Worried about finger pain and don't know what's going on? Perhaps this is a consequence of trauma, rheumatoid arthritis, polyosteoarthrosis or rhizarthrosis. There are other causes of arthralgia that can only be identified with the help of diagnostic instruments.
Contact the clinic and specialists will determine the clinical picture, carry out complex treatment. With the help of medication, physiotherapy, rehabilitation methods, the inflammation will be removed, the destructive processes will stop and the limbs will be restored to working capacity.
Why finger joints hurt: causes and treatment
Arthralgia often occurs as a harbinger or symptom of a primary disease. Acute sensations arise as a result of inflammatory arthropathies, degenerative-dystrophic pathologies, mainly of traumatic origin. The pain syndrome causes irritation of the nerve endings, caused by:
- toxins;
- sodium or potassium urates.
- bone growths;
- allergens;
- autoimmune processes.
The cause of pain in the finger joints can be a neurological disease or a problem not directly related to the limbs. Radiating referred pain to the left extremity is a common occurrence in a heart attack. This also happens with problems in the upper part of the neck area. With intervertebral hernia it gives the shoulder and forearm, hands.
However, there are several direct reasons due to which the phalanges become numb, the small joints of the limbs suffer. Fingers hurt after infections, hypothermia, inflammation of soft tissues and bone structures.
Rheumatoid arthritis
The disease in 7% of cases affects people over 30 years old. It all starts with swelling of the metacarpophalangeal bones of the front fingers. Then the catarrhal process spreads to the wrist joint, covers all structures. It affects one hand and then spreads to the other. A symmetrical lesion of the proximal joints with a change in shape is characteristic of this pathology. For the company suffer the bones of the pelvis, ankle and ankle. Arthritis is characterized by fluctuating pain. During the day and the first half of the night they are tolerable, the second they intensify and do not allow sleep.
Psoriatic ARTHRITIS
It accounts for 5% of cases. The disease affects men and women equally after 20 years. For the most part, it develops in people with skin manifestations - psoriatic plaques and characteristic spots on the body. The pathology is characterized by "vertical" inflammation with simultaneous thickening of all joints. At the same time, the phalanx of the finger on the hand hurts, the skin turns red, it becomes like a sausage. Unlike rheumatoid inflammation, the process affects both hands, but affects different bones.
Arthritis
With this problem, less than 5% of patients turn to doctors. It concerns men 25-55 years old more. Inflammation begins with the big toes, gradually rises through the joints, affects the phalanges of the hands. The pain develops suddenly. It penetrates the entire tip, does not leave for a long time. The affected area becomes purple and warm to the touch. In women, the process is milder, lasting 3-10 days. However, after a while everything repeats itself. A wave-like course is a sign of the development of gout inflammation.
Arthritis
Under the collective definition understand joint abnormalities of different nature. They appear as a result of past infections, with systemic diseases. Signs of acute inflammation - swelling, redness, temperature, pain in the joints of the fingers. Metacarpophalangeal and interphalangeal joints are most often affected. In chronic arthritis, episodic sharp sensations are bothersome. Over time, muscles lose strength and function. Arthritis of the fingers leads to loss of physiological skills and disability.
Polyosteoarthritis
The finger joint in the hand is very painful with degenerative changes in the bones. It all starts with thinning of the cartilage tissue, damage to the interphalangeal ball joints. The reasons lie in the thickening and hardening of the synovial membrane, in endocrine abnormalities. Doctors consider primary osteoarthritis as an independent disease caused by physical overload, hypothermia. Secondary - as a complication after infections and mechanical injuries. In both cases, sharp pains intensify, a flexion contraction occurs.
Osteoarthritis or osteoarthritis
This is another cause of finger pain, causing arthralgia and causing problems at the joint of the thumb and wrist. The procedure affects the entire joint. This results in:
- to reduce depreciation;
- abrasion and layer-by-layer destruction of bone tissue.
- thickening in the interphalangeal zone.
- the appearance of nodules and stiffness.
- crunching.
An orthopedic surgeon comments:
Symptoms vary depending on the stage. In people who load the thumb for a long time and monotonously, in 30% of cases, radiarthrosis develops as an independent disease. Since the symptoms are 90% consistent with de Quervain's tendinitis, the problem is differentiated by x-ray. The image clearly shows bone deformities and not soft tissue, as is the case with tendonitis.
triggers finger disease
In the medical reference book, trigger finger syndrome is known as stenotic ligamentitis. Symptoms: sharp pain in the finger: swelling, formation of tumors, numbness. The peculiarity is the inflammation of the tendon and the formation of knots that prevent the bending of the phalanges. In the absence of treatment at stage 3, the finger takes a fixed position, at stage 4 secondary deformation occurs, the process becomes irreversible. Among the many provoking causes, anatomical abnormalities of the apparatus of tendon ligaments are most often mentioned.
De Quervain's tenosynovitis
Due to de Quervain's disease, the bones in the fingers hurt in 4% due to muscle inflammation. Sharp sensations appear suddenly at the junction with the wrist joint and are aggravated by bending. The pathology leads to damage of the synovial membranes of the extensor fingers. The problem is reduced by monotonous movements, due to constant pressure on the hand and palm, causing cyclical changes in the joint. The:
- Playing keyboards;
- printing;
- work on the carrier.
Raynaud's syndrome
Fingers hurt due to a sharp vasoconstriction due to systemic diseases - vasculitis, scleroderma, lupus erythematosus, blood diseases, compression of blood vessels and nerve fibers. The vasospastic pathology is accompanied by paroxysmal circulatory disorders under the influence of low temperatures. The clinical syndrome does not appear for years. Over time, attacks occur that cause blanching or redness of the skin, cyanosis. As a result, symptoms lead to trophic changes in the soft tissues.
Carpal Tunnel Syndrome
Finger joints also hurt due to injuries and carpal tunnel syndrome. An unsuccessful fall, impact cause damage to the integrity of tissues, blood vessels, lead to the formation of a hematoma or fracture of the hand. The development of the syndrome is facilitated by the compression of the median nerve under the ligament that holds the tendons. Clinical manifestations: numbness of the palm, reduced motor skills, reduced muscle volume in the greater tuberosity. Diseases associated with inflammation of tendon fibers are more common in women.
The bones in the fingers hurt:
- Due to folliculitis of various forms.
- Childhood anomalies - Still's disease, Kawasaki syndrome.
- Systemic diseases - diffuse fasciitis, Lyme, Sjögren's, Crohn's, Bechterev's diseases.
- Tumors - myelopathy, lymphoblastic leukemia.
Diagnostics
It is impossible to determine why the fingers on the hands hurt without a differential examination. First, a visual inspection is carried out. A rheumatologist or arthrologist pays attention to the symmetry of the lesion, symptoms, and other clinical signs. The patient consults a traumatologist and an allergist and is then sent for laboratory tests.
Blood biochemistry determines rheumatoid factors, uric acid and sialic acid levels, erythrocyte sedimentation rate in blood. In infectious and immunological pathologies, a reactive protein is detected, indicating tissue destruction.
Why do the fingers on the hands hurt, the cause and treatment help to establish X-ray, ultrasound. The doctor examines problematic structures, conducts a symmetrical diagnosis of a healthy hand. Necessary:
- to assess the degree of damage to structures.
- condition of cartilage and ligaments.
- detection of primary signs of abnormalities, cysts and nodes.
Magnetic resonance imaging is prescribed for suspected degenerative and neoplastic disease. Tomography helps to obtain three-dimensional images of soft tissues in different views, to identify recent and chronic injuries. Information methods show displacement, width of joint space in arthritis, thinning of cartilage in joints, displacement of bone, increases. Densitometry is sometimes prescribed to determine bone density.
Because of what the phalanges of the fingers hurt, they will recommend other research methods - electrospindylography and electroneuromyography. The first technology reveals the part of the spine responsible for limb movements. The second determines the condition of the muscles and peripheral nerves. With throbbing pain in the finger, a specialist may recommend a puncture. The percutaneous suction method allows you to take a secret, at the same time to administer an antibiotic or analgesic to relieve acute symptoms.
Diagnostics
- Ultrasound diagnostics.A non-invasive study is indicated for inflammation and damage to soft tissues, muscles, ligaments, tendons, joint capsules using ultrasonic waves.
- X-ray.Assignment for injuries: dislocations and fractures of bones, diseases of the joints: joints and arthritis of the joints.
- Analyzes.General blood and urine tests, blood biochemistry show signs of inflammation, presence of infection, disorders in bone and cartilage tissues.
- Magnetic resonance imaging.A highly accurate method for diagnosing joints with up to 99% information content.
Fingers hurt: causes and treatment
Regardless of the etiology, NSAIDs are prescribed to relieve acute sensations, fever, inflammation. Effective: nimesil, phenylbutazone, indomethacin, teraflex, sodium diflofenac. If the finger joints are very painful, cetarolac and tenoxicam are suitable for treatment. By drip or intramuscular injection they remove the symptoms for 3 days.
Corticosteroid drugs - dexamethasone, prednisolone also relieve the catarrhal process. At the same time, the swelling decreases, the metabolic processes in the cartilage improve, which contributes to the rapid restoration of mobility. Chondroprotectors thicken the structure of bone tissue, prevent the deterioration of degenerative processes.
Physiotherapy - treatment with ultrasound and electrical impulses, acupuncture improve blood circulation. Therapeutic gymnastics helps to develop muscles, restore mobility in joints. Patients are advised to review their diet, eat a diet with a predominance of protein and plant foods, and undergo spa treatment.
Methods of Treatment
- Reception of a traumatologist-orthopedic
- Shock wave therapy of the hand
- Plasmolifting of the joints
- PRP Therapy for the Wrist
- Occlusion of the wrist joint
- Brush injections
- Voicing
- electrophoresis
- Hand ultrasound
- Physiotherapy
- Pharmacotherapy
- Orthotics
- Magnetic therapy