Hand and Wrist Pain

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is the most common nerve entrapment neuropathy condition caused by compression of the median nerve in the wrist. Some of the symptoms may include numbness, pain, and tingling into the hand and first 4 fingers. Further progression of symptoms may lead to hand weakness, atrophy, clumsiness, hand weakness, and decreased fine motor control and coordination of the hand and fingers.

De Quervain’s Tenosynovitis

A painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness. We commonly see this in Postpartum women from holding the newborn. We have had great success in removing inflammation and swelling with use of our manual therapy, dry needling and LiteCure Class IV laser.

Fractures

A fracture, or a break in a bone, can cause a great deal of hand pain. Besides pain, after a fracture you may have:

If you have fractured a finger, for example, you may not be able to move it fully. Your injured finger could be swollen and in some cases slightly shorter than usual.

Arthritis

This is a leading source of hand pain. It causes joints to lose the cartilage that allows them to move smoothly against each other. As the cartilage deteriorates, painful, sometimes debilitating, swelling begins to occur.
In the hand, the areas where this most often occurs are the:

Base of the thumb
Middle joint of one or more fingers
End joint, which is closest to the fingertip

Osteoarthritis is the most common form of arthritis. It causes progressive degeneration of cartilage. It can happen with aging or following an injury, such as a fracture or dislocation. When it affects the hand, it causes:

Pain
Swelling
Stiffness

Bony nodules may also form at the middle or end joints of the fingers. Osteoarthritis can also cause deep, aching pain at the base of the thumb. The hand may also become weaker, making everyday activities difficult.

Trigger Finger

Doctors call this stenosing tenosynovitis. It causes fingers or the thumb to lock in a bent position. It can be painful, especially when you bend or straighten the affected finger or thumb.

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