Why Take Care of The Hands And Wrists?

Your hand and wrist allows you to grip and grasp objects, and move in precise ways. As such, they are essential for performing many daily activities such as holding objects, turning door knobs, typing, and writing.

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Common Symptoms of Hand And Wrist Conditions

As there is a range of injuries that affect the hand and wrist, the symptoms will vary accordingly. Common symptoms include:

  • One or more fingers getting stuck in the morning or clicking like a trigger (Trigger Finger) often associated with pain
  • Pain over the thumb side of the hand
    • Possible causes
      • De Quervain’s tenosynovitis
      • Arthritis of the 1st carpometacarpal joint
      • Scaphoid Fracture
  • Ulnar wrist pain (pain along the pinkie finger side of the wrist)
    • Tendinitis
    • Injuries to the triangular fibrocartilage complex
  • Numbness of the fingers
    • Carpal Tunnel
    • Cubital Tunnel
    • Cervical radiculopathy

As the hand and wrist are essential for many everyday activities, it is important to get injuries to these areas treated immediately.

 

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Are You Experiencing Any of These Hand And Wrist Conditions?

Trigger Finger

A condition in which one or more of your fingers get stuck in a bent position, often straightening with a snap. 

In earlier stages, there may just be pain in the hand, while in later stages, the finger may become locked in a bent position or there may be difficulty bending the finger. These symptoms tend to be worse in the morning.

This happens because the tendon sheath is inflamed and swollen and has difficulty passing through the “pulley”.

Risk factors

  • Patients whose work requires repetitive gripping, or carrying heavy objects using hand grip with poor ergonomics are at higher risk.
  • Diabetes mellitus

De Quervain’s Tenosynovitis

A condition in which a patient feels pain over the wrist joint near the base of the thumb.

Due to inflammation of the tendons that extend and abduct the thumb.

Risk factors:

  • Repetitive trauma or overuse of the thumb and wrist in daily activities such as
    • Repeated pinching and peeling with wrist in awkward position
    • Repeated thumb motion with resistance
    • Repeated twisting of wrist with prolonged gripping (wringing mops)
    • Direct injury to the tendon

Injury of the Triangular Fibrocartilage Complex

A condition where patient may experience ulnar sided wrist pain (pain along the pinky side of the wrist), clicking or popping while turning the forearm, weakness, or limited motion particularly turning

Due to injury or degenerative change to the triangular fibrocartilage complex

Arthritis of the hand

A condition due to degeneration of the joints. The most common joint involved in the hand is the 1st carpometacarpal joint near the base of the thumb. 

Early symptoms include a dull ache or burning sensation that occurs after periods of increased joint use. Early morning stiffness may also be present.

Late symptoms may include crepitus, or a sensation of grating. Cyst may also develop

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a common condition of the hand and wrist. Patients feel numbness, tingling or burning sensation over the thumb, index, middle and ring fingers. These symptoms are often worse at night.

These symptoms occur, due to pressure on the median nerve in the carpal tunnel. 

As it worsens, patients experience more pain, muscle cramping, and have less grip strength. They may also feel a loss of coordination especially of  thumb related activities such as pinching.

It is generally cause by repetitive motions such as typing, and may be associated with conditions like rheumatoid arthritis or diabetes mellitus.

 

How Can We Help?

Our doctors can help. We will take a meticulous history of the nature of your symptoms, any possible causes. After that we will do a physical examination to determine the cause of the pain.

Further tests may be required but we will only suggest them if they help in the diagnosis or assess the severity of the condition. These tests may include  radiographs, magnetic resonance imaging, or nerve conduction study.

 

As the hand and wrist are essential for many everyday activities, it is important to get injuries to these areas treated immediately.

Treatment Options?

Modification of activity is often necessary to allow the injured tissue a chance at recovery.

Splints may need to be worn to help reduce movement.

In cases with significant inflammation, medications to reduce inflammation may help.

Injections may be recommended and if symptoms persist, some patients may require surgery.

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Enquire With Us or Call Us at +65 8884 1642