Are you worried about pain in your fingers and don't know what's wrong? Perhaps this is the result of trauma, rheumatoid arthritis, polyosteoarthrosis or rhizarthrosis. There are other causes of arthralgia that can be determined only with the help of instrumental diagnostics.
Contact the clinic and specialists will determine the clinical picture and conduct complex therapy. With the help of drugs, physiotherapy, and rehabilitation methods, inflammation will be eliminated, destructive processes will be stopped, and limbs will be restored to working capacity.
Why finger joints hurt: causes and treatment
Arthralgia is often seen as a precursor or symptom of an underlying disease. Acute sensations are mainly caused by inflammatory arthropathies of traumatic origin, degenerative-dystrophic pathologies. Pain syndrome causes irritation of nerve endings, causes:
- toxins;
- sodium or potassium urates;
- bone growth;
- allergens;
- autoimmune processes.
The cause of pain in the joints of the fingers can be a neurological disease or a problem that is not directly related to the limbs. Pain radiating to the left limb is a common symptom of a heart attack. This also happens with problems in the upper cervical region. With intervertebral hernia, it gives shoulder and wrist, hands.
However, there are a number of direct reasons why the phalanges are numb, the small joints of the limbs suffer. Fingers hurt after infections, hypothermia, inflammation of soft tissues and bone structures.
Rheumatoid arthritis
The disease affects people over 30 years old in 7% of cases. It all starts with swelling of the metacarpophalangeal bones of the leading fingers. Then the catarrhal process spreads to the wrist joint, covering all structures. It affects one hand and then spreads to the second. This pathology is characterized by symmetrical damage of proximal joints with a change in shape. For the company, the bones of the pelvis, ankle and ankle suffer. Arthritis is characterized by fluctuating pain. They are tolerable during the day and the first half of the night, they intensify in the second and do not allow sleep.
Psoriatic arthritis
This is 5% of cases. The disease affects men and women equally after 20 years. In most cases, it develops in people with skin manifestations - psoriatic plaques and characteristic spots on the body. Pathology is characterized by "vertical" inflammation with simultaneous thickening of all joints. At the same time, the phalanx of the finger on the arm hurts, the skin turns red, like a sausage. Unlike rheumatoid arthritis, the process affects both hands, but affects different bones.
Gout
Less than 5% of patients with this problem turn to doctors. This mostly applies to men aged 25-55. The inflammation starts from the big toes, gradually rises through the joints, and affects the phalanges of the hands. The pain develops suddenly. It penetrates the entire limb and does not pass for a long time. The affected area becomes purple and warm to the touch. In women, the process is milder, lasts 3-10 days. But after a while, everything repeats itself. A wave-like course is a sign of the development of gout.
Arthritis
Under the collective definition, it is necessary to understand articular anomalies of a different nature. They appear as a result of past infections, with systemic diseases. Symptoms of acute inflammation - swelling, redness, temperature, pain in the joints of the fingers. More often metacarpophalangeal and interphalangeal suffer. Episodic sharp sensations in chronic arthritis are disturbing. Over time, muscles lose strength and function. Arthritis of the fingers causes loss of physiological skills and disability.
Polyosteoarthrosis
The joint of the finger on the hand hurts a lot with degenerative changes in the bones. It all starts with thinning of the cartilage tissue, damage to the interphalangeal spherical joints. The reasons are hidden in compression and sclerosis of the synovial membrane, endocrine anomalies. Doctors consider primary polyosteoarthritis to be an independent disease provoked by physical exertion and hypothermia. Secondary - as a complication after infections and mechanical injuries. In both cases, sharp pains intensify, flexion contracture appears.
Rizarthrosis or osteoarthritis
This is another cause of pain in the fingers, causing arthralgia and problems in the joint of the thumb and wrist. The process affects the entire joint. As a result of:
- reduce depreciation;
- friction and layer-by-layer destruction of bone tissue;
- thickening in the interphalangeal zone;
- the appearance of nodules and stiffness.
- wheezing
The orthopedic surgeon comments:
Symptoms vary depending on the stage. Rhizarthrosis develops as an independent disease in 30% of cases in people who load the thumb for a long time and monotonously. Since the symptoms are 90% consistent with de Quervain's tenosynovitis, the problem is differentiated by X-ray. The image clearly shows bony deformations, not soft tissues, as in tendonitis.
causes finger disease
In the medical reference book, trigger finger syndrome is known as stenotic ligamentitis. Symptoms: sharp pain in the finger: swelling, lump formation, numbness. A feature is the inflammation of the tendon and the formation of knots that prevent the bending of the phalanges. In the absence of therapy in the 3rd stage, the finger takes a stable position, in the 4th stage, secondary deformation occurs, the process becomes irreversible. Among many provoking reasons, anatomical anomalies of the ligamentous tendon apparatus are noted more often.
Tenosynovitis de Quervain
According to De Quervain's disease, the bones in the fingers hurt in 4% due to muscle inflammation. Sharp sensations occur suddenly at the junction with the wrist joint and are aggravated by bending. It leads to damage of synovial membranes of pathological finger extensors. The problem is brought down by monotonous movements due to constant pressure on the hand and palm, causing cicatricial changes in the ligament. He:
- playing keyboard instruments;
- printing;
- work on a conveyor belt.
Raynaud's syndrome
Fingers hurt due to acute vasoconstriction due to systemic diseases - vasculitis, scleroderma, lupus erythematosus, blood diseases, compression of blood vessels and nerve fibers. Vasospastic pathology is accompanied by paroxysmal circulatory disorders under the influence of cold temperature. The clinical syndrome does not manifest itself for years. Over time, attacks appear that cause the skin to turn white or red and cyanosis. As a result, symptoms cause trophic changes in soft tissues.
carpal tunnel syndrome
Finger joints also hurt due to injuries and the development of carpal tunnel syndrome. Unsuccessful fall, the impact causes damage to the integrity of tissues, blood vessels, hematoma or fracture of the hand. The development of the syndrome is facilitated by compression of the median nerve under the ligament holding the tendons. Clinical manifestations: numbness of the palm, decreased motor skills, decreased muscle volume in the greater tubercle. Diseases associated with inflammation of tendon fibers are more common in women.
The bones in the fingers hurt:
- Due to various forms of bursitis.
- Childhood anomalies - Still's disease, Kawasaki syndrome.
- Systemic diseases - diffuse fasciitis, Lyme, Sjögren's, Crohn's, Bechterev's diseases.
- Tumors - myelin disease, lymphoblastic leukemia.
Diagnostics
Without a differential examination, it is impossible to determine why the fingers on the hands hurt. First, a visual inspection is performed. A rheumatologist or arthrologist pays attention to the symmetry of the lesion, symptoms and other clinical signs. The patient is consulted by a traumatologist and an allergist, then sent for laboratory tests.
Blood biochemistry determines rheumatoid factors, the level of uric and sialic acids, and the rate of sedimentation of erythrocytes in the blood. Reactive protein indicating tissue destruction is detected in infectious and immune pathologies.
Why do the fingers on the hands hurt, causes and treatment X-ray, ultrasound helps to establish. The doctor examines the problematic structures, conducts a symmetrical diagnosis of the healthy hand. This is necessary:
- assess the degree of damage to structures;
- condition of cartilage and ligaments;
- detection of initial signs of anomalies, cysts and nodules.
MRI is prescribed for suspected degenerative and neoplastic diseases. Tomography helps to obtain 3D images of soft tissues in different projections, to identify recent and chronic injuries. Informative methods show displacement, widening of the joint space in arthritis, thinning of cartilage in arthrosis, bone displacement, growths. Sometimes densitometry is prescribed to determine bone density.
Depending on what causes damage to the phalanges of the fingers, other research methods will be offered - electrospondylography and electroneuromyography. The first technology reveals the part of the spine responsible for the movement of the limbs. Second, it determines the condition of muscles and peripheral nerves. With throbbing pain in the finger, a specialist may recommend a puncture. The percutaneous aspiration method allows you to get a cannabis, and at the same time to apply antibiotics or analgesics to relieve acute symptoms.
Diagnostics
- Ultrasound diagnostics.Using ultrasound waves, non-invasive research is indicated for inflammation and damage of soft tissues, muscles, ligaments, tendons, joint capsules.
- Radiography.Prescribe for injuries: bone sprains and fractures, joint diseases: arthrosis and arthritis of the joints.
- Analyzes.General blood and urine tests, blood biochemistry show signs of inflammation, the presence of infection, and disorders in bone and cartilage tissues.
- Magnetic resonance imaging.A highly accurate method for diagnosing joints with an information content of up to 99%.
Fingers hurt: causes and treatment
Regardless of the etiology, NSAIDs are prescribed to relieve acute sensations, fever, inflammation. Effective: nimesil, phenylbutazone, indomethacin, teraflex, sodium diflofenac. If the joints of the fingers are very painful, ketorolac and tenoxicam are suitable for treatment. They relieve symptoms within 3 days by drip or intramuscular infusion.
Corticosteroid drugs - dexamethasone, prednisolone also ease the catarrhal process. At the same time, swelling decreases, metabolic processes in the cartilage improve, which helps to quickly restore mobility. Chondroprotectors thicken the structure of bone tissue, prevent aggravation of degenerative processes.
Physiotherapy - ultrasound and electric pulse therapy, acupuncture improves blood circulation. Therapeutic gymnastics contributes to the development of muscles and restores the mobility of joints. Patients are advised to review their diet, establish a diet dominated by protein and plant foods, and undergo spa treatment.
Treatment methods
- Reception of a traumatologist-orthopedic
- Shock wave therapy of the hand
- Plasmolifting of joints
- PRP therapy for the wrist
- Blockage of the wrist joint
- Injections in the brush
- Phonophoresis
- electrophoresis
- Ultrasound of hands
- Physiotherapy
- Drug therapy
- Orthopedic
- Magnetotherapy