctor. The main symptoms are acute pain near the nails or near the fingertips. Later, a slight tingling of the phalanges or their numbness is felt.

Such areas get cold most of all in cold air due to existing problems with the cervical region. This may be carpal tunnel syndrome, leading to swelling and cyanosis of the entire palm. It can also be a dislocation that has occurred with the protrusion of the phalanx of the finger from the joint, which requires emergency medical care.

Little finger

The left little finger mainly hurts due to various injuries of the VIII cervical root. Dangerous hernias appear at the level of C5-C6. If there is a limitation of mobility, it is recommended to contact an orthopedist-traumatologist.

How is the treatment going?

You are consulting a doctor

The initial consultation is by appointment.

Doctor's consultation: history taking, myofascial diagnostics, functional diagnostics.

How does it work?

Collection of anamnesis - analysis of the disease, limitations and contraindications, explanation of the principles of kinesitherapy, features of the recovery period.

Myofascial diagnostics is a method of manual diagnostics, in which the doctor evaluates the range of motion of the joints, determines painful seals, edema, hypo- or hypertonicity of the muscles and other changes.

Functional diagnostics (carried out in the rehabilitation room) - the doctor explains how to perform certain exercises on the equipment and observes: how the patient performs them, what amplitude of movement he can work with, which movements cause pain, what weight the patient can work with, how he reacts the cardiovascular system. Problem areas are identified. The data is entered into the map. Emphasis is placed.

According to the results of the primary examination of the doctor and functional diagnostics, a preliminary individual treatment program is drawn up.

It is desirable to have with you:

for pain in the spine - MRI or CT (magnetic resonance or computed tomography) of the problem area;
for pain in the joints - x-rays;
in the presence of concomitant diseases - extracts from the medical history or a polyclinic card;
comfortable (sports) clothing and footwear

Begin classes with an instructor

At the beginning of the treatment cycle, the doctor, together with the patient, draws up a plan of treatment measures, which includes the date and time of the treatment session, control visits to the doctor (usually 2-3 times a week).

The basis of the treatment process is therapeutic sessions in the rehabilitation room on simulators and sessions in the gym.

Rehabilitation simulators allow you to accurately dose the load on individual muscle groups, providing an adequate regime of physical effects. The treatment program is compiled by the doctor individually for each patient, taking into account the characteristics of the organism. Supervised by qualified instructors. At all stages of recovery, it is important to follow the technique of proper movement and breathing, to know your weight standards when working on simulators, to adhere to the prescribed treatment regimen and follow the recommendations of specialists.

Sessions of articular gymnastics help to restore visual coordination, improve joint mobility and elasticity (flexibility) of the spine and is an excellent preventive system for independent use.

Each treatment cycle - 12 sessions. Each lesson is supervised by an instructor. The duration of one treatment session is from 40 minutes to 1.5 hours. The instructor draws up a program, taking into account concomitant diseases and the patient's condition on the day of classes. Teaches the technique of performing exercises and controls the correct execution. Every 6th lesson, a repeated consultation of the doctor is carried out, changes and additions are made to the program, depending on the dynamics.

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How many cycles will it take? – individually for everyone

Important to know:

– how long have you had this problem (stage of the disease)

– how your body is prepared for physical activity (do you do gymnastics, any kind of sport) … -

Important!

what result do you want to get.

If the disease is in the initial stage and the body is prepared, one treatment cycle is enough. (example - young people aged 20-30 years old who go in for sports. We focus their attention on the technique of doing exercises, breathing, stretching, "wrong" exercises that are harmful to problem areas are excluded. Such patients are trained, receive the skill of "caring for their body ”, receive recommendations in case of exacerbation and continue to practice themselves).

If the problem has been around for a long time, you do not do gymnastics, there are concomitant diseases, then another period of time will be needed

- to remove the exacerbation? - one or two cycles is enough,

- restore the function?

- walking non-stop (climbing stairs),

- bending over, doing certain work without effort

- being motionless for a long time on a trip (in an airplane, car ...)

improve? support? not worsen?

three or more treatment cycles may be needed …

Every organism is different and the program for every patient is different.

Make an appointment with the doctor of the center in advance

Specialization:

Pain and numbness of the fingers

Photo: coalcreekpt.com

Many people complain of numbness in the fingers and pain that wakes them up at night and interferes with full-time work. However, not everyone goes to the doctor when the disease has not gone so far, and irreversible changes can be avoided. About what symptoms should cause concern, and in what cases surgical intervention is necessary, we talk with the orthopedist-traumatologist of the Medical Center for Diagnostics and Treatment Simonas SEREIKA.

– What diseases of the hand and wrist do patients most often address?

- These are mainly diseases caused by pinched nerves - tunnel syndromes of the carpal and ulnar tunnels, as well as diseases caused by inflammation of the tendons - the so-called "tapping" finger and tenosivitis of the radius. Often there are diseases of the joints, pain in the hand, violations of the subcutaneous structure.

The most common and well-known carpal tunnel syndrome is carpal tunnel syndrome. compression of the median nerve under the transverse ligament of the wrist, which occurs between three bony walls and a dense ligament that holds the tendons of the muscles that flex the fingers and hand. Carpal tunnel syndrome and diseases caused by inflammation of the tendons are more often diagnosed in women over 50 years of age or in young people burdened with heavy physical work. At night, they cannot sleep because of numbness and pain in the fingers. During the holidays, these symptoms often subside. Pain in the wrist sometimes appears after injuries, gradually increases and begins to interfere with daily life. The cubital tunnel syndrome affects both men and women over 30 years of age. Dupuytren's contracture (palmar fibromatosis) - painless cicatricial degeneration and shortening of the palmar tendons - is inherited, more often observed in smokers, physically working men over 60 years old.

– How do the symptoms of these diseases differ?

– With carpal tunnel syndrome fingers go numb at night, pain appears in fingers 1-4, they are stiff in the morning. At the initial stage, numbness after waking up disappears, with the progression of the disease it remains, and objects begin to fall out of the hands, it becomes difficult for the patient to fasten buttons, although at night there may not be pain at all.

Elbow joint syndrome most often manifests itself only in numbness of the fingers, less often in pain at night. 4-5 fingers are damaged. With the progression of the disease, the muscles of the palm weaken, strength disappears.

The main cause of stenosing tenosynovitis (trigger finger) is pain in the hand. The palm begins to hurt when moving the fingers. The pain extends to the forearm. With the progression of the disease, it becomes more difficult to unbend the finger, it "gets stuck", a characteristic sound appears - a click, which gave the popular name to this disease. Sometimes the finger does not unbend at all, then it has to be returned to its place with the other hand. Trigger finger syndrome is caused by a nodule on the extensor tendon. Most often, patients have damaged fingers 1, 3, 4.

Dupuytren's contracture is manifested by the inability to straighten the fingers, nodular thickening of the skin on the palms. At first it can be painful, then changes occur in the fingers - it is not possible to straighten them.

Hygroma of the wrist (hernia) is a small, rounded protrusion under the skin. Occurs as a result of a sharp turn with a load or after a large physical exertion. Because of this formation, patients most often turn to a hand surgeon. A “bump” seems to grow on the brush, it scares people very much.

Diseases of the joints of the hand and wrist are very complex, so a thorough examination is necessary.

– What is the cause of this or that disease?

- The most common cause is excessive physical activity or injury, as a result of which the tendons become inflamed, enlarged, begin to injure other tissues, pinch nerves. After an injury, the joints begin to wear out faster. Hormonal changes also influence and, oddly enough, everyday habits, for example, during sleep, take a pose with strongly bent arms, while working, constantly rest your elbows on the table, and for drivers - on the edge of the car door. The causes of some diseases are not fully understood.

– What symptoms should lead a person to see a doctor?

- You should always consult a specialist if your fingers become numb a little or suddenly - this is a sign of a pinched nerve, also if a neoplasm has appeared and it begins to grow. When a person does not go to the doctor due to diseases manifested by numbness of the fingers, night pains, the nerve is damaged more and more - the fingers lose their sensitivity, the muscles of the hand begin to atrophy, the hands become weak, it becomes difficult to take small objects, the hands are afraid of the cold. In this case, even after the operation, the function of the hand may not be fully restored. If the finger "gets stuck" and the disease progresses, even after the operation, movements may remain limited.

It is very often difficult for patients to name clear symptoms, so conditions in which a nerve is pinched can go undiagnosed for a long time. By contacting in time, the patient can receive qualified assistance. In these cases, a diagnostic study is very informative - electroneuromyography, which helps to establish the degree and amount of damaged tissues.

– What is the treatment strategy for the listed diseases?

– At the initial stage, these diseases are treated conservatively. If this does not help, the doctor decides whether surgery is required. It is important that the patient arrives on time. Operations carried out in a timely manner are simple and very effective. When the disease goes far, the effectiveness of operations is not so high.

Conservative treatment of carpal tunnel and ulnar tunnel syndromes is reduced to a decrease in physical activity on the arm, the appointment of non-steroidal anti-inflammatory drugs, B vitamins that improve blood flow and nerve nutrition, vasodilator drugs, splinting. Diagnosis of these diseases and determine the tactics of treatment helps electroneuromyography.

Trigger finger treatment I usually start with hormonal blockade with Kenalog. On treatment tenosynovitis splint, hormonal blockade is prescribed. Neoplasm - in the case of hernias of the wrist, finger joints, tendons - is pierced. Changes in the joints of the wrist are treated with splinting, anti-inflammatory drugs, physiotherapy, injections into the joint.

– When is surgery necessary?

- Always with Dupuytren's contracture , otherwise if conservative treatment fails and symptoms persist or progress.

Operations are compensated by the Health Insurance Fund, so the patient can avoid waiting in line and go to any clinic capable of performing such an operation, for example, our Center. After all operations, the patient is discharged home on the same or next day. The main thing at the first symptoms is not to hesitate to prevent serious diseases. +370 687 99 342 (Russia, Viber, WhatsApp) e-mail: medtour@medcentras.

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