Worried about pain in the finger, and you 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 only be identified with the help of instrumental diagnostics.
Contact the clinic, and the specialist will establish a clinical picture, conduct complex therapy. With the help of drugs, physiotherapy, rehabilitation methods, the inflammation will be removed, the destructive process will be stopped, and the limb will be restored to working capacity.
Why finger joints hurt: causes and treatment
Arthralgia often appears as a sign or symptom of a primary disease. Acute sensations arise as a result of inflammatory arthropathies, degenerative-dystrophic pathologies, mostly of traumatic origin. Pain syndrome causes irritation of nerve endings, provoked by:
- toxins;
- sodium or potassium urate;
- bone growth;
- allergens;
- autoimmune process.
The cause of pain in the finger joint can be a nerve disease or a problem that is not directly related to the limb. Pain referred to the left limb is a common occurrence in heart attacks. This also happens with problems in the upper part of the cervical region. With intervertebral hernia, it gives to the shoulder and forearm, hand.
However, there are some direct reasons why the phalanges become numb, the small joints of the limbs suffer. Finger pain after infection, hypothermia, inflammation of soft tissue and bone structure.
Rheumatoid arthritis
This disease in 7% of cases affects people over 30+. 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, then spreads to the other hand. Symmetric lesions of proximal joints with changes in shape are typical for this pathology. For companies, pelvic bones, ankles and ankles suffer. Arthritis is characterized by rippling pain. During the day and in the first half of the night they are acceptable, in the second they intensify and do not allow sleep.
Psoriatic arthritis
It accounts for 5% of cases. This disease affects both men and women after 20 years. For the most part, 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 fingers on the arm hurts, the skin turns red, it becomes like a sausage. Unlike rheumatoid inflammation, this process affects both hands, but affects different bones.
Gout
With this problem, less than 5% of patients turn to a doctor. It involves men aged 25-55 years. The inflammation starts with the big toe, gradually goes up through the joints, affecting the phalanges of the hands. The pain develops suddenly. It permeates throughout the body, does not disappear for a long time. The affected area becomes purple and warm to the touch. In women, the process is milder, lasting 3-10 days. However, after a while everything repeats itself. A wave-like course is a sign of the development of gout inflammation.
Joint pain
Under the collective definition understand articular anomalies of different nature. They appear as a result of past infections, with systemic diseases. Signs of acute inflammation - swelling, redness, temperature, pain in the finger joints. More often experience metacarpophalangeal and interphalangeal. In chronic arthritis, sharp sensations are disturbing episodes. Over time, muscles lose strength and function. Arthritis in the fingers leads to loss of physiological skills and disability.
Polyosteoarthrosis
The finger joints in the hands are very painful with degenerative changes in the bones. It all begins with the thinning of cartilaginous tissue, damage to the interphalangeal spherical joint. The reason is hidden in the compaction and sclerosis of the synovial membrane, an endocrine anomaly. Medical experts consider primary polyosteoarthritis as an independent disease provoked by physical load, hypothermia. Secondary - as a complication after infection and mechanical injury. In both cases, sharp annoying pains, flexion contractures appear.
Rhizarthrosis or osteoarthritis
This is another cause of pain in the fingers, causing arthralgia and causing problems at the junction of the thumb and wrist. This process affects the entire joint. This results in:
- to reduce depreciation;
- friction and destruction of bone tissue layer by layer;
- thickening in the interphalangeal zone;
- appearance of nodules and stiffness.
- crispy
Orthopedic surgeons comment:
Symptoms vary depending on the stage. In people who load the thumb for a long time and monotonously, in 30% of cases, rhizarthrosis develops as an independent disease. Because the symptoms are 90% consistent with de Quervain's tenosynovitis, the problem is differentiated using x-rays. The picture clearly shows bone defects, and not soft tissue, as with tendon inflammation.
trigger finger disease
In medical reference books, trigger finger syndrome is known as stenosing ligamentitis. Symptoms: sharp pain in the fingers: swelling, lump formation, numbness. The peculiarity is the inflammation of the tendons and the formation of nodes that prevent the flexion of the phalanges. If there is no therapy at stage 3, the finger takes a fixed position, at stage 4 secondary deformation occurs, the process becomes irreversible. Among the many provoking causes, anatomical anomalies of the tendon-ligament apparatus are more often mentioned.
De Quervain's tenosynovitis
Due to de Quervain's disease, the bones in the fingers hurt in 4% due to muscle inflammation. A sharp sensation occurs suddenly at the junction with the wrist joint and worsens with flexion. Pathology leads to damage to the extensor synovial membrane of the finger. The problem is revealed by boring movements, because of constant pressure on the hands and palms, causing cicatricial changes in the ligaments. It:
- play a keyboard instrument;
- printing;
- work on the sender.
Raynaud's syndrome
Finger pain due to sharp 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 temperatures. Clinical syndromes do not appear for many years. Over time, attacks appear that cause blanching or redness of the skin, cyanosis. As a result, symptoms lead to trophic changes in soft tissues.
carpal tunnel syndrome
Finger joints also hurt due to injuries and the development of carpal tunnel syndrome. An unsuccessful fall, the impact provokes damage to the integrity of tissues, blood vessels, leading to the formation of a hematoma or a broken hand. The development of the syndrome is facilitated by the compression of the median nerve under the ligament that holds the tendon. Clinical manifestations: numbness in the palms, decreased motor skills, decreased muscle volume in the large tubercle. Diseases associated with inflammation of tendon fibers are more common in women.
Bones in fingers hurt:
- Because bursitis takes many forms.
- Anomalies of children - Stationary disease, Kawasaki syndrome.
- Systemic diseases - diffuse fasciitis, Lyme, Sjögren's, Crohn's, Bechterev's disease.
- Tumor - myeloid disease, lymphoblastic leukemia.
Diagnostics
It is impossible to determine why the fingers on the hand hurt without a differential examination. First, a visual inspection is carried out. A rheumatologist or arthrologist pays attention to the symmetry of lesions, symptoms, and other clinical signs. The patient was referred by a traumatologist and allergist, then sent for laboratory tests.
Blood biochemistry determines the rheumatoid factor, uric acid and sialic acid levels, erythrocyte sedimentation rate in the blood. In infectious and immune pathologies, reactive proteins are detected, indicating tissue destruction.
Why the fingers on the hand hurt, causes and treatment help to establish x-ray, ultrasound. The doctor examines the problematic structure, conducts a symmetrical diagnosis of the healthy hand. It is necessary:
- to assess the level of damage to the structure;
- condition of cartilage and ligaments;
- detection of the main signs of anomalies, cysts and nodes.
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, joint space width in arthritis, thinning of cartilage in arthrosis, bone displacement, growth. Sometimes densitometry is prescribed to determine bone density.
Because what hurts the finger phalanx, other research methods will suggest - electrospondylography and electroneuromyography. The first technology reveals the parts of the spine responsible for limb movement. The second determines the condition of peripheral muscles and nerves. With throbbing pain in the finger, the specialist may recommend a puncture. The percutaneous aspiration method allows you to take secretions, at the same time administering antibiotics or analgesics to relieve acute symptoms.
Diagnostics
- Ultrasound diagnostics.Non-invasive studies are indicated for inflammation and damage to soft tissues, muscles, ligaments, tendons, joint capsules using ultrasonic waves.
- Radiography.Set for injuries: dislocations and fractures, joint diseases: arthrosis and arthritis of the joints.
- Analyze.General blood and urine tests, blood biochemistry show signs of inflammation, the presence of infection, disorders of bone and cartilage tissue.
- Magnetic resonance imaging.A high-precision method for diagnosing connections with an information content of up to 99%.
Finger pain: 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 finger joints are very painful, ketarolac and tenoxicam are suitable for treatment. With drip or intramuscular infusion, they remove symptoms for 3 days.
Corticosteroid drugs - dexamethasone, prednisolone also relieve the catarrhal process. At the same time, the swelling decreases, the metabolic process in the cartilage improves, which contributes to the rapid recovery of mobility. Chondroprotectors thicken the structure of bone tissue, preventing the severity of the degenerative process.
Physiotherapy - ultrasound and electrical impulse therapy, acupuncture improves blood circulation. Therapeutic gymnastics helps develop muscles, restore mobility in joints. Patients are advised to revise their diet, make a diet with a preference for protein and plant foods, and undergo spa treatments.
Treatment Methods
- Reception of traumatologists-orthopedics
- Shock wave therapy on the hand
- Joint plasmolifting
- PRP Therapy for Wrists
- Wrist joint restriction
- Inject in the brush
- Phonophoresis
- electrophoresis
- Hand ultrasound
- Physiotherapy
- Drug therapy
- Orthotics
- Magnetotherapy