Pain of hand tendons
Inflammation of painful hand tendons .. but can be treated
Hands are the source of human vitality, as we work and communicate with
others.
The disease and rupture caused by our use can lead to painful conditions.
Women are most vulnerable, in particular to one of two problems:
De Quervain's tenosynovitis, stenosing tenosynovitis (or finger trigger / trigger
finger), or both.
Both problems affect the tendons of the hand.
It is known that the tendons connect between the muscles of the hand and wrist
muscles, with the bones in the fingers and thumb, which allows us to bend the
wrist and joints of the hand and move our fingers as well as the thumb.
The tendons remain in place by the presence of fibrous membranes, which are
shaped like tubes, which are sheaths. The tendons are covered with a sliding
tissue called the synovial membrane that helps them slide smoothly across the
nipples.
As a result of excessive use, or because of a condition such as rheumatoid
arthritis, or sometimes, for no apparent reason, the tendons and tendon of
tendon inflammation, swelling, and thicker, may cause pain that leads to reduced
movement.
This condition is called tendonitis (tenosynovitis).
Inflammation of the Quervin
The tendon sheath called "dorsal chorvinitis" is a painful inflammation of the
tendons in the wrist, leading to the removal of the thumb and its duration - and
also leads to inflammation of the fibrous band or sheath, which surrounds those
tendons.
The most prominent symptom of this inflammation is pain in the base of the
thumb. Sometimes the pain extends to the forearm, especially when the
movement requires moving the thumb and wrist - such as holding objects.
The swelling of the wrist may also appear on the side of the thumb, and
sometimes a bag filled with fluid may appear. Simple operations such as raising
a cup of coffee or peeling vegetables are impossible.
the reasons:
Excessive use of the wrist and wrist is one of the main reasons.
Two main tendons, the abductor pollicis longus tendons and the extensor pollicis
brevis, connect the thumb and hand, and extend across the fibrous sheath in the
wrist.
In the case of frequent tingling of the thumb, or repetition of constipation in the
thumb with a rotation of the wrist, the tendons can be inflamed. As it may be
tightened, which limits the movement of tendons.
If this condition remains untreated, the increased inflammation and constriction
may cause scars that inhibit more than the movement of the thumb.
Di Corvine is sometimes referred to as a "baby's wrist" or "thumb of the mother"
because it appears in new mothers, perhaps because of their frequent
movements to care for their babies. They may also be caused by thumb
exposure to damage due to a condition of inflammation such as rheumatoid
arthritis. However, the cause of the problem often remains unclear.
Diagnosis:
The doctor examines the thumb and recognizes the pain in the base while
performing the patient's movements of hand and thumb.
The most common tests are called the Finkelstein maneuver. The doctor asks
you to close the four fingers on your thumb and then quickly pull your wrist
toward the small finger. This leads to the tendon of the tendon through the
narrow sheath, a very painful movement in people with diphtheria.
the cure:
The basic treatment is rest, put ice packs, and take non-steroidal anti-
inflammatory drugs.
Comfort is especially important because continuous use of the thumb will
stimulate inflammation. One way to relax the thumb and wrist is to use a splint
that covers the thumb and wrist. However, doctors are different about the time of
use of this splint. Some see the need to wear it for six weeks while others
recommend wearing it only when the pain occurs.
For pain relief, ice is placed on the wrist for 15 minutes every four to six hours,
and medications are taken.
If the pain does not hide within three weeks, the doctor may prescribe a syringe
of steroids injected into the tendon sheath. If all of these treatments fail, the next
step is to perform surgery to open the sheath, in order to allow for greater area
of tendons.
After the pain subsides and the tumor disappears, the simple exercises can help
restore normal movement to the thumb and wrist. You must massage the base
of the thumb and palm before doing thumb thumb exercises.
Finger Trigger
The trigger finger is a painful condition in which the finger or thumb closes on
itself, when the person takes it or adjusts it.
This name is named because this is similar to the sound of the finger when you
click it. This condition occurs in people in their 40s and 50s, which is six times
more prevalent among women than men.
Symptoms:
The first symptom of this disease is probably the pain, and increased thickness
of the base of the finger or thumb.
Its special feature is a crackling resembling the trigger of the gun, appearing
gradually or suddenly, and the pain may spread "radially" to the palm of the hand
or to the end of the finger and thumb.
If the finger or thumb is closed to the palm of the hand when waking up, the
finger can be gradually released from its position over time.
The problem seems to lie in the middle finger or upper part of the thumb. But it is
actually a problem in the base of the fingers affecting the joints. Sometimes the
finger joint can be loosened by a finger-base massage.
the reasons:
Frequent movements during work may cause it, but research on this issue is
contradictory.
Trigger finger is also associated with rheumatoid arthritis and diabetes (people
with diabetes are four times more susceptible to trigger finger). But, at times, the
cause remains unknown.
This condition arises when a knot appears on the tendon, or swells in the lining
(the synovial membrane). As a result, the tendon, instead of passing smoothly
through the fibrous sheath that normally passes through, becomes stuck,
causing pain and stiffness.
Trigger finger can also occur due to inflammation in the narrow sheath. In both
cases, a vicious circle occurs: the more the tendon is stuck, the more swelling
and discomfort. The more swelling and discomfort, the more likely the tendon
becomes stuck.
Diagnosis:
The main indicator of the pathological condition is the date of the hardening of
the injured finger, or its cracking when folded or flexed.
X-rays are not necessary for diagnosis.
The doctor will examine swelling at the base of the thumb when opening, closing
and moving the hand. Another case, called Dupuytren's contracture, is usually
painless.
the cure:
The first step to treatment is to stop any action that would make the situation
worse.
The second step is to disable or block the movement of the finger or thumb,
either hard to a nearby finger or using a splint.
The splint can be useful at night, especially to prevent hardening of the finger.
To relieve pain ice packs non-steroidal taken placed.
If you suffer from the condition, even after six weeks of paralyzing the injured
finger, the doctor will recommend that you inject a steroid into the base of the
finger.
If symptoms do not improve six weeks later, another injection may be given.
Non-surgical treatments for this condition (and de Quervin case) are effective if
they are started early with the movement of infected fingers disrupted.
However, if the condition remains as it is, the doctor may recommend surgery,
similar to the surgery of the case of "de Corvine".
The surgery on the trigger finger involves the opening of the sheath to enable
the tendon to move through it easily. The results of the operation, swelling and
discomfort, may last for a month or more.
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