Hand Pain can cause a lot of suffering to the patient. The cause may come from one of the several different structures that belong to the hand, such as:
- Joints and articular cartilage
- Muscles
- Tendons
- Lingaments
- Bursa
- Articular Capsule
- Bones
Prolonged and instense pain, is usually because of two or more affected structures above.
Characteristics of Hand Pain
Hand Pain can be of small intensity in particular movements or even unbearable at rest. It is important for assessment, to determine whether it is caused by movement, which particular movements, how long does it take for pain to stop, or if it is present at rest. It is also importnt to determine, if there is pain during night. Hand Pain may appera with the charactristics below:
- Acute
- Like stabbing
- Like a hit
- Like burning
- Like electricity
- Superficial
- Deep
- Mild
- Continuous
- Interrupted
How can hand pain be relieved?
When hand pain arises, immediate actions that can be taken include:
- Resting the hand and avoiding activities that trigger the pain
- Applying ice to the hand in the painful area for 15-20 minutes, 2-3 times a day. The ice should be wrapped in a towel.
- Performing gentle range-of-motion exercises for shoulder, elbow, wrist, and fingers to maintain hand flexibility
Differential Evaluation of Hand Pain
Evaluation by the Physical Therapist in necessary for detecting other potential pathologies that coexist, such as:
- De Quervain's Syndrome
- Carpal Tunnel Syndrome
- Hand Tendinopathy
- Fracture
- Articular Pathology
Evaluation by Othropedic Physical Therapist Konstantinos Danalis is done by taking your medical history and history of the clinical condition, by clinical trials and a test therapy that follows.
How can Physical Therapy Help with Hand Pain?
During treatment the immediate concern is the cease of pain, which can be very acute in certain cases. This is achived through a combination of interventions, such as specialized massage and electrotherapy, which can be effective in any case. Then passive and active kinesiotherapy, with also specialized exercises is applied. Gradually, a set of exercises is introduced to strengthen the muscles avert future deterioration of the clinical condition. The interventions used are:
Konstantinos Danalis,PT
Physical Therapist
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Athnasia A.
Mr Danalis is a very good professional who pays the necessary attention to his patient's condition. The most important is the quality and effectiveness of his creative treatment. Highly recommended!
Erifili S.
Mr Danalis has very deep knowledge on his practice and sepnds a lot of time on his patient! H is very positive and has helped me a lot!! I trust him and higly recommend him!
Giota S.
He has deep knowledge of his practice, he spent a lot of time on my condition kai he trully gained my trust! I would definitely recommend him!
How can I prevent Hand Pain?
For Hand Pain prevention, in chronic conditions, a monthly program of sessions is required that includes :
You can find more advice for prevention and self care for hand pain you can find in the links below:
- Recomendations for Patients by American Physical Therapy Association
- Recomendations for Patients by American Physical Therapy Association
What is the cost of treatment
The cost of treatment is not high. The required sessions are usually 6, and in each one the treament progrmm is adjusted to the cauurent codnition. After redusing symptoms a structured exercise program is introduced to continue therapy and avert reccurent symptoms. The program is prescribed electronically, so that the patient has easy access and execute it by himself/herself. There is also the option of online supervision at a low cost. Continuous communication between the patient and the doctor is maintained for ongoing support.
If you have Neck Pain Contact PhysioDanali today for expert consultation.
References
- Erickson M, Lawrence M, Jansen CWS, Coker D, Amadio P, Cleary C. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome. J Orthop Sports Phys Ther. 2019 May;49(5):CPG1-CPG85. doi: 10.2519/jospt.2019.0301. PMID: 31039690.
- Núñez de Arenas-Arroyo S, Cavero-Redondo I, Torres-Costoso A, Reina-Gutiérrez S, Álvarez-Bueno C, Martínez-Vizcaíno V. Short-term Effects of Neurodynamic Techniques for Treating Carpal Tunnel Syndrome: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2021 Dec;51(12):566-580. doi: 10.2519/jospt.2021.10533. Epub 2021 Nov 16. PMID: 34784245.
Woodley BL, Newsham-West RJ, Baxter GD. Chronic tendinopathy: effectiveness of eccentric exercise. Br J Sports Med. 2007 Apr;41(4):188-98; discussion 199. doi: 10.1136/bjsm.2006.029769. Epub 2006 Oct 24. PMID: 17062655; PMCID: PMC2658941.
Cook JL, Purdam CR. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sports Med. 2009 Jun;43(6):409-16. doi: 10.1136/bjsm.2008.051193. Epub 2008 Sep 23. PMID: 18812414.
Khan KM, Cook JL, Maffulli N, Kannus P. Where is the pain coming from in tendinopathy? It may be biochemical, not only structural, in origin. Br J Sports Med. 2000 Apr;34(2):81-3. doi: 10.1136/bjsm.34.2.81. Erratum in: Br J Sports Med 2000 Aug;34(4):318. PMID: 10786860; PMCID: PMC1724184.