The non-surgical treatments for hand injuries and disorders making use of physical techniques including splinting, exercise and wound care is hand therapy. Hand therapists also take care of additional upper limb ailments affecting the function of the hand.
Prevalent Hand Ailments
Trigger Finger/Trigger Thumb - An unpleasant condition in which a thumb or finger clicks or locks as it is twisted towards the palm is known as trigger thumb or trigger finger.
De Quervain's Syndrome - This type of issue influences the tendons where they run through a tunnel that is found in the wrist on the thumb side. De Quervain's Syndrome is often an unpleasant and irritating condition.
Ganglion Cyst - Hand swelling is most often caused by a ganglion cyst, which is a cyst consisting of a clear and thick liquid called synovial fluid. This liquid is the body's lubrication job is to lubricate the joints and is located in the tunnels though which certain tendons run. Although ganglion cysts may appear from any tendon tunnel or joint, you will find 4 common areas in the wrist and the hand. These are located at the base of the thumb on the front of the wrist, in the middle of the back of the wrist, on the backside of an end joint of a finger as well as on the palmar side at the base of a finger.
Terminal Finger Joint Arthritis - The terminal joint of the finger is referred to as the DIPJ or interphalangeal joint. Frequently, Osteoarthritis impacts these joints and can also affect the joint at the bottom of the thumb as with the condition referred to as Basal Thumb Arthritis.
Arthritis at the Bottom of the Thumb - Found at the base of the thumb between your trapezium and metacarpal bones is the universal joint, which might become arthritic as people grow older. This form of Osteoarthritis is caused by the loss of the smooth cartilage surface covering the ends of the bones in the joints. The cartilage eventually becomes thin and rough and the bone ends can rub with each other, consequently the friction leads to pain and discomfort.
Dupuytren's Disease - Dupuytren's Disease or Dupuytren's Contracture is a common condition that typically occurs in middle age or later in life. It is statistically more traditionally materializing in men than in women. In this condition, firm nodules form in the ligaments found just beneath the skin of the hands. In some cases, these nodules extend from the cords and can prevent the finger from fully straightening.
Carpal Tunnel Syndrome - Carpal Tunnel Syndrome is a disorder where the median nerve gets compacted as it goes through the narrow wrist tunnel. This tunnel houses the tendons that bend the fingers and the thumb, together with the median nerve.
Cubital Tunnel Syndrome - Cubital Tunnel Syndrome indicates the irritation or compression of the ulnar nerve in a canal down the inside of your elbow, right where your funny bone is found. The ulnar nerve provides sensation to a portion of the ring finger and the little finger as well as powers the tiny muscles that are situated in the hand.
Prevalent Hand Injuries
Flexor Tendon Injury - Flexor tendons are smooth and strong cords that connect the finger and thumb bones with the forearm muscles. The thumb has one flexor tendon while the fingers each have two flexor tendons. These tendons go inside of channels based in the wrist and in the fingers. They are able to twisting your fingers much like a bicycle brake cable. The tendons lie just underneath the epidermis, mainly in the creases of the fingers and for that reason, the tendons may be damaged by any cut across the palmar surface on the wrist or hand.
Extensor Tendon Injury - Extensor tendons are strong and smooth cords that connect the bones in the fingers and thumb with the forearm muscles. These tendons help to align the fingers.
Mallet Finger Injury - A mallet finger injury develops when there's a tear of a tendon that straightens the end joint of the finger. Typically, it is the result of catching the finger "end-on" during a sport, even though, it might sometimes develop from a trivial injury including catching the finger the wrong way while tucking in the linens on a mattress.
Boutonniere Deformity - This kind of finger ailment happens when the position of the finger is twisted in the middle. The bend is often aimed downwards and the end joint might be twisted in the opposite direction. The explanation for this injury occurs from stubbing the finger on something, even though, the deformity can be the result of arthritis as well.
Thumb Extensor Tendon or EPL Rupture - This problem occurs when the long extensor tendon in the thumb, known as the Extensor Pollicis Longus or the EPL ruptures. This tendon is responsible for helping to pull the thumb in towards the index finger. In addition, this tendon moves around a bony prominence on the back of the wrist known as Lister's tubercle.
Types of Hand Fractures
Skier's Thumb - This type of injury describes a wounded ulnar collateral ligament, which is found in the metacarpo-phalangeal joint. This is a strong ligament that supports the thumb when pinching or gripping. If this becomes damaged, this might possibly result in a chronic imbalances of the thumb which in turn, brings about great problems with functionality.
Finger Sprains - Finger sprains refer to traumas to the supporting joint tissues, including the joint capsule and the ligaments. The ligaments are incredibly sturdy structures which have the responsibility of blocking a joint from moving into an unnatural position. The capsule is not as strong but functions to seal the joint from the other tissues. A sprain depends upon varying degrees, for example a first degree sprain is less severe when compared to a third degree sprain.
Finger Joint Dislocations - Dislocating a joint implies that the 2 surfaces are not in contact with one another. This might happen at any joint in the finger or the thumb. The most prevalent joint to experience this ailment is the proximal interphalangeal joint or PIPJ or even the middle joint of the finger. The dislocation direction will depend on the forces used during the time of the injury.
Nerve Injury - You will find 3 basic kinds of injury in which a nerve is involved: Where the inner cables or nerve fibers of the nerve are impaired but the outer layer remains intact; Where the nerve is bruised and will not work effectively for a brief period of time, yet all the nerve fibers or inner cables stay in one piece. In this specific kind of injury, the nerve usually recovers fully and leaves no deficit. Finally, there is the nerve injury where the nerve is completely split. In this scenario, both the inner cables or nerve fibers and the outer layer are separated. This sort of nerve injury is severed and requires the nerve to be mended by surgery if it is to recover.
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