Edema of the joints of the hand
Pain and restriction of mobility in the joints of the fingershand - a common phenomenon among people of older age groups. According to the statistics of the pathology of small joints in the hands of people over forty years of age is found in every tenth, and after sixty - in every third. In women, this may be due to age-related changes in the hormonal background. However, the joints of the fingers are hurt not only in people after forty - there are diseases in which such a problem can occur at any age.
Without fingers we can do almost nothing physically
Why there are pains in the joints of the fingers?
The causes of pain of this nature are usuallyare diseases or damage to the joints and periarticular tissues. On the nature of pathology can be judged by the degree of damage - for example, in chronic processes, joints can not only ache, but also deform. Pain in the joints of the fingers is a characteristic sign of such pathologies as:
Rheumatoid arthritis is a common systemic disease associated with an autoimmune (noninfectious) inflammatory lesion in the mostly small joints of the hands and feet.
Osteoarthritis or polyosteoarthrosis is a non-inflammatory deforming process characterized by thickening of the finger joints and restriction of their mobility.
Stenosing ligamentitis is an inflammatory disease of the ring-shaped ligaments of the joints of the fingers.
Gout is a disease of meat lovers; is associated with the deposition in the joint cavities of acute crystals of salts of uric acid.
Psoriatic arthritis - inflammation of the joints on the background of psoriatic skin lesions.
Infectious arthritis is an inflammation of the bacterial or viral nature.
Predisposing factors to the development of various lesions of the fingers of the hands are:
- pathology of the immune system;
- chronic infections;
- a change in the hormonal background;
- metabolic disease;
- hereditary factors;
- injuries of the hands, including frequently occurring micro-trauma (sports or professional);
- long-acting harmful factors: the constant presence of hands in cold water, etc.
Let us dwell in more detail on each group of diseases.
In the photo - a hand affected by arthritis
Diseases affecting the joints of the hands
This pathology is one of the most commoncauses of lesions of small joints of hands. Rheumatoid arthritis can occur at any age - both in childhood and in old age. It is characterized by a symmetrical lesion of different groups of joints, but especially strong - in the area of the fingers. The pain is accompanied by signs of inflammation: swelling and redness. On the affected areas under the skin, sometimes you can find dense formations - rheumatoid nodules. The disease proceeds wavy - with periods of remission and acute attacks.
With prolonged current rheumatoid arthritis, a characteristic deformity of the hands as "hands with a lorgnette", "boutonniere" or "swan neck" often develops.
This group of diseases is more typical forwomen of older age, because the nature of its development is directly related to the estrogenic background. However, there are other causes of osteoarthritis: heredity, metabolic disorders, occupational loads, etc.
In addition to pain for osteoarthritis of the handscharacterized by the formation of subcutaneous nodules in the region of joints that, along with edema, contribute to the development of deformity of the fingers - they take a characteristic nodular appearance. Sometimes the fingers look like a spindle, due to the thickening in the middle. Outwardly it may resemble rheumatoid arthritis, but with arthrosis there is no damage to other groups of joints and internal organs.
Osteoarthrosis of the hands oftenrizartroz, when the joints of the thumbs are isolated. Risartrose often develops as a result of a prolonged overload on the thumb of the hands. Defeat in this area must always be differentiated from such pathologies as gout and psoriatic arthritis, for which this place is a favorite localization.
This disease is associated with a violation of the exchange of purines -protein metabolism products, which leads to the deposition of uric acid salts (urates) inside the joints. Although the joints of the feet are primarily affected with gout, the hands are often involved in the process. First of all, the metacarpophalangeal joints (closest to the tips) of the thumbs suffer.
Pain with gout can be very intense,paroxysmal and have a burning, tearing character. They are accompanied by swelling and redness of the skin over the affected area. Movement in the thumb (as a rule it is he who is affected) during a painful attack is extremely difficult or impossible. Suffer from gout more often men, age 40 - 60 years.
Gouty nodules - tofusi - a characteristic sign of gout
This disease is associated with inflammation of the periarticular tissues - the ring ligament of the finger. Externally, the pathology resembles arthritis or arthrosis, so to clarify the diagnosis do X-rays.
Clinically, ligamentitis occurs typically: with pain during flexion and extension, and sometimes - with wedging of the finger in a bent state, when its extension is possible only with effort. In this case, you can hear the characteristic clicks. Why does such a picture arise? The ring-shaped ligament thickens during inflammation and loses its elasticity.
Psoriatic arthritis of the fingers is onefrom the forms of psoriasis. Along with the characteristic skin lesion, 10-15% of patients are involved in the process of joints, mainly - distal (nail) phalanges of fingers and feet. The disease sometimes takes the form of dactylitis - a common inflammation of the tissues of the finger. They swell, blush, painfully and with difficulty bend. Externally take the form of sausages.
The diagnosis of "psoriatic arthritis" is usually not difficult, as the disease develops against a background of specific skin lesions.
Septic and infectious arthritis
Can occur as a pathology of a singlejoint (monoarthritis), and multiple (polyarthritis). The cause is always an infectious agent that enters the articular tissues or through damaged skin or blood flow.
The clinical picture can be varied independing on the form and severity of the lesion. If there is a purulent inflammation - the symptoms will not only be local pain, but also a violation of the general condition - high body temperature, fever, intoxication.
First of all,are aimed at eliminating the underlying disease. If the pain in the joints of the fingers occurs due to the inflammatory process, antibiotics, hormones and non-steroidal anti-inflammatory drugs are prescribed. In case of dystrophic damage, it is necessary to restore the damaged articular cartilages first with the help of chondroprotectors and auxiliary measures: massage, manual therapy, physiotherapy.
With severe pain, anesthetics are prescribed in the form of injections, ointments, tablets, etc. Although, as the elimination of the main pathological process, the pain will pass.
To recover was faster, in the treatment of this kind of disease you can use folk remedies. Here are a few popular recipes.
Ointment from the grass hellebore of the Caucasus. For its preparation, mix 20 grams of dry grass hellebore and honey, add 10 grams of vegetable oil and 5 grams of dry mustard. Melt all the ingredients in a water bath and mix until smooth. Cool and transfer to a dark vessel. Lubricate the joints the night before the pain disappears.
Make compresses on the affected area using fruity table vinegar.
Melt a small piece of propolis and mix it with sunflower or corn oil. Use as an ointment.
In order for the treatment to work, you must strictly follow all the recommendations of your doctor. And then the chances of recovery or significant relief will be high.
At the top of the commentary are the last 30 question-and-answer blocks.
Zhenya | 04/02/2015 at 20:49
Thank you very much for such an informative article. My dad is a massage therapist and his joints began to ache badly. And his hands are his main working tool. Very upset about this. The doctor was prescribed Viprosal B, his father uses it, he helps him.
Natalia | 30.03.2015 at 12:38
Getting to the doctor is very difficult. It's almost impossible. What to do. Pain in the joints of the fingers Especially in the morning
Alex admin | 05/21/2015 at 06:33
Unfortunately, in absentia I can not advise you anything.
Adeline | 10/28/2014 at 12:40
Hello! At me basically at night it is difficult to compress fingers in a fist. It is possible to tell or say with natugoj and painful sensations. Prozodolzhaetsja it already months four. And in the afternoon not so strongly disturb. It can be?
Alex admin | 11/03/2014 at 15:29
Hello Adeline! Most likely you developed carpal tunnel syndrome, which occurs due to compression of the median nerve in the medial (median) surface of the wrist (where the nerve passes through a narrow tunnel formed by the bones of the wrist and the transverse ligament that holds the tendons of the muscles).
Usually this syndrome develops in women older than30 years, especially if their work is associated with the rhythmic bending of the fingers of the hand or with the use of vibrating tools. The most common cause of the pathology is tenosynovitis (inflammation of synovial bags that surround the flexor tendons of the fingers). Another cause of the development of the disease may be a trauma to the hand, some diseases, pregnancy, taking a number of medicines.
At night, the outflow of fluid from the vesselslimbs slows down, which leads to its accumulation in the synovial sheaths. Therefore, the disease makes itself felt at night. Also, during sleep, the hands can contract involuntarily, which increases the compression of the nerve.
Without treatment, the ailment progresses. Be sure to show yourself to the neurologist.
Hope | 6/24/2014 at 3:02 pm
I also started bolting on the thumbs. And since I have arthrosis of the knee joints and coxarthrosis of the hip for exactly 5 years exactly. I'm 32 now and my whole body aches and hurts. Brushes of hands, shoulders, fingers, hip joints, knees, back. I went to the doctors about my home, to no avail. I drink Arthur or Dona's course, but not for long. Now a one-year-old child is in his arms, doctors can not reach, and I do not see the point anymore. Almost desperate, what to do I do not know.
Julia | 06/27/2014 at 08:54
Hello, Hope. At me too such status as at you and one more year-old child. it all started suddenly after a cold. first the ankles hurt and now the joints of the fingers are more. also went to doctors. Treatment appointed or nominated such. that you just have to ruin your health. I did not dare because the child is on GV and the medications are not compatible, I suspect that this is a disease due to infections. on this it is necessary to be checked up on a chlamydia this they often cause such complication on joints. What's the most strange. that there was it all after sorts and by the way to me it is so much how much and to you of years. Hope you are on the GW? Advise than you can lick the condition. Thank you
Alex admin | 06/27/2014 at 11:58
Alexander | 05/05/194 at 10:46
All can be cured, do not despair!
Irina | 05.05.2014 at 06:21
Hello, I had a aching pain injoints of fingers, the second phalanx of a finger whines, I can not take a teapot in my hand, as it touches the joint, it hurts. There are no visible causes, no reddening, no swelling, no nimia. Just aching phalanx and joint on the finger during pulsation. Help me figure out what the ehto. To me of 48 years, the truth of a menopause already more than 2 years.
Alex admin | 06/16/2014 at 11:32 am
Irina, it can be osteoarthritis of the joints of the fingers. Do not tighten with examination at a rheumatologist.
Larissa | 06/16/2014 at 17:09
Alex tremendous thanks for the answer.I still got a consultation with a rheumatologist, they established rheumatoid arthritis, they prescribed medication, I regained my pain, the pain subsided, the fingers periodically feel jammed-it feels like the joint is coming out of the cup.
Larissa | 23.02.2014 at 10:09
Very sore hands-started with the point between the brush andelbow and passed into the index finger. The ball jumps from one brush to the other and to the shoulder joint-pain stupid to nausea. Kohl movalis helps for a while. Can I go to the pool with such a disease?
Alex admin | 06/16/2014 at 11:31 am
Larissa, when developing articular pathologies, swimming is not contraindicated. In occasion of your pathology, you need to be examined at a rheumatologist.
Marina | 1/15/2014 at 13:59
It's scary, of course. I'm not so much serious, but that would not bring to such a start drinking Sustavin and cream is still bought. I hope it will be of use.