Wrist & Hand Joint Pain, Injury & Fracture Treatment

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CARPAL TUNNEL SYNDROME

  • • An electric current-like feeling mostly in thumb, index, and long fingers.
  • • Symptoms usually begin gradually and may become increasingly more .
  • • Symptoms at night are common, may disrupt sleep.
  • • Feeling of discomfort or weakness.
  • • In severe cases hand muscles at base of thumb may become visibly thinned out and wasted .
Treatment : Physical therapy, splinting, medicines are needed. But the treatment of choice is surgery (Carpal Tunnel Release).

DEQUERVAIN’S TENOSYNOVITIS

  • • Painful and disabling condition.
  • • Simple pinching and twisting activities and slightest motion of the wrist can cause pain
Treatment : Rest, medication and injections are sufficient. Sometimes surgical release is needed.

ARTHRITIS

  • • Joint pain associated with morning stiffness.
  • • Pain is aggravated by activity or increased joint use, relieved by rest.
  • • Joint pain increases over time.
  • • Swelling of the affected joint.
  • • Joint may feel warm.
Treatment : Initially medicines, physical therapy or injections are needed. Later joint surgery is beneficial.

SCAPHOID FRACTURE

  • • Severe pain and swelling after injury.
  • • Loss of movements.
  • • Bruising.
Treatment : Healing is usually difficult therefore surgery (Screw fixation) is treatment of choice for displaced fractures.

HAND FRACTURES

  • • Swelling at fracture site.
  • • Tenderness and bruising at fracture site.
  • • Inability to move injured finger in completely.
  • • Deformity of injured finger.
  • • Finger may be stiff and painful.
Treatment : Splinting and rest is usually needed. Sometimes surgery (K-wire/screw fixation) is required.

TFCC (TRIANGULAR FIBRO CARTILAGE COMPLEX) INJURY

  • • Wrist pain on inner side of wrist .
  • • Swelling and clicking sensation.
  • • Pain gets aggravated by activity.
  • • Sometimes feeling of instability.
Treatment : Rest, splinting and medicines are needed for simple injuries. Instability cases need keyhole surgery (Arthroscopic TFCC repair).
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