Visit the Buxton Osteopathy Clinic at 7 Bridge St, Buxton SK17 6BS
Hands are the most commonly affected area for osteoarthritis (OA). This is caused by a slow progressive loss of cartilage in a joint. Osteoarthritis affects three main areas of the hand which are the base of the thumb, joints closest to the fingertips and the middle joints of the fingers. The eight snall bones that comprise the wrist can also be damaged or dislocated with direct impacts or blunt trauma.
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Tendons and soft tissue injuries in the wrist and hand are unfortunately very common (typically as a result of repetitive strain injury). These issues typically arise in both the thumb and finger tendons. De Quervain's tenosynovitis describes a condition that affects the tendon sheath of the thumb. This manifets in pain at the base of the thumb near the wris). Trigger finger is another form of tenosynovitis that is characterized by the inflammation of the fluid filled sheath that surrounds a specific tendon in the fingers (usually affects the forefinger of either hand).
Carpel Tunnel Syndrome (CTS) can begin with tingling and/or numbness in the hand that can then progress in severity. Fluid accumulates under a tight ligament (called a retinaculum) inside the wrist causing pressure on the nerve that passes underneath it. It has a higher incidence rate in those people who have desk bound jobs or any activity that involves reptitive gripping and it can also manifest during pregnancy
It is also important to remember that hand and wrist pain can also be referred from somewhere else. The good news is that most of these issues are very treatable with osteopathy. Most common causes of referred pain and pins and needles in the hand and wrist include trapped nerves in the neck or impingement of a nerve as it travels down the arm. Pain and dicomfort for gripping can be referred from your elbow (tennis or golfer’s elbow) or delicate nerves and blood vessels in the shoulder can sometimes be compressed (Thoracic Outlet Syndrome)