Acute Injury

An acute injury is an injury that occurs suddenly during activity and is associated with a single traumatic event. An acute injury may occur from a direct blow, a penetrating injury, a fall, or from twisting, jerking, jamming, or bending a limb abnormally. The pain can be sudden and severe, while bruising and swelling may develop shortly after the injury. Acute injuries to the wrist and hand may include; bruising, injuries to ligaments and tendons, sprains (injuries to joints), strains (pulled muscles), broken bones, dislocations, or crushing injury (compartment syndrome).

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve in the carpal tunnel, a narrow passageway on the palm side of the hand, is compressed due to health problems or repetitive hand movements. Symptoms of carpal tunnel include numbness or tingling in the fingers or hand. The sensation may travel from your wrist to your arm. Symptoms are often pronounced while holding items such as a steering wheel, phone, or newspaper. It is common for people affected to “shake out” their hands in order to relieve the tingling/numbness, but the symptoms could become constant as the condition develops. Hand weakness is another symptom of carpal tunnel. Individuals affected might have a tendency to drop objects due to the numbness or weakness in the thumb’s pinching muscles. It is important to seek medical attention if symptoms persist and interfere with normal activities because permanent nerve damage can occur without treatment.

Dupuytren’s Contracture

Dupuytren's contracture is a hand deformity that generally develops over several years. The condition affects the layer of tissue that is directly underneath the skin of your palm. Over time, knots of tissue form beneath the skin creating a thick cord that can pull on one or more fingers into a bent position. The fingers affected (generally pinky and ring finger) cannot be straightened completely and are essentially “stuck” in a bent position. While Dupuytren's Contracture can occur in both hands, one hand is usually affected more severely. The precise cause of Dupuytren's Contracture is not known. However, it is known that it occurs more frequently in patients with Diabetes Mellitus, seizure disorders (epilepsy), and alcoholism. Dupuytren's Contracture can be inherited.

Trigger Finger

Trigger finger is also known as stenosing tenosynovitis and is characterized by one of your fingers getting stuck in the bent position. The finger may bend or straighten with a snap, similar to a trigger being pulled and released. It occurs when inflammation causes the narrowing of the space within the sheath surrounding the tendon of the affected finger. If trigger finger is severe enough the finger could become locked in the bent position. Individuals with jobs or hobbies that require repetitive gripping actions are at high risk of developing trigger finger. The condition is also more common in women and individuals with diabetes. The type of treatment for trigger finger depends on the severity. The symptoms associated with trigger finger include: Finger stiffness, popping or clicking sensation, tenderness, or the finger being stuck in bent position.

Arthritic Joints

Arthritis is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. Two of the most common types of arthritis are osteoarthritis (OA) and rheumatoid arthritis (RA).

Osteoarthritis occurs from the prolonged wear and tear on your joints. There is dense protective cartilage covering the ends of the bones, which allows them to slide easily. Over time however, the cartilage becomes worn down and the bones begin to rub against each other, which causes the symptoms of osteoarthritis. Certain individuals are more at risk for developing osteoarthritis. Older, females (twice as likely as men), Caucasian, and/or overweight individuals are more at risk for developing OA. Injuries such as fractures or dislocations can increase the risk of developing OA. The most common symptoms of hand osteoarthritis are pain and stiffness (especially in the morning), bony lumps near your fingertip joints,swelling, redness, and weakness.

Rheumatoid arthritis is an autoimmune condition where your body’s immune system attacks the lining of your joints. Rheumatoid arthritis will affect joints on both sides of the body, such as both hands. This symmetry sets it apart from other types of arthritis. Rheumatoid arthritis can also affect the skin, eyes, lungs, heart, blood, or nerves. Symptoms associated with rheumatoid arthritis in the hands include: Hand and finger pain, warmth, swelling, stiffness, misshapen finger joints, numbness, tingling, and fatigue.