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Wrist & Hand Joint Pain, Injury & Fracture Treatment
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/ Know Your Injury / Wrist & Hand Joints
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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