Hand/Wrist Arthritis

Overview

Symptoms

Treatments

Recovery

About Hand/Wrist Arthritis

Hand and wrist arthritis is a common condition characterized by inflammation and degeneration of the joints in the hands and wrists. This condition can significantly impact daily activities, as it often leads to pain, stiffness, and decreased hand function. The most common types of arthritis affecting the hand and wrist are osteoarthritis, which is due to wear and tear of the joint cartilage, and rheumatoid arthritis, an autoimmune disorder that causes joint inflammation. Over time, arthritis can lead to joint deformity and loss of function, making early diagnosis and treatment crucial for managing symptoms and maintaining hand and wrist mobility.

Symptoms

The symptoms of hand and wrist arthritis can vary depending on the type of arthritis and the joints involved, but common symptoms include:

Pain

Persistent or intermittent pain in the affected joints, often worsening with activity and improving with rest. The pain  may be described as aching, throbbing, or sharp, especially  during movement.

Reduced Range of Motion

Over time, arthritis can limit the ability to move the fingers and wrist through their full range of motion, making it difficult to perform tasks like gripping or twisting.

Stiffness

Morning stiffness in the hands and wrists is a hallmark symptom, particularly in rheumatoid arthritis. Stiffness may last for several hours and improve with movement.

Joint Deformity

In advanced cases, arthritis can lead to visible changes in the shape and alignment of the fingers and wrists, such as the development of nodules or the deviation of fingers.

Swelling

Inflammation of the joint lining (synovium) can lead to swelling and a feeling of warmth over the affected joints, particularly in the fingers and wrists.

Weakness

Muscle weakness may develop around the affected joints due to pain and disuse, further compromising hand function.

Treatments

Treatment for hand and wrist arthritis aims to relieve pain, improve joint function, and slow the progression of the disease. Depending on the severity of the condition and the patient's symptoms, treatment options may include non-surgical and surgical approaches.

Non-Surgical Treatments

Medications: 
Anti-inflammatory drugs (NSAIDs) and pain relievers can help manage symptoms. In cases of rheumatoid arthritis, disease-modifying antirheumatic drugs (DMARDs) or biologics may be prescribed to control inflammation and slow disease progression. 

Splinting:
Wearing a splint or brace can help stabilize the affected joints, reduce pain, and prevent further damage.  

Physical therapy:
Exercises and stretches guided by a physical or occupational therapist can improve joint flexibility, strength, and function.  

Injections:
Corticosteroid injections into the affected joint can provide temporary relief from inflammation and pain. Hyaluronic acid injections may also be used to lubricate the joint in cases of osteoarthritis.

Surgical Treatments

Arthroscopy: 
This minimally invasive procedure involves inserting a small camera into the joint to remove debris, smooth the joint surfaces, or treat inflammation. It is often used for mild to moderate cases of arthritis.

Joint Fusion (Arthrodesis):
In cases of severe arthritis where pain is debilitating, joint fusion may be performed. This procedure involves permanently fusing the bones of the joint together, eliminating movement in the joint but also alleviating pain. 

Joint Replacement (Arthroplasty):
For certain joints, particularly in the wrist or thumb, joint replacement may be an option. The damaged joint is replaced with an artificial implant, which can relieve pain and restore some degree of function. 

Recovery

Recovery from treatment for Dupuytren's contracture varies depending on the type of procedure performed.

Non-Surgical Recovery:   

Recovery from non-surgical treatments such as medications, splinting, and injections generally involves ongoing management of symptoms. Physical therapy plays a crucial role in maintaining joint function and preventing further deterioration.  

Regular follow-up with your healthcare provider is necessary to monitor the progression of arthritis and adjust treatment as needed.

Surgical Recovery:   

Arthroscopy: Recovery from arthroscopy is typically quick, with most patients resuming normal activities within a few weeks. Physical therapy is often recommended to restore joint mobility and strength. 

Joint Fusion: Recovery from joint fusion can take several months. The joint will be immobilized in a cast or splint for a period of time, and physical therapy will be needed to maintain function in the surrounding joints and muscles. 

Joint Replacement: Recovery from joint replacement surgery involves a period of immobilization followed by physical therapy. Full recovery may take several months, but many patients experience significant pain relief and improved function.