Osteoarthritis of the wrist and small joints of the hands: treatment and symptoms
The symptoms and treatment of osteoarthritis of the wrist and small joints of the hands
Osteoarthritis of the wrist joint are quite common disease. It can occur in people of any age, so do not think that it is a disease only of older people.
Most prone to osteoarthritis of the wrist and small joints of the hands people who perform repetitive motion for example: athletes, builders, people whose specialty is closely linked with the computer (typing).
Can occur disease and injury, endocrine disorders in the body.
Characteristics of the disease
Arthritis can develop gradually, for example, a professional when the joints of the hands are constantly subjected to a certain load. Or may develop because of an injury.
Traumatic arthritis is characterized by joint pain and stiffness. Limited lateral movement in the joint, and at first they are barely visible. The swelling at first may not be present.
For correct diagnosis it is necessary to conduct an x-ray.
That is characteristic:
- Unlike arthritis, which is more bothering at night, arthritis makes itself known during the load on the joint.
- The pain occurs only in a certain place, it could affect only one joint, the so-called post-traumatic stress syndrome.
- No lethargy, fever and stiffness, as in rheumatoid arthritis.
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The most common causes of osteoarthritis of the wrist joint and small joints of the hands are:
- increased load on the joints;
- professional factors;
- endocrine disorders.
Predisposition more common in women over the age of 50, but can occur in men, depending on the profession.
Stage of development of the disease
Osteoarthritis develops gradually and has three stages of development:
- First — a little pain after exercise or repetitive work. After relaxing or at rest the symptoms disappear.
- The second is the soreness of joints and discomfort are no longer. You may receive a crunch when moving the arms, a slight swelling. In periods of exacerbations with inflammation manifested by swelling of the phalanges of the wrist region. May have a fever, and even appear symptoms of mild intoxication. People may not associate these symptoms with the disease.
- The third stage is the deformation of the joints. The pain is bad enough, and they are found both in load and at rest. Some of the movements of the patient are unavailable. Since the cartilage layer is destroyed, it can occur that the bony growths around the edge of the joints. In addition, you may develop osteoporosis, as well as reduced motor activity, falls, and muscle tone of the entire hand.
The characteristic symptoms of the disease
Patients report a crunch in joints at movement of the hands, slight stiffness and weakness of individual muscle groups, pain in the joint after exercise.
Once the disease progresses, pain becomes more intense.
In addition to this there is a deformity of the fingers and the related muscle wasting. Can appear muscle contractures.
Symptoms in different affected areas
Osteoarthritis of the hands affects the distal and proximal interphalangeal joints. The pain manifests itself at certain points.
- in the area of the distal interphalangeal joint nodules Heberden;
- increases the amount of proximal interphalangeal joints with severe deformity fusiform nodes Bouchard.
Arthrosis can affect any part of the hands:
- wrist joint;
- the small joints of the hand.
It all depends on where most was sent to the negative impact. For example, office workers who print a lot may show signs of arthrosis of the joints of the hand.
Signs of arthrosis of the radiocarpal joint:
- sharp pain in the extreme position of the brush;
- reduced movement of the joint;
- must be differentiated from arthritis.
The symptoms of osteoarthritis of the hands:
- seal joints with 2, 3, 4 finger brush (more often today occurs in people who type a lot) appear nodules of Heberden and Bouchard.
- symptoms manifest pretty quickly, visible without special research;
- there is pain, swelling, and later can develop contractures.
Diagnosis of the disease
Diagnosis is carried out as follows:
- take a blood test for rheumatology test to rule out rheumatoid arthritis, if the lesion is on the brush;
- x-ray examination (look at the deformity of the joint and growth of bone spikes, narrowing gaps between the joints);
The goals and methods of therapy
The goal of treatment, primarily to remove the root cause of the disease, and therefore should:
- to eliminate physical strain on the joint;
- not to expose her to further risk of injury;
- to prevent metabolic disorders in the cartilage;
- to eliminate the lack in nutrition, are filling the lack of cartilage.
For this purpose, such methods of treatment of arthrosis of the wrist and small joints of the hands:
- the acceptance of chondroprotectors, non-steroidal drugs;
- protection of the joints from injury special wristbands;
- intra-articular injections with hyaluronic acid;
- physical therapy, namely, mud therapy, massage, ozocerite and paraffin baths, baths with bischofite, compresses with Dimexidum and medical bile, laser therapy, manual therapy.
In extreme cases, the doctor may recommend surgery, but this measure is very rarely used, mostly treated conservatively.
Folk medicine recommends self-massage, exercise therapy, and various poultices, such as cabbage juice.
In addition, used:
- tincture of dead bees on the vodka for rubbing;
- tincture of wormwood, celandine, and lilac — for grinding;
- tincture of lemon, the roots of celery and garlic for intake;
- tinctures of comfrey or marigold — for intake;
- some folk healers recommend the ingestion of gelatin in foods (eg: jelly, jelly, jelly) – it promotes the regeneration of cartilage tissue.
Before treatment of osteoarthritis of the hands folk remedies, consult a doctor.
Such methods, especially the techniques of infusions, inside can turn to a patient’s negative consequences. So do not skimp on treatment if the diagnosis has been made, and it is better to go to the hospital.
The chances of recovery
If the disease is not launched and is not passed to the third stage, the recovery of the patient possible. However it will take place slowly.
If violations of the cartilaginous tissue noticeable, it can only suspend the process, to relieve pain.
In serious cases, the doctor may suggest the surgery.
Hazards and risks
The disease can cause the following complications:
- the destruction and deformity of the joint;
- violation of biomechanics and disability;
- the impossibility of movement.
In addition, people will not be able to perform their duties, in extreme cases, possible disability.
The prevention of the disease
Prevention should reduce the load on the affected area. In addition, it is necessary to improve restoration of damaged cartilage with nutrition.
In addition, to improve the condition of the joints should:
- reducing the weight of the patient;
- gymnastics, the development of the joints of the hands;
- sanatorium-resort treatment;
- reducing the load on the joint;
- prevention of diseases of the endocrine system.
The more attention will be paid to the prevention of disease, the greater the chance that the disease will pass by. Any disease easier to prevent than to treat.
Arthritis is very dangerous disease that not only prevents perform their professional duties, but also to lead a normal life, to do housework. Stop disease before she stopped you.