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Hand Pain

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Trigger Finger

hand-pain-graphicStenosing Tenosynovitis, more commonly called "Trigger Finger", involves the pulleys and tendons that bend your fingers. Trigger Finger occurs when the pulley at the base of the finger becomes too thick and constricting around the tendon, making it hard for the tendon to move freely. Sometimes the tendon develops a knot or the lining swells. Because of this increased resistance one may feel pain, popping, or a catching feeling in the finger. Common causes include arthritis, gout, and diabetes, but in most cases there's no clear cause.

"Trigger Finger" can initially be treated nonsurgically with anti-inflammatory medication, or a splint or steroid injection around the effective area. If nonsurgical methods don't relieve symptoms, outpatient surgery may be recommended.

Dupuytren's Disease

Dupuytren's Disease is the abnormal thickening of the tissue just beneath the skin, known as the fascia. This thickening occurs in the palm and can extend into the fingers. Firm cords and lumps may develop that can cause the fingers to bend into the palm. Dupuytren's Disease is not typically painful; it may be most noticeable when a person has difficulty placing the hand flat on an even surface.

In mild cases in which hand function is not affected, only observation is needed. However, in more severe cases various treatment options may need to be considered involving injections or minor surgery.

Tendon Lacerations

Tendon Lacerations most commonly occur in the tendons that flex your fingers, called "flexor tendons", from a cut, which may cause damage to nerves on the finger or numbness on one or both sides of the finger. This can result in the inability to bend or straighten your finger. People with rheumatoid arthritis may experience a spontaneous rupture of the flexor tendons. They may notice the finger no longer bends, but cannot recall when the ability to bend it was lost.

Flexor Lacerations require surgical repair to sew the tendon together.

Hand Fractures

Hand Fractures can occur in either the small bones of the fingers (phalanges) or the long bones (metacarpals). These type of fractures can result from twisting, falls, or even sports-related injuries. Symptoms of a broken hand or finger bone include: swelling, tenderness, deformity, and inability to move your finger.

Most of the time, the bones can be realigned by manipulating them without surgery. A cast or splint is used to hold the bones in place. In some cases fractures do require surgery to stabilize and align bones. These fractures usually break through the skin or result from a crushing accident.

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