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Finger Pain Tips

Know The Causes And Symptoms Of Avulsion Fracture!

Dr. Rahul Nerlikar 85% (10 ratings)
MS - Orthopaedics, M.Ch - Orthopaedics, FRCS, MBBS
Orthopedist, Pune
Know The Causes And Symptoms Of Avulsion Fracture!

A small piece of bone is known as a fragment and it is very common that an avulsion fracture also tends to damage the protrusions of bone to which the tendons attach. This basically means that the tendon or ligament will come away from the bone and it will take a small piece of bone with it. It is sometimes very hard to find out what type of injury you have and this is why knowing the causes and symptoms of an avulsion fracture are very helpful in determining exactly how severe the injury is. 

Here are the causes of an avulsion fracture:

  1. Explosive landing: Athletes who tend to jump or land with great impact tend to get these most commonly. Therefore, it is crucial for your health that if you participate in such sports, you do follow the correct method of jumping.
  2. Explosive extension: Similar to how an athlete landing ferociously can get an avulsion fracture, someone who is extending the legs very violently and explosively during an exercise can also get an avulsion fracture. This is because the bone getting extended could very well damage the protrusions to which the tendons are attached. 

Symptoms
These are the two main causes of an avulsion fracture. There are not many symptoms of an avulsion fracture. This is because an avulsion fracture can only be determined by an MRI or by an X-ray scan. Therefore it is nearly impossible to diagnose that you have an avulsion fracture without looking at the results of the tests performed on the part of your body. However, the way you got the fracture and especially the details of it are very good indications of whether you have an avulsion fracture or not. In case you have a concern or query you can always consult an expert & get answers to your questions!

2308 people found this helpful

Trigger Finger:How To Avoid Complications

Dr. Priyanka Saini (P.T.) 90% (79 ratings)
Bachelor of Physiotherapy, Advanced Dry Needling Therapist, Trimmers and Toners
Physiotherapist, Noida

Trigger finger is a painful condition that causes the fingers or thumb to catch or lock when bent. In the thumb its called trigger thumb. Trigger finger happens when tendons in the finger or thumb become inflamed.

Causes: a repeated movement or forceful use of the finger or thumb. Other causes may include; rheumatoid arthritis, gout, and diabetes.

Signs and symptoms: trigger finger may start with discomfort felt at the base Of the finger, where the finger joins the palm. You might feel a lump there. Other symptoms may include:

pain
• popping
• catching feeling
• limited finger movement
Treatment: common treatments include,
• night splints
• anti-inflammatory medication
• changing your activity
• steroid injection

Physiotherapy exercises:

1. Squeeze the ball.

2. Massage the affected joint or area. 

3. Opening & closing of fist etc. 
 

1 person found this helpful

Hand Pain - Can Carpal Tunnel Disorder Cause It?

Dr. Rajinder K. Sharma 91% (3335 ratings)
MBBS, D.O. Orthopedic Surgery
Orthopedist, Chandigarh
Hand Pain - Can Carpal Tunnel Disorder Cause It?

The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand.

Causes:

De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions:

  • Clenching The fist
  • Handling on or holding objects
  • Turning the wrist

Treatment for this includes the following:

  • Wearing a prop to rest the thumb and wrist
  • Calming drugs
  • Cortisone infusions

Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand:

  • Palm and a few fingers
  • Wrist
  • Lower arm

The treatment methods includes the following:

  • Resting the hand and wrist
  • Painkillers
  • Wrist support
  • Steroid infusions
  • Active recuperation
  • Breaks

Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following:

  • Stiffness
  • Swelling
  • Loss of proper motion and movement

The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly.

Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling.

In the hand, the regions where this regularly happens are as follows:

  • Base of the thumb
  • Center joint of one or more fingers
  • End joint, which is nearest to the fingertip

The treatment depends on the seriousness of the injury and the following may be used:

  • Painkillers
  • Props for the fingers or wrist
  • Heat
  • Non-intrusive treatment

Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb.

Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb.

Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2968 people found this helpful

8 Signs You Might Be Suffering From Cubital Tunnel Syndrome!

Dr. Priyanka Tyagi 88% (143 ratings)
BPTh/BPT
Physiotherapist, Delhi
8 Signs You Might Be Suffering From Cubital Tunnel Syndrome!

Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression.

Symptoms
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:

  1. Numbness in little and ring finger as the fingers fall asleep
  2. A tingling sensation, usually like the pinch of pins and needles in ring and little finger
  3. Pain in forearm
  4. Weakness in the hand
  5. Some of the severe symptoms include:
  6. Reduction in overall hand grip
  7. A claw like deformity in hand
  8. Wasting of muscles of the hand

Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve. People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.


Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment. Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone.

For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time.

How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4701 people found this helpful

De Quervain s Tenosynovitis

Senior Registrar/ Research Associate, MS - Orthopaedics, MBBS, MCh. Orthopedics
Orthopedist, Ghaziabad
De Quervain s Tenosynovitis

  • De Quervains tenosynovitis occurs when the tendon around the base of thumb become swollen and inflamed. This puts pressure on nearby nerves, causing pain and numbness along the back of your thumb and index finger. The pain may get worsen when you use your hand and thumb.  A “catching” or “snapping” feeling or squeaking sound one may hear while moving thumb.

 

1 person found this helpful

Pain In Fingers - Can It Be A Sign of Tendinitis?

Dr. Gaurav Khera 91% (30 ratings)
MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Pain In Fingers - Can It Be A Sign of Tendinitis?

Tendinitis is a discomfort of the tendon. It results in pain outside the joint. There are many tendons in the body, but this condition is mainly witnessed in wrists, heels, shoulders and elbows. Some frequently used names for different kinds of tendinitis includes pitcher’s shoulder, tennis elbow, jumper’s knee, golfer’s elbow and swimmer’s shoulder.

Symptoms of tendinitis:
Symptoms of tendinitis are witnessed at the point of contact between bone and the muscle. Some of the visible signs of tendinitis are tenderness, swelling and a dull ache while moving the affected joint. Even constant pain can be felt in some cases.

What are the causes of tendinitis?
Tendinitis is frequently observed among sportsmen and athletes. If a job involves repetitive motion of a particular joint, the stress on the tendons can result in tendinitis. It is therefore very important for sportsmen to use the right technique in order to refrain from tendon related problems. Sudden accidents can also result in an injury to the tendon.

Risk factor of tendinitis:
Risk factors for this condition include job, occupation, and sports. As a person gets older, tendons tend to lose their flexibility which can lead to an injury of the tendon. If the job of a person involves frequent reaching of the overhead, vibration, repetitive motion and forceful exertion, he might face an injury to the tendon resulting in tendinitis. Last but not the least, tendinitis is very common among players who are involved in sports such as basketball, tennis, golf, baseball, running , cricket and bowling.

What are the complications involved?
Tendinitis can aggravate to tendon rupture of proper treatment is not done on time. Tendon rupture needs a surgical procedure to fix. If tendon pain lasts for few weeks at stretch, there is a good chance that the condition has turned into tendinitis.

Diagnosis:
Diagnosis of tendinitis can be done with the physical exam itself. A doctor might want to look at an X-ray scan to negate other condition that might be causing the pain.

Treatment:
Treatment includes the prescription of pain relievers, such as ibuprofen and aspirin. Tropical creams can also be prescribed to relieve the pain. Doctors often suggest corticosteroids be injected along the tendon in order to relieve tendinitis. If the condition is not very serious, a doctor might suggest specific exercise such as eccentric strengthening to fix the condition.

If the condition is severe, the doctor might want to go for a surgical procedure to fix tendinitis. Especially in conditions where there is a tear in the tendon and the bone. Another invasive technique to treat tendinitis is the focused aspiration of scar tissue. This procedure is performed under anesthesia thereby causing less pain to the patient. If you wish to discuss about any specific problem, you can consult an orthopaedic.

3913 people found this helpful

Cubital Tunnel Syndrome - How Physiotherapy Can Help You?

Dr. Nikita Paprunia 92% (252 ratings)
Physiotherapist, Latur
Cubital Tunnel Syndrome  - How Physiotherapy Can Help You?

Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression.

Symptoms
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:

  1. Numbness in little and ring finger as the fingers fall asleep
  2. A tingling sensation, usually like the pinch of pins and needles in ring and little finger
  3. Pain in forearm
  4. Weakness in the hand
  5. Some of the severe symptoms include:
  6. Reduction in overall hand grip
  7. A claw like deformity in hand
  8. Wasting of muscles of the hand

Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve. People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.


Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment. Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone.

For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time.

How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve. If you wish to discuss about any specific problem, you can consult a physiotherapist.

2934 people found this helpful

Panic Disorder - 12 Signs You Are Suffering From it!

Dr. Vikas Patel 91% (527 ratings)
Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana
Panic Disorder - 12 Signs You Are Suffering From it!

Panic disorder is a condition that strikes without reason or caution and can be serious. Indications of panic disorder usually include sudden attacks of panic and anxiety, in addition to physical side effects, such as sweating and a pounding heart. During a fit of panic, the reaction is based on the circumstances, which may not be threatening in general, but triggers a feeling of panic. After some time, a person with a panic disorder builds up a consistent fear of having another fit of anxiety, which can influence the every day functioning and lifestyle in general. Panic disorder usually occurs alongside other conditions like depression, liquor abuse, or drug abuse.

You might experience the ill effects of a panic disorder if you:

  1. Encounter frequent, unforeseen fits of anxiety that are not attached to a particular circumstance or event
  2. Stress over having another fit of anxiety
  3. Are trying to avoid the places of your precious panic attacks

The most common symptoms of a panic disorder are as follows:

  1. Trouble relaxing and feeling uneasy most of the time
  2. Beating heart or abdominal pain with a feeling of nervousness
  3. Serious irrational and emotional fear
  4. Feeling as if you are out of breath
  5. Feeling as if you are being choked or smothered
  6. Dizzy spells
  7. Trembling or shaking
  8. Sweating constantly
  9. Feeling nauseous or having a stomach ache
  10. Shivering or numbness in the fingers and toes
  11. Sudden chills or hot flashes
  12. A fear that you are losing control or are about to die

While a single panic attack may just last a couple of minutes, the impact of the experience can leave a long lasting impression and make you susceptible to more such attacks. In case you have this issue, the repetitive fits of panic take an emotional toll. The memory of the fear that you felt during these attacks can affect your self-confidence and cause interruption to your regular day-to-day existence. In the end, this prompts to the following panic disorder effects:

  1. Expectant uneasiness: Instead of feeling like yourself in the middle of panic attacks, you feel tensed and on edge. This uneasiness originates from a dread of having future attacks of anxiety. This fear is seen more often than not, and can be extremely disabling at times.
  2. Phobic avoidance: You start to stay away from specific circumstances or situations. This might happen since you are maintaining a strategic distance because of your previous panic attack. On the other hand, you may stay away from areas where escape would be troublesome or help would be inaccessible in case you had a fit of panic.
  3. Medicines: Medicines can be used to control or decrease a majority of the side effects of panic disorder. Even if medicines do not form a part of the main treatment, when combined with other treatments, medicines are very effective. Eg. therapy and lifestyle changes. If you wish to discuss about any specific problem, you can consult a psychiatrist.
5381 people found this helpful

Dislocation - What Can be the Reasons Behind it?

Dr. Shekhar Srivastav 83% (12 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Dislocation - What Can be the Reasons Behind it?

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury. 

What can cause a dislocation?
The causes of dislocation are as follows:

  1. A body joint can get dislocated if you have suffered a fall.
  2. If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
  3. Automobile accidents can also cause dislocation of joints.
  4. Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.


Understanding the signs and symptoms

In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be: 

  1. You might experience severe pain while moving the dislocated joint.
  2. There will be a lack of sensation near the dislocated portion.
  3. There might be a stinging sensation in the dislocated area.
  4. In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints. If you wish to discuss about any specific problem, you can consult an orthopedist.

3721 people found this helpful

Back Pain - 5 Ayurvedic Remedies For it

Dr. Niveditha Srinivasamurthy 92% (670 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MSCP
Ayurveda, Meerut
Back Pain - 5 Ayurvedic Remedies For it

Back pain refers to a severe pain in the back due to a strain in the muscle and the associated ligaments of the spine. Back pain is a fairly common condition and almost everyone has experienced it at least once in their lifetime. The pain can be either acute (pain in sudden bursts) or chronic (lasting for more than a month). Back pain generally tends to subside if one takes appropriate measures. 

You might experience the following symptoms along with back pain:

  1. Severe pain around the muscles which might stretch down to your feet
  2. Back pain will significantly limit the flexibility of your back
  3. If there are recurrent instances of high fever and severe gall bladder disorders along with the pain, a consultation with your doctor is highly recommended.

Back pain might occur due to the following reasons:

  1. Back pain might occur as a result of osteoarthritis (a disorder that is characterized by the breaking and wearing down of the flexible tissues at the end of the bones) and osteoporosis (a disorder marked by bones that are weak and brittle).
  2. It might occur as a result of a fatal accident or an injury.
  3. If you are a chain smoker and have a history of excessive alcohol or drug abuse, you are more likely to experience back pain.
  4. Back pain might also occur as a result of ageing, excessive weight gain, lack of regular exercising, cancer and instances of severe depression.

Ayurveda can be very useful for eradicating back pain. According to Ayurveda, back pain is caused due to the heightening of the ‘vata’ owing to an unhealthy diet, anxiety, and suppression of muscles, collectively called ‘dosha’. 

The Ayurvedic remedies for back pain are as follows:

  1. A regular intake of 30 ml of Aloe Vera juice in the morning might heal symptoms of back pain
  2. A regular intake of a mixture of 5g Triphala churnam mixed with water before retiring for the night might help to ease the general discomfort associated with back pain.
  3. Consume a medicinal preparation of 100ml of Black Gram (Urad Dal) daily for a week in order to get rid of the pain.
  4. You can also perform Paschimottanasana (an exercise where you have to touch the toes and repeat the same for a few times) and Vayu Mudra (an exercise where you have to move the index finger on the thumb base and the thumb finger in closed proximity to the index finger while the other fingers remain in a perpendicular position) to get rid of the back pain.
  5. Cut down on your consumption of pungent spices. This is because these pungent spices tend to have a drying effect on the body, that in turn, might lead to severe back pain, especially in the lower back along with constipation. If you wish to discuss about any specific problem, you can consult an ayurveda.
3272 people found this helpful
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