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There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.
Some of the most common conditions that cause hand pain are:
De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.
Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.
Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.
Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.
- Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition. If you wish to discuss about any specific problem, you can consult an orthopedist.
I feel very weakness in my body. Sometime my eyes sight very low. Totally body pain. I should I do. I take consultant with doctor but no result.
Persistence of pain even after full healing of an affected area after injury or ailment is known as chronic pain. Chronic pain can also occur due to an undiagnosed underlying condition within the body. Any form of pain which lasts for more than 6 months can be categorized as chronic pain. Chronic pain might be continuous or episodic, excruciating or mild, totally incapacitating or merely inconvenient.
Symptoms of Chronic Pain include:
1. Light to severe pain that keeps occurring from time to time and cannot be relieved easily.
2. Occurrence of pain that can be described as burning, shooting, aching or even, electrical.
3. Constant feelings of discomfort. This includes stiffness, tightness or soreness in the affected area.
Chronic pain usually does not occur alone and is often accompanied by other problems such as:
1. Lack of sleep
3. Weakened Immune System
5. Mood Swings that include depression, fear, hopelessness, anxiety, stress, irritability, etc.
Reasons behind it
There are a number of different factors that can cause chronic pain. Some of them are:
- Aging: Common conditions associated with normal aging can have an effect on joints and bones, giving rise to chronic pain.
- Incorrect treatment and improper healing: Bad diagnosis or incorrect medications or procedures may cause improper healing of injuries as well as damage to nerves leading to chronic pain.
- Underlying disorders or diseases: Diseases are also capable of causing chronic pain. Conditions like osteoarthritis, rheumatoid arthritis and fibromyalgia are some well-known diseases that cause chronic pain. However, persistent and chronic pain might occur due to sicknesses like multiple sclerosis, cancer, AIDS, stomach ulcers as well as gallbladder disease.
In most of the cases, the reasons behind chronic pain can be rather complex. Sometimes, even though the chronic pain begins with an illness or an injury, the ongoing pain is capable of developing into a psychological aspect even after the physical issues have been healed, thus making treatment tricky.
Chronic pain is usually managed using a combination of physical therapy, medications and exercises, which helps in reducing the pain. Examples of pain relieving medications include ibuprofen and aspirin. Day-to-day activities can be performed only if this pain is adequately controlled. Additional techniques include:
- Radiofrequency Ablation (RFA): The target of this technique to address the nerves that are responsible for sending pain signals to the brain. This is achieved by placing the heated tip of a needle in a region which is extremely close to the nerve. The heat renders the nerve incapable of sending the pain signal.
- Pain Shots: This is used to deliver medications to the exact site of the pain. Nerve blockers are also used to block signals from reaching the brain.
- Alternative approach: These include acupuncture, massages and yoga along with other treatments from alternative medicine.