Health and Wellness Articles

By Nathan WeiAccording to Dr. Nathan Wei, “The hand and wrist are the mirrors of disease.” While the cause of hand pain can be a localized problem, hand pain can also be the presenting sign for other diseases.
The wrist and hand are capable of power and precision. As a result, pain and swelling are often accompanied by weakness of grip in hand disorders. A careful history and a complete physical examination are important. The presence of symptoms elsewhere in the body is important to establish.

Two serious hand problems are:

Reflex sympathetic dystrophy (RSD). This is caused by a disorder of the sympathetic nervous system. Typically, it is described as a burning pain. The precipitating factor may be trauma Color changes including purplish discoloration of the fingers may occur. The treatment involves a special procedure called stellate ganglion block. Usually performed by an anesthesiologist, this procedure is often very effective.
• Hypertrophic osteoarthropathy. The hand becomes swollen and painful. This picture occasionally occurs in patients with underlying cancers.

Other hand problems that point to other diseases:

• Psoriasis may also cause pitting or lifting up (onycholysis) of the fingernails.
• Abnormal blood vessel patterns near the fingernails may signify auto-immune diseases like lupus.
• Raynaud’s phenomenon… When fingers blanch (turn white) this may be a sign of an underlying autoimmune problem such as systemic lupus erythematosus or scleroderma.
• Bumps, called “nodules” can develop as a result of osteoarthritis, gout, and rheumatoid arthritis.
• Depuytren’s contracture is a problem where the skin in the palm may become thickened and shortened. A cord of tissue develops and causes fingers to bend into the palm. Treatment for this problem may be steroid injection, splinting, and physical therapy. Surgery is often needed. This condition occurs with other medical diseases.

Virtually all types of arthritis can affect the wrist and hand.
Arthritis when untreated or poorly treated will lead to deformity. Tendonitis is another common problem in the wrist and hand. In the wrist, tendonitis usually causes pain and localized swelling. Tendonitis can be confused with arthritis.

Tendonitis in the hand is most common in the palm. This causes locking or triggering of the fingers. Steroid injection and physical therapy are usually effective treatments. Treatment consists of anti-inflammatory medication, steroid injection, splinting, and occasionally physical therapy.

Tips to make your hand pain better…

• Wear splints if you’re going to be doing a lot of repetitive motions
• Use your whole arm instead of just your hand and wrist
• Enlarge the handles on your tools. You can get kitchen utensils and writing implements with enlarges handles. They’re worth it.
• Make sure to take rest breaks.
• Avoid repetitive movements when possible.
• Carry objects with the palms open and flat. This will take the pressure off your wrists and fingers.

A common cause of hand pain is carpal tunnel syndrome
… pinching of the median nerve in the wrist. Carpal tunnel syndrome is a symptom- much like fever… it is not a disease! It is the most common cause of tingling in the hands. Besides tingling, burning pain may also occur. Patients often have discomfort at night that is relieved by hanging the affected hand over the side of the bed or vigorously shaking the hands. The discomfort of carpal tunnel syndrome can also be brought on by holding up the newspaper while reading, or by driving. Causes of carpal tunnel syndrome include arthritis, endocrine problems, pregnancy, trauma, infection, tumors, and overuse. Treatment of carpal tunnel syndrome depends on the severity. Mild to moderate carpal tunnel syndrome is treated with splinting, sometimes steroid injection, and avoidance of overuse. For patients with carpal tunnel syndrome that doesn’t respond to conservative measures or where the carpal tunnel syndrome is severe, surgery is indicated.
Radial nerve damage leads to wrist drop. Radial nerve pressure in the wrist can occur as a result of repetitive motion, tight pressure (handcuffs, watchbands, bracelets), diabetes, and trauma. Ulnar nerve damage and compression in the wrist can cause a “claw hand.” Treatment consists of anti-inflammatory medication, rest, splinting, injection, and sometimes surgery.
Treatment of hand disorders is entirely dependent on making an accurate and specific diagnosis.

Dr. Wei (pronounced “way”) is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: http://www.arthritis-treatment-and-relief.com

Article Source: http://EzineArticles.com/

By Priya Shah

Natural, herbal remedies can help arthritis sufferers who have tried traditional pain medications without success. Many natural remedies and supplements have been found to actually reduce cartilage deterioration and even rebuild a patient’s lost cartilage.

Many people are also seeking natural remedies because of the increasing cost of prescription medication. Conventional over-the-counter pain relievers, such as acetaminophen and ibuprofen, can be very helpful in decreasing joint pain, but they do produce side effects and can cause problems in long-term users.

Before adding any supplements to your daily routine, check with your healthcare advisor, as supplements can cause adverse reactions and may not be right for your situation. Before discontinuing a prescription medication, consult a physician.

However, with a doctor’s approval, there are many natural solutions, which may aid in managing arthritis.

Acupuncture – This is a popular alternative to medication for pain relief. Although the pain-relieving effects may be temporary, these sessions can be very beneficial for those who find that drugs or supplements are insufficient or have unacceptable side effects

Aromatherapy – Aromatherapy focuses on using pleasurable aromatic botanical oils by either massaging them into the skin, adding them to the bath water, inhaling them directly or diffusing their scents into the surrounding environment. The oils have been known to affect moods, help with relaxation, lessen or end fatigue and anxiety, and help the brain and nervous system via olfactory nerves stimulation when inhaled. It is another holistic treatment used by some arthritic sufferers for pain relief and stress management.

Cayenne Cream – Cayenne peppers contain an substance called capsaicin which is responsible for their spicy effect. This also causes a burning sensation when it comes in contact with skin, and inhibits the body’s production of substance P which is heavily involved the relaying signals of pain to the brain. You may need to apply the cayenne cream to painful areas two to three times per day for at least one week before you find relief.

Chondroitin – The most popular dietary supplements for arthritis sufferers are chondroitin, fish oil and glucosamine. Chondroitin can draw fluid into the cartilage, improving shock-absorbing ability and weight control, as more weight equals more joint pressure.

Fish Oil – Fish oils help with controlling inflammation in the body and may provide relief when arthritis is caused by an immune system dysfunction as in lupus. A vegetarian alternative to fish oil is flax seed or borage oil. More information can be found at http://www.omega3fats.com

Glucosamine – Recent studies have shown that the cartilage-building substance called glucosamine is effective for the long-term relief of osteoarthritis pain. In some people, glucosamine appears to even slow the deterioration of joints over time and reinforce joint cartilage. Whether or not it can actually reverse the disease is still unclear. Glutathione

Glutathione – Glutathione is an antioxidant with anti-inflammatory properties and can be safely boosted by consuming its precursors available in the supplements, N-Acetyl-Cysteine (NAC) or undenatured whey protein. You can find out more about it here http://www.1whey2health.com

Magnets – Although magnets that are worn as jewelry or placed on bed linens have been reported by some to be effective pain relievers, results are still preliminary; doctors claim that these magnets are not strong enough.

MSM – Methyl-Sulfonyl-Methane is an organic sulfur supplement that appears to slow down the degeneration but is not yet proven and approved. It is used in the reduction of inflammation and can be used in conjunction with glucosamine, in some instances.

Nettle leaf – Nettles can reduce a patient’s need for NSAIDS (non-steroidal anti-inflammatory drugs) by up to 70 percent.

Vitamin B – It is an effective pain reliever. It works best on the knee and can help stop degeneration that is caused by free-radical molecules, not only in the joints but in other areas of the body as well.

Vitamin E – This antioxidant is used primarily for osteoarthritis.

Ginger – Ginger is an antioxidant that acts as an inflammatory with no major side effects.

These are merely a few examples of what an arthritis sufferer can use when seeking pain relief from natural remedies. Due to the lack of scientific study and testing on many of these alternate treatments, there is no proof of their effectiveness.

Nothing can cure osteoarthritis, but nutritional supplements, the application of heat or cold to affected joints, exercise, and weight loss can improve the function and flexibility of your joints, and perhaps even slow the progress of the disease.

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Copyright © 2005 Priya Shah

Priya Shah is the editor of The Glutathione Report and Health Naturale. For a comprehensive report on arthritis, visit Arthritis Remedies

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