Hand And Wrist Pain Conditions

Our Doctors Diagnose, Treat And Manage Both Hand Pain And Wrist Pain Issues.

Understanding Hand And Wrist Pain Conditions

Hand and wrist pain can arise from numerous conditions, affecting people of all ages and lifestyles. The hand consists of bones, joints, ligaments, tendons, and muscles that work together to provide a range of motion and dexterity. The wrist acts as a complex joint comprising multiple small bones and a network of soft tissues, allowing for various movements. This intricate structure means that any damage or stress can potentially lead to pain, affecting daily activities like typing, gripping, or lifting. In some instances, underlying conditions like diabetes or gout can contribute to hand and wrist pain. Diabetes can lead to nerve damage, known as diabetic neuropathy, which may result in pain or numbness in the hands and wrists. Gout, a type of arthritis caused by the accumulation of uric acid crystals, can trigger sudden, intense pain episodes, typically affecting the joints. We discuss in further detail on this page the more common types of conditions affecting hands and wrists that we see, outlining symptoms and potential causes for each.

Wrist Tendinitis

Wrist tendinitis is a condition characterised by inflammation and irritation of the tendons around the wrist joint. The condition often results from repetitive use or overuse, which can lead to strain and stress on the tendons. Occupations or hobbies that involve repetitive wrist movements, such as typing, playing musical instruments and sports are commonly associated with the development of wrist tendinitis. This condition can affect individuals of all ages, but it is particularly prevalent among adults who engage in these high risk activities daily. One of the key symptoms of wrist tendinitis is pain localised to the affected area, which can vary in intensity depending on the severity of the condition. The pain may be accompanied by stiffness, a burning sensation, or swelling around the wrist joint. These symptoms can intensify with wrist movement or activities that put additional strain on the tendons.

Some individuals may also experience a reduced range of motion, making it difficult to perform tasks that require wrist dexterity and strength. In severe cases, the pain and stiffness might persist even when the wrist is at rest. The onset of wrist tendinitis can often be gradual, starting as a mild discomfort that progresses over time. Early warning signs can be subtle, and as a result, some individuals may not immediately recognise the need to modify their activities. If the condition is not addressed in its early stages, it may lead to chronic pain that complicates everyday tasks and affects the quality of life. Understanding the risk factors and symptoms associated with wrist tendinitis is crucial in recognising the condition early on, allowing for lifestyle adjustments to prevent further tendon damage.

Chiropractic Treatment For Wrist Tendinitis

Chiropractic treatment can be an effective approach for managing and alleviating the symptoms of wrist tendinitis. For wrist tendonitis treatment, we may use techniques such as joint manipulation or mobilisation to reduce inflammation and alleviate pain by improving joint mechanics and tendon function. Consult with one of our chiropractors and we can tailor a treatment plan specific to your needs and severity of the tendinitis.

Hand Arthritis

Hand arthritis is a common condition that affects a significant portion of the population, particularly as they age. It results from the inflammation of the joints in the hand, leading to symptoms such as swelling, pain, stiffness, and reduced range of motion. The two most prevalent types of arthritis that impact the hands are osteoarthritis and rheumatoid arthritis. Osteoarthritis is often described as the 'wear and tear' arthritis, occurring due to the breakdown of joint cartilage over time. On the other hand, rheumatoid arthritis is an autoimmune disorder where the body's immune system mistakenly attacks the synovium—the lining of the membranes that surround the joints.

The causes of hand arthritis can be multifactorial. Genetics play a significant role, as individuals with a family history of the disease are more predisposed to developing it themselves. Other risk factors include age, as the likelihood of developing arthritis increases as one gets older. Additionally, previous injuries to the hand, repetitive stress from certain occupations, and obesity can also contribute to the development of arthritis in the hands. The complex anatomy of the hand, comprising numerous small bones and joints, makes it particularly susceptible to this degenerative joint disease.

The impacts of hand arthritis go beyond just physical discomfort and can significantly affect a person's quality of life. The pain and stiffness can hinder the ability to perform everyday tasks, such as writing, typing, or even holding objects, which can lead to frustration and a sense of dependency. The chronic nature of arthritis, with its fluctuating periods of remission and flare-ups, can also take a toll on an individual's mental health, sometimes leading to anxiety or depression. Awareness and early recognition of the symptoms are crucial steps in managing and adapting to life with hand arthritis.

Hand Arthritis Treatment

Our chiropractors are trained to address biomechanical and neurological problems by focusing on the alignment of the musculoskeletal system. Chiropractic care for individuals with hand arthritis aims to improve joint function, decrease pain and inflammation, and increase range of motion. This approach is drug-free, making it a safe option for those who may have adverse reactions to medications.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a condition that affects the hands and wrists, occurring when the median nerve, which runs from the forearm into the palm, becomes compressed at the wrist. This nerve communicates sensation to the palm side of the thumb and fingers, excluding the little finger, as well as controlling some small muscles at the base of the thumb. Individuals with CTS often experience symptoms such as tingling, numbness, weakness, or pain in the affected hand and fingers. These sensations can be particularly noticeable during activities that involve bending the wrist or grasping objects, or even while sleeping at night.

The development of Carpal Tunnel Syndrome can be influenced by a variety of factors including genetic predisposition, repetitive hand movements, or certain health conditions that increase pressure on the median nerve. Occupations or activities that involve prolonged use of vibrating tools or repeated wrist movements can also contribute to this condition. While both men and women can develop CTS, it is more prevalent in women, potentially due to anatomical differences. Early recognition of symptoms and understanding the contributing factors are essential in managing the progression and impact of Carpal Tunnel Syndrome.

Learn More About Carpal Tunnel

De Quervain's Tenosynovitis

De Quervain's Tenosynovitis is a painful condition affecting the tendons on the thumb side of the wrist. This condition is often associated with activities that require repetitive hand or wrist movements, which can lead to inflammation in the tendons. It primarily involves the extensor pollicis brevis and abductor pollicis longus tendons, encased in a sheath that can become swollen and restrict natural movement. As a result, individuals may experience significant discomfort during thumb and wrist motion, impacting daily activities that require a grasping or pinching motion.

The exact cause of De Quervain's Tenosynovitis remains unclear, but it is commonly linked to repetitive stress. Certain occupations or hobbies that demand frequent hand and wrist use, such as gardening, playing musical instruments, or assembly line work, may increase one's risk. In addition to occupational factors, physiological changes during pregnancy or rheumatoid arthritis can also contribute to the development of this condition. Women are statistically more likely than men to experience De Quervain's, and it primarily affects individuals between the ages of 30 and 50.

Symptoms of De Quervain's Tenosynovitis typically include pain, tenderness, and swelling around the base of the thumb and the wrist. These symptoms tend to worsen with tasks that involve gripping, grasping, or turning the wrist. Patients may also notice a "sticking" or "catching" sensation during thumb movement due to the thickening of the inflamed tendon sheath. Occasionally, a noticeable swelling or fluid-filled cyst may develop at the site of inflammation. Functional capabilities, particularly in the hands, can be significantly diminished, affecting both professional and personal activities.

Diagnosis And Treatment Of De Quervain's Tenosynovitis

Chiropractors are often consulted for the assessment and management of De Quervain's Tenosynovitis, alleviating symptoms and restoring function. The diagnostic process typically involves a careful review of the patient's medical history, followed by a physical examination to evaluate pain points, range of motion, and the specific movements that provoke pain. One of the common diagnostic tests is the Finkelstein test, where the patient makes a fist with their thumb placed inside the fingers, and the wrist is then bent towards the little finger. A positive test elicits sharp pain along the tendons in question. Treatment and management for De Quervain's Tenosynovitis by a chiropractor is generally focused on reducing inflammation and improving the mobility of the affected tendons. By utilising manual therapies, we can help to stretch and manipulate the affected tendons, reducing stiffness and pain. This may include specific adjustments to the wrist, hand or thumb, soft tissue therapy techniques such as Graston or Active Release Technique, as well as therapeutic exercises to support healing and improve range of motion.

Ulnar Tunnel Syndrome

Ulnar Tunnel Syndrome, often known as Guyon's Canal Syndrome, is a condition that involves the compression of the ulnar nerve as it passes through a tunnel in the wrist. This condition specifically affects the ulnar nerve after it branches from the main nerve pathway in the arm, often due to repetitive wrist movements or sustaining pressure on the wrist for extended periods. The ulnar nerve is crucial as it controls most of the small muscles in the hand, playing a significant role in fine motor skills and grip strength, which are vital for everyday tasks.

Individuals experiencing Ulnar Tunnel Syndrome may notice a variety of symptoms, predominantly in the hand and fingers. A common complaint is numbness or tingling, especially in the little finger and part of the ring finger. This can be accompanied by a burning sensation or weak grip strength, affecting one's ability to perform tasks that require hand precision, like typing or playing musical instruments. As the condition progresses, it may also lead to muscle weakness in the hand, causing diminished manual dexterity.

Certain activities and conditions can increase the risk of developing Ulnar Tunnel Syndrome. People who engage in sports that require a firm grip, such as cycling, or use hand-held tools frequently, may be more susceptible. Anatomic variations due to genetics, wrist fractures or cysts can contribute to the narrowing of Guyon's Canal, escalating the chances of nerve compression.

Diagnosis And Treatment Of Ulnar Tunnel Syndrome

Chiropractors are trained in diagnosing and treating Ulnar Tunnel Syndrome. The diagnostic process begins with a thorough assessment of the patient's history and symptoms, followed by physical examinations to evaluate the range of motion, muscle strength, and nerve function. Once diagnosed, treatment involves a multi-faceted approach focusing on reducing nerve compression and alleviating symptoms. A combination of therapies are employed, all aimed at relieving pressure on the ulnar nerve. In some cases, we may collaborate with other healthcare professionals for a comprehensive treatment plan.

Other Hand And Wrist Conditions

The human hand and wrist are intricate structures composed of numerous bones, muscles, and tendons working in harmony to facilitate a wide range of movements and functions. However, this complexity also makes them susceptible to a variety of conditions that can impact functionality and quality of life. These conditions can arise from overuse, injury, inflammation, or degenerative changes, leading to symptoms such as pain, stiffness, swelling, and limited motion. They can affect daily activities, making tasks like typing, gripping, or lifting difficult. Early recognition and appropriate intervention are crucial to managing symptoms and preventing further complications.

Here is a list of other hand and wrist conditions our chiropractors can manage:

Trigger Finger: A condition where a finger gets stuck in a bent position due to inflammation in the tendons, sometimes causing a popping sensation when the finger is straightened.

Wrist Sprains: Injuries that can result from trauma or accidents, leading to pain, swelling, bruising, and difficulty using the hand or wrist.

Ganglion Cysts: These are fluid-filled sacs that can develop on the hand or wrist, causing pain, discomfort, and restricted movement.

Dupuytren's Contracture: A condition where thickened tissue forms under the skin of the palm and fingers, causing fingers to bend inward.

Raynaud's Phenomenon: This is a disorder that affects blood flow to the fingers and toes, causing numbness, tingling, color changes in the skin (usually turning white or blue) in response to cold or stress. Episodes of Raynaud's can last anywhere from a few minutes to several hours and may result in pain once normal blood flow returns.

Repetitive Strain Injury (RSI): Common in hands and wrists, a term used to describe a group of conditions caused by repetitive movements, vibrations, or awkward postures that can damage tendons, muscles, nerves, and other soft tissues.

Scaphoid Fracture: A break in the scaphoid bone, one of the small bones located near the base of the thumb. This injury can occur from a fall on an outstretched hand and may cause pain, tenderness, and difficulty gripping or pinching.

Kienbock's Disease: A condition that affects the lunate bone in the wrist due to inadequate blood supply, causing pain and limited mobility.

Thumb Arthritis: Degeneration of cartilage in the joint connecting the thumb to the wrist, leading to pain, stiffness, and decreased grip strength.

Carpal Subluxation: One or more of the carpal bones in the wrist become partially dislocated, causing pain and decreased range of motion.

Thoracic Outlet Syndrome: Compression of nerves or blood vessels in the upper chest/shoulder region, causing pain in the hand and arm.

Mallet Finger: An injury where the tendon responsible for straightening the end joint of a finger becomes damaged or torn, resulting in an inability to straighten the finger without assistance.

Hand Joint Subluxations: Partial dislocations of joints in the hand, often caused by injury or weakened ligaments with pain and limited range of motion.

Intersection Syndrome: Inflammation of the upper forearm tendons where they cross over each other, resulting in swelling near the base of the thumb.

Hand And Wrist Pain Treatment

Overall, there are various conditions that can affect the hand and wrist, ranging from acute injuries to chronic degenerative conditions. Our chiropractors are trained to assess and manage these conditions, using a combination of manual therapies, rehabilitation exercises, and lifestyle modifications to alleviate symptoms and improve function. Through targeted treatment plans tailored to each individual's needs, our goal is to help patients regain hand and wrist function fully, allowing them to perform daily tasks with ease and participate in their favourite activities without limitation. So if you're experiencing hand or wrist pain or dysfunction, don't hesitate to schedule an appointment with one of our experienced chiropractors for personalised care and relief.