Hand Pain ,Fingers pain – Everything You Need To Know – Dr. Nabil Ebraheim

Hand Pain ,Fingers pain – Everything You Need To Know – Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes possible conditions that may cause pain within the hand and fingers.
Hand pain
Common hand problems
Carpal tunnel syndrome
•Pressure on the median nerve causing pain over the wrist and fingers.
•Compression of the median nerve at the wrist.
•Can lead to numbness, tingling or weakness in the hand and fingers.
•These symptoms are found in the thumb, index, middle and half of the ring fingers.
•Can lead to atrophy of the hand and finger muscles.
Cubital tunnel syndrome
•Pain at the small finger and half of the ring finger.
•Pain originates at the medial elbow.
•Increased pressure on the ulnar nerve at the elbow where the nerve passes under the medial epicondyle or “funny bone”.
•The connective tissue over the nerve will sometimes thicken, causing the patient to have numbness and tingling in the little finger and ulnar half of the ring finger.
•Ulnar nerve compression below the elbow that can cause a “claw hand”.
Osteoarthritis
•Pain typically affecting the interphalangeal joints of the fingers and thumb.
•Degenerative joint disease causing gradual deterioration of the cartilage forming the joints of the hand.
Rheumatoid arthritis
•Pain located at the knuckles of the fingers and the wrist bone on the side of the small finger.
•Inflammation or irritation causing pain, swelling, weakness and over time loss of the normal shape and alignment of joints.
•The joints between the hand and fingers well and move upward ( dorsal subluxation)
•Tendons over the joints slip and cause the fingers to bend towards the little finger (ulnar drift).
Flexor tendonitis (trigger finger)
•Pain may be located in the palm at the base of the finger.
•Condition that affects the tendons of the fingers causing the finger to remain in the bent position when attempting to straighten it.
•The flexor tendon becomes thick and irritated as it slides through the tendon pulley causing a thickened nodule and triggering of the tendon.
De Quervain’s syndrome
•Pain is located over the radial side of the wrist.
•Pain and swelling over the thumb side of the wrist that may cause difficulty in gripping with the thumb.
•Inflammation of the sheath or tunnel that surrounds the two tendons that control movement of the thumb.
Basal thumb joint arthritis
•Pain is located at the base of the thumb (CMC joint).
•Arthritis of the basal joint or thumb CMC (carpometacarpal joint).
•Basal joint arthritis results in pain with restricted movement of the thumb across the palm.
It is hard to differentiate between De Quervain’s syndrome and basal thumb joint arthritis. Finklestein’s test ( De Quervain’s) and Grind test (basal thumb arthritis).
Finklestein’s test
•The test is conducted by having the patient make a fist with the fingers closed over the thumb and the wrist is bent towards the little finger.
•The hand is pulled so that the involved tendons are stretched, causing sharp, local pain if injury and inflammation is present.
Grind test
•By axial loading, pushing and rotating the thumb metacarpal bone, grinding may be felt within the joint.
Flexor tenosynovitis (kanavel’s sign)
•Pain is located in the finger at the flexor tendon sheath.
Cardinal signs
1-Uniform swelling of the entire finger
2-The finger is flexed
3-Intense pain when attempting to straighten the finger. occurs early
4-Tenderness along the course of the tendon sheath.

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