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Joint Pain
Wrist and Hand Pain
- Carpal tunnel syndrome is the most frequently diagnosed nerve compression problem in the arm and hand.
- Patients present with intermittent tingling, pain, or altered sensation affecting the fingers in the distribution of the median nerve: the thumb, index finger, middle finger, and radial half of the ring finger.
- The condition is thought to occur due to pressure, trapping, or irritation of the median nerve inside the carpal tunnel at the wrist. This tunnel is a space defined by bones on the back side (dorsally) and a tough band of tissue (flexor retinaculum) on the palm side (volarly).
- Anything that decreases the space inside this compartment or raises the pressure within it can trigger or lead to the symptoms of carpal tunnel syndrome.
- Most cases of carpal tunnel syndrome have no known cause (idiopathic). The symptoms are estimated to affect both hands in up to 73% of cases, though they might not happen at the same time.
- Other factors linked to the syndrome include pregnancy, repetitive hand or wrist use, wrist injuries, being overweight, underactive thyroid, kidney problems, diabetes, and inflammatory joint diseases.
De Quervain's Disease
De Quervain's disease is a frequent source of wrist pain and disability.
If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist.
De Quervain's tenosynovitis can be caused by repetitive use of the thumb and wrist, leading to irritation and swelling of the tendons. It is also linked to conditions like pregnancy and breastfeeding. Individuals with rheumatoid arthritis may have a higher risk of developing De Quervain's tenosynovitis due to the inflammatory nature of the disease affecting the tendons.It involves the entrapment of tendons in the first dorsal compartment of the wrist. Treatment options range from conservative approaches like immobilization and PROLOTHERAPY, CORTICOSTEROID INJECTIONS to relieve pain.
