Arthritis can affect any joint in the body and can be painful and debilitating when it affects the hands and fingers. Osteoarthritis (OA) and Rheumatoid Arthritis (RA) can cause joint pain, physical abnormality and dysfunction of the hands and wrists. At FORM Hand Therapy, our hand therapists can help strengthen the joints in the wrists and fingers and improve hand dexterity. In addition to improving hand function, our hand therapists can help decrease the progression of these conditions.
The following are just a few arthritic conditions we treat. If you have a question about whether your condition should be treated by one of our hand therapists, call FORM Hand Therapy at (510) 585-2535 or ask your doctor for a referral to FORM Hand Therapy. If you are not currently under the care of a physician for your condition or would like to be evaluated by an Orthopaedic Surgeon specializing in hand, wrist and elbow conditions, schedule an appointment at FORM Hand, Wrist & Elbow Institute.
- Basal Joint (Thumb Joint) Osteoarthritis
- Rheumatoid Arthritis of the Hand and Wrist
Basal Joint (Thumb Joint) Osteoarthritis
The thumb base is a common joint to be affected by arthritis. When the cartilage between the two main bones that comprise the thumb joint degenerates over time, bone on bone contact occurs with activity. Due to the lack of cushion from the cartilage, you may experience pain.
Symptoms
- Thumb pain.
- Thumb achiness at rest.
- Sharp pain with grasping or pinching.
- The thumb joint may even become enlarged.
Non-Surgical Treatment
If you are referred to FORM Hand Therapy for mild thumb joint arthritis, our hand therapists can provide activity modification, recommend adaptive equipment, exercises to reduce pain, and custom fabricated orthosis. If symptoms persist and begin to limit hand function, your physician may recommend surgery.
Post-Surgical Treatment
Because of the variability of surgical techniques for basal joint arthritis, our hand therapists will work closely with your surgeon to determine the period of post-surgical immobilization with a splint . Our hand therapists construct custom splints to ensure that your individual splint will work best for you, and will be easy to take on and off. Rehabilitative goals following surgery will focus specifically on joint healing and regaining hand function.
Rheumatoid Arthritis of the Hand and Wrist
It is estimated that hands and wrists are affected in 80-90% of rheumatoid arthritis patients. Rheumatoid arthritis is an autoimmune disorder where your immune system mistakenly attacks your own body’s tissues. It affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity.
Symptoms
- Hand and wrist joint pain and stiffness.
- Loss of range of motion of the hand and wrist.
- Reduction in hand strength and grip from muscle atrophy.
- Hand and wrist swelling.
- Hand and wrist deformity.
Treatment
Hand therapy for individuals with rheumatoid arthritis is imperative to decrease the potential long-term impairment. Lose of hand strength and mobility can be devastating for those with rheumatoid arthritis. Hand therapists play an important role in rheumatoid arthritis treatment by implementing rehabilitative techniques including exercise routines to help maintain range of motion and strength, activity modification, therapeutic modalities such as heat/cold or electrical stimulation, custom splinting, adaptive equipment, and appropriate durations of rest.