Our hands, which we frequently use to perform activities in our daily life, are one of the most complex parts of our body. 19 bones, 17 joints and 19 muscles in our hands work in every movement. Long-term use of technological tools, as well as frequently compelling and inverted movements, wear our hands and invite diseases. Damaged bones, tendons, muscles, vessels and nerves as a result of trauma and injury lead to complaints such as weakness, loss of sensation and pain. Diseases of the hand and wrist, as a result of excessive and misuse of the hand and wrist; Diseases such as trigger finger, nerve compression, carpal tunnel syndrome, rheumatoid arthritis, tennis elbow are common among the people. In this case, patients should follow their own health well and should be treated to an orthopedic specialist as soon as the symptoms of the diseases are seen.
There is a ring-shaped sheath around tendons, which are fibrous connective tissue that connects our muscles to bones. Due to the inflammation in this sheath, the diameter around it expands. Due to this thickening structure, the flexibility in the fingers disappears, causing the fingers to form a position similar to the trigger pull. The disease that occurs in this case is called Trigger Finger.
Trigger finger disease, which can be seen at any age, is seen in people with diabetes and rheumatic diseases in older ages, and in people who use their palms more frequently, such as excessive computer, mobile phone use, mountaineer, motorcycle and pianist at a younger age. Finger pain, throbbing and swelling are among the symptoms of the disease. Hands that are relieved by snagging and jumping movements in the fingers in the early stage, if not treated, cause the entire movement to be lost and the hands to remain locked.
After the symptoms of the disease appear, the doctor diagnoses the disease after a physical examination. Pain and throbbing in the first stages are eliminated with cold compresses and physical therapy applications. However, in cases that do not heal after physical therapy, the area causing the congestion is cut and relieved with an incision made into the palm. After the surgery, the patient returns to his daily life in a short time and the disease does not recur.
Carpal Tunnel Syndrome
There are muscles, nerves and vessels that enable the movement of the fingers in the wrist. These branches, which are close to each other, pass through the wrist and provide the movement and sensation of each finger. The outside of the nerves in the hand is covered with a protective sheath. This sheath, which can thicken in advanced ages, compresses the nerve in it and puts pressure on it. This condition, in which the person feels numbness, pain and tingling in his fingers, is called carpal tunnel syndrome in the group of wrist diseases.
Excessive use of the wrist is effective in the frequent occurrence of the disease. Carpal tunnel syndrome is very common in cases where the wrist is used, such as excessive computer use, knitting, constantly wringing out the cloths used for cleaning, auto repair. Diabetes, hypothyroidism, rheumatoid arthritis and gout can also cause carpal tunnel disease.
After the patient’s complaints, the underlying cause is investigated with the history heard by the orthopedic specialist. If the patient also has neck hernia and calcification, in this case, wrist canal disease is also present. This condition is called double stenosis. The full diagnosis of the disease is made by drawing MRI and nerve electrodes.
In the early stages of the disease, pain-relieving pain medications and physical therapy applications are preferred. In particular, applications where the hand is kept warm and rested provide relief from acute pain. However, if the compression is severe, surgical application should be preferred. The compressed nerve is relieved by an incision in the wrist.
In the palm of the hand, the connective and adipose tissue under the skin hardens over time and turns into nodules and cell-free connective tissue. These resulting structures cause the fingers to bend and move inward. This disease, which prevents the movement of the fingers in the group of wrist diseases, is called Dupuytren’s disease.
Dupuytren’s disease, which causes loss of movement and cosmetic appearance in the fingers of the hand, is mostly seen after the age of 40. Swelling and stiffness in the palm and inability to open one or more fingers are among the symptoms of the disease. The disease, which does not cause pain, only negatively affects the mobility of the person.
Observing the dimpling of the diseased area during the doctor’s examination plays a major role in diagnosing the disease. Since pain does not occur, patients delay treatment, but this causes the disease to progress further. In such cases, the nodules and ligaments formed in the palm of the patient are removed with surgical treatment. With physical therapy applications, it is ensured that the patient returns to his daily life in a short time.
Swellings on the wrist that sometimes disappear spontaneously are called ganglion cysts. It can often be seen in the upper part of the wrist, and in some cases in the finger joint areas. These cysts, which have a balloon-like appearance outside the skin due to the dense and slippery joint fluid inside, can grow with increased movement in the hand.
This disease, which is malignant and cannot spread to other organs, is mostly seen in women who use computers or knit. During the doctor’s examination, the underlying cause of the disease is investigated. Treatment of the disease, which may occur due to rheumatic diseases or bone tumors, is usually carried out with follow-up. The patient is followed up with regular controls, but in case of excessive swelling or pain, the fluid in the cyst is removed. If the pain persists despite this treatment, the cyst is surgically removed.